Wednesday, March 25, 2009

Did I really joke with the Dr that my body is like a car?

In preparation for my doctor's visit this week, I had done some light reading on his website and stumbled across a procedure called uterine suspension. It's usually done at the same time as a laparoscopy . It is performed for a tilted uterus. (Remember, I have a tilted uterus.) I had been talking about this with a friend and she said, "It's like you are a car." We joked back and forth about needing a "tune-up" or an "oil-change" and some other various car jokes. That night I had shared the story with Clay but he did not laugh. (He usually never laughs at my jokes or whatever I think is funny or cute.) However, he was laughing yesterday. More on that in a minute.....
So, we went to the doctor yesterday afternoon. I was armed with all of my questions. We tried to tape it all on my MP3 player so I will have to give that a listen later and see if it worked. We talked about my cycle and that I was still making good progress to ovulate again. We discussed the fact that there was no "true" temp spike for ovulation unless I had already ovulated the day of my last sono and shot of Ovidrel (day 16) which as I learned is possible. We discussed that they can't tell on the sono if I had already ovulated so he thinks it was day 15 or 16 or at least I had started the process around then. He was happy with my cycle length and smiled at my compulsive documentation skills. I had a copy of my most recent temp chart for him marked with all the important markers (i.e. Letrozole days 3-7, day 16 Ovidrel, Prometrium start, Prometrium stop, and start of cycle). He just shook his head. I think he finds me funny on some level since I'm a bit anal. We also talked about a diet and I could have hugged him. I thought it would help if I lost some more weight but he just stared at me. He said "It's not a weight issue with you. You don't need to lose any if you don't want." Did I mention I LOVE my doctor? We also talked about Clay's tank and various hormone levels. I asked why my temps were taking so long to drop back down to normal since my period is over and he said that was normal. The drugs "tax" the ovaries a bit and it takes them a little longer to wind back down after being so geared up. We talked about overworking the ovaries and how usually he sometimes backs off to an every other month work-up (which I don't want to do since I want to be aggressive). Somehow in all this talk, he mentioned sneaking into the ultrasound room for an "off the books" sono to see what I looked like this month. (I thought well, we have the baseline from day 2 but if you want to see day 6, then let's go for it.) However, this required a wait to work in between appointments and sneak into the room. He took a few shots. We had a medical student with us so while doing the sono, the good dr. pointed out a few things. We again discussed my overly tilted uterus and he asked the med student "How's that for a polycystic ovary?" To which the med student started to count and then stopped to ask "Is it even worth counting when there are that many?" HA! Well, no not really but you can humor me and try. After returning to the room, he said, "Alright, I have a long term game plan." Then he discussed trying the Letrozole this month and maybe one more. Then depending on the pain (wink-wink) we will discuss the laparoscopy and the uterine suspension as well as some other procedure that can all be done at the same time. Clay and I had a laugh from the talk about the uterine suspension.
That brings me finally back around to the title. Since Clay and I had a little laugh, I felt the need to explain the conversation I had with my friend about the uterine suspension and sounding like a car. The doctor got a BIG KICK out of it all and then added, "Well, I will give you a good oil change too." I thought he was joking but I guess not. He went on to explain that at the end of the procedure they do insert an "oil" (I don't remember the fancy name or terms) to coat the uterus and it is thought to aid with fertilization and increase the chances for conception. We had a good laugh and Clay added that maybe we could also rotate the tires next time. HA! Now he joined in in the humor. So I guess my body really is like a car and I really did share the joke with my doctor, or should I say mechanic ;o)

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