Hysteroscopy & Mock Transfer

Today was the day for my scheduled hysteroscopy and mock transfer. Steve took the day off and accompanied me to my appointment and I am so glad he did. I was feeling anxious and scared this morning and I worked myself up to tears before we left the house. So far, the HSG test and sonohysterogram have been pretty painful for me so I was very apprehensive for today’s happenings.

The drive to the clinic was quiet. Traffic was light and I admired the green pastures from my passenger side window. Once we arrived to the clinic, I was asked to pee in a cup and sat around in the waiting room until my name was called.  I had a good cry while we sat alone in the waiting room. It is funny how I always have me emotions in check until I am physically present in the clinic. Life is a great distraction until I have to go to the clinic and face the reality of infertility. We sat quietly until my name was called to go to the back where I met a new gal today, her name was Tonya. She obtained my weight, height, vital signs and lead us to the exam room. I asked Tonya if the procedure would be painful and she said that between the HSG test and the sonohyterogram, many patients have said that the hysteroscopy is the least painful. That gave me relief for about two seconds, but then again I knew with previous experience that I would not be one of the lucky ones that would not experience any pain. She was kind enough to give me 600mg of motrin and encouraged me to drink a bottle of water because my bladder needed to be full for the mock transfer. After about 15 minutes, she asked if my bladder felt full and I looked at her and said, “dear, I have nurses bladder”, and she kindly handed me another water bottle. Another 15 minutes passed by and an entourage of people entered our room. Steve immediately turned away from the medical equipment and faced me while Dr. G greeted us and explained the procedures. In our room we had Tonya, Dr. G and her medical scribe, OB/GYN resident Dr. L and two ultrasound techs.

First up, the hysteroscopy. I was told that Dr. L was going to do this procedure and I gave her my blessings because she needs all the experience she can get. Besides, I remember my nursing school days and how I was grateful for my clinical experience. While she was inserting the speculum, I shared a story about how I successfully inserted my first foley catheter in a woman getting prepped for a cesarean delivery of twins in the operating room during my mother baby rotation in nursing school. A few moments pass by and I was relieved that things were going smoothly until I was told that my cervix was facing downwards so she had to adjust the speculum. Dr. G ended up having to pull the speculum downwards so Dr. L could insert the camera into my uterus. During this time, Tonya was beginning to inject saline to open up the uterus. I looked to my left and I watch the camera take pictures of my uterus on the television screen. I immediately saw a small uterine polyp and Dr. G also noted this finding as well. I then asked her how long this part will take and she said about 30 seconds. She then said to her staff, “… and this is the code word for when she is starting to feel the pain”. Let me just say this; the pain was unbearable. Absolutely unbearable. I never in my life felt this type of pain and it drove me to tears. They took the pictures that they needed while I was sobbing and they did the mock transfer with ease and precision. It all happened so fast that I still do not remember when the ultrasound tech was doing her thing, all I do remember is her pushing down on my uterus with her equipment and it was uncomfortable.

After the mock transfer, Dr. G sat me up, consoled me and she said she wanted to check my TSH levels again to see if the synthroid is working and my prolactin level. She also mentioned  that I will need to get the uterine polyp surgically removed before embryo implantation. Once I lose 15lbs, we can start the process to have our baby/babies.

Our Tentative Plan

  1. Embryo Creation (once I lose 15lbs).
  2. After embryo creation, operative hysteroscopy and polypectomy.
  3. Frozen embryo transfer.

We have a plan in place and from what I understand, they will be doing our pre-IVF report too. We told Dr. G that we do want genetic testing for our embryos and she was pleased with our decision. She gave me a hug before we parted ways and gave me a few words of encouragement and acknowledged how difficult this must be.  Her compassion and sincerity is something that makes this process so much easier. That and the fact that my husband was available to hold my hand today, even though it was painful for him too (apparently, I have a strong grip!).  Another day, another procedure and now Dr. G has a road map of where she will implant our future embryo/embryos.

I have a lot of work to do, but I am excited and I am going to allow myself to be excited. My brother is letting us borrow his elliptical machine and I will be picking it up sometime this week. I can do this, I CAN DO THIS.

Thanks for reading.

-E

 

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