Here’s how our first appointment went:
Appointment 1 – Cycle day 30 – Duration: about 2 hours
The appointment started with a pelvic ultrasound (scanner goes on the belly), which required a full bladder. After a trip to the toilet to empty my bladder (“Make sure you get everything out”, said the technician. Uh…what?), next came the transvaginal ultrasound. The camera is shaped like a wand, which is covered with a condom, and then the technician takes images of your uterus and ovaries while it’s inside you. It’s mildly uncomfortable, but no big deal at all.
After those procedures, we waited to speak with the doctor. Covering the walls of the waiting room were photographs of babies and thank you letters to the various doctors at the clinic. While I’m sure the idea behind it was to provide patients with a sense of hope (“See? These people all had problems, too, and now they’ve got babies!”), it seemed like an especially awful kind of hell to have to sit there with a reminder of what my body was incapable of producing.
I should mention I was on the verge of tears for most of this portion of the appointment. The ultrasound technician asked if I was alright, which is a question that, for some reason, often brings me to tears, but I managed to keep it together. I was really nervous about crying in front of the doctor, so I tried to avoid looking at any of those frigging baby pictures. At this point, we still didn’t know if it was physically possible for us to have kids. Stress rate=high. Babies everywhere=not helping aforementioned stress rate.
The doctor started off by asking me a whole pile of questions about my periods (long and painful, but predictable), my family (awesome and healthy, but a history of painful periods), past pregnancies (none)…
and then a whole bunch of questions about hair.
Have I ever had to wax, receive electrolysis or laser hair removal on my face, around my nipples, abdomen, toes…
What is happening? The only time I’ve thought about body hair is when I noticed my husband lacks any hair on his arms. I am not a hairy person. I have no facial hair (in fact, I barely have eyebrows), and I think it’s safe to say my boobs have been hairless my whole life.
Where in the hell did those questions come from? I didn’t expect them, and I feel like I was pretty prepared for what we would be discussing.
Our doctor told us that as we answer questions, he flags answers that he thinks might be clues for why we’re suffering (a very suitable word) from primary infertility.
After all the hair questions, it was my husband’s turn. He had significantly fewer questions to answer than I did, but it was nice to relax for a little bit.
When we were done giving our answers, the doctor explained that this process is sort of like a guessing game where he rules out possibilities for why things aren’t happening as they should be. He showed us the images from the ultrasounds, saying that my ovaries were well-stocked with what seemed like good quality eggs. I do not have ovarian cancer (which I was a little more than slightly paranoid about), and I had ovulated from the left this month (I knew it–I always feel it on the left). He suspected my diagnosis would be either PCOS (polycystic ovarian syndrome) or endometriosis. The doctor kept referring to the Bearded Lady in relation to PCOS, and that I would likely disagree with his diagnosis if I read about it on the internet.
(Fast forward to us returning home and me investigating PCOS–doctor was right. I have like zero symptoms of this spectrum disorder).
Anyway, we came up with a plan and decided we would continue to try naturally while doing “cycle monitoring”, which would require me to come for semi-regular blood work and ultrasounds throughout my cycle to see what’s going on. The doctor discussed Clomid briefly as another course of action if the case for PCOS was strengthened.
We were sent off to get blood work done, and I was told to call the clinic on day 1 of my period to book an appointment for an HSG test (hysterosalpingogram), which are done between day 5 and day 10 of your cycle. The doctor warned me some people experienced severe pain during this test, so I was hoping it wouldn’t be necessary.
We left the appointment feeling positive and like we were finally getting somewhere. We still needed to get sperm tested for good swimmers and fallopian tubes tested for blockages, but we were on our way to finding answers, and hopefully, a solution.
Our doctor is incredibly positive and as a result, so am I. Maybe something is actually going to happen now.
-Hairless Regular Van.