My doctor did an exam and checked all my incisions. Everything looks to be healing correctly and I was given the go-ahead to resume normal activities, minus any heavy weightlifting at the gym (because we all know there was a huge danger of that happening!!). No problem. Before I get to our options, I'll share about my pictures. I have two pages of pictures (in color!!) of my insides. It's a little gross, but kinda cool. What's weird about it is that the right ovary (which is no longer in my body, thanks to the surgery) was more than three times the size of the left ovary. I thought there had been a tumor growing like on the outside of the ovary, but actually the endometrioma had sort of "taken over" the ovary and had filled it with this nasty liquid (think melted chocolate; yes I know that's gross) that is endometriosis. For this reason, the ovary is gone. No saving it. The other ovary was a little enlarged, but was nothing compared to the right one which was almost the size of my entire uterus.
But let's not forget to mention that my entire reproductive area was a "mess," to quote my doctor. Endometriosis everywhere. Some adhesions in my uterus as well, but the D&C took care of that. My doc burned off nearly all of the endometriosis (which, by the way, is uterine lining that is growing outside the uterus. Right tissue, wrong location, in other words.) except for the little bit that was growing on the wall of my bladder, which I greatly appreciated. No holes in my bladder, please.
- A. Birth Control pills for six months or so to stop the growth of the endometriosis and to alleviate pain. Obviously, no trying to conceive.
- B. Lupron for 6 months to essentially shut down the production of estrogen (which causes the endo to grow and spread), and to "kill off" the endometriosis. Also, no trying to conceive because I will not be ovulating.
- C. Do nothing. Try to conceive "on our own" since we're not pursuing IVF or ICSI (if we were pursuing those things, now would be the prime time since I've been "cleaned out."). Re-evaluate in six months.
It's strange timing of course since we have this precious little one at home, our miracle through adoption. And we haven't been focused on trying to conceive since we have him in our lives. He, in every way, is our beautiful child. We are already parents. And frankly, I'm a little overwhelmed at the thought of having another baby so soon, but, because of the diagnosis of endometriosis, we feel that it's a good time to really pray for a child through pregnancy. And pray we must since we already have male factor infertility throwing a mean left hook at us.
If, in 6 months, we have not gotten pregnant, we'll re-evaluate our options. If pain becomes an issue, we'll re-evaluate our options sooner.
But...for the record, that's what's going on. Endometriosis. We would not have known about it if I hadn't had all the bloating from the endometrioma. No wonder we haven't gotten pregnant. I mean, even with serious male factor infertility, there is still always a chance we could conceive "on our own", but with the mess that I saw on the pictures.....no wonder we haven't. I'm thankful it was discovered, that my doctor took my complaints seriously, that I took my discomfort seriously, and that much of the disease has been removed from my body.
All we do now......try and pray.
**disclaimer: yes I know that I don't have all the terminology correct, but I am trying to explain this in a way that is not too full of medical jargon, that the average IF sufferer can understand, that makes sense to me. So....no comments about my kindergarten explanations, please. ;)
P.S. I am not opposed to posting the pictures of my insanely large tumor/ovary and the endometriosis that has taken over my insides. All you have to do is ask. ;)