Saturday, April 18, 2009

One, Two, Three Strikes Days You're Out

After the monkey's arrival on Wednesday I called the doctor. The nurse called back with the game plan. We were going to repeat Letrozole on days 2-6 and add injections of FSH on day 7-?. A baseline sono was scheduled and we discussed the injections. The game was relocated to Urbana for a tutorial on injections and mixing the meds. So yesterday, on Clay's 31st birthday, we headed to Urbana. Usually they are very prompt but yesterday they were running behind, but we patiently waited.
Once we were called back we went to the sono room. The nurse took pictures and measured, much like normal and then she paused. Turning the screen to me, I immediately saw a large "follicle" It looked something like this....
Now this isn't my ovary but that's pretty much what it looked like. One large overgrown follicle. One follicle that just forgot to stop growing after ovulation. One showstopping pain in my ass umm...ovary. Yes, I said showstopping. See, it was day 3 and I'm already done with this cycle of meds. All of the plans to finish the round of Letrozole and start injections ended on the spot. The extra large follicle is actually a CYST and a large one at that. Now I'm just a bit confused about why we can't continue with the meds but the bottomline is we can't. We have to wait for the cyst to resolve, dissipate, go the hell away. Looking on Dr. Google for some information, we find that a cyst is really just a "fluid filled sac." Dr. Google also indicated that the most common type of an ovarian cyst is a functional cyst and functional cysts can be classified in two ways:
  • Follicle cysts. These cysts form when the sac doesn't break open to release the egg. Then the sac keeps growing. This type of cyst most often goes away in 1 to 3 months.
  • Corpus luteum cysts. These cysts form if the sac doesn't dissolve. Instead, the sac seals off after the egg is released. Then fluid builds up inside. Most of these cysts go away after a few weeks. They can grow to almost 4 inches. They may bleed or twist the ovary and cause pain. Some drugs used to cause ovulation can raise the risk of getting these cysts.
There was no mention as to the type of cyst, only that we needed to give it time to resolve itself. There were two options moving forward:
1. Do nothing. Allow the cycle to naturally unfold and wait for the leaving monkey to come back again. OR
2. Take birth control pills for 1 month to force the monkey's timely return in 28 days.
I opted for the do nothing. I don't want to put any birth control pills in my body right now. Plus TECHNICALLY there is still a chance to get pregnant this month when I ovulate. It's just that we aren't medicating to help with ovulation and we aren't monitoring the cycle so we don't know when the ovulation will be. Had I taken the BCP option, I would not have had the chance to ovulate. My body has had enough birth control pills and the fact that I've just started ovulating again I don't want to make a U-turn, even if only for one month.
So now, 3 days into my next cycle, I am once again stuck and at a standstill. Just passing the time waiting for the monkey to come back again. I pray sooner rather than later for I fear that even 28 days is going to feel like an eternity this month. The last two weeks were long enough now I get to do it again, plus some. 28 days will be May 12th.
We discussed that if I don't get my period by day 35-40 then it will be back to a round of Provera and back to the beginning. (Pending I'm not pregnant by some miracle.)
When my period does return, they will do another sono to make sure my cyst has properly dissolved and if there are any questions, possibly some bloodwork. Then we discuss moving forward again......

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