The Follow Up, and Other Ramblings

Last week I got in to see my own Dr. Wunnerful. *sigh* Have I ever mentioned how much I love him?

The first thing he said to me was, "Well, that was a shock, huh?"

So he explained to me that I most likely had some scar tissue from my C-section, which caused the ectopic. And, that this is one of the risks of C-section.

This would have been good information to have had before Mister and I threw caution to the wind, and (amazingly, shockingly) got me knocked up again. Maybe, had I known that ectopic was a risk (even if a slight one) I might have been on the look-out. I might have taken my symptoms more seriously. I might have gone to the doctor sooner. I might have saved my tube.

But of course, since Dr. Wunnerful was out of town the weekend my water broke and I went into labor (a week before my scheduled C-section, which he would have performed), another doctor performed my C-section. Ironically, that was Dr. G., the same doctor I used to see when I first started down the path of trying to figure out why I couldn't conceive. The same doctor that performed my D&C in 2006 after our loss. The same doctor who looked at my labs and told me 'everything was normal' even though the RE looked at the same labs and told me later, my FSH was high. She is also the same doctor who pooh-poohed me when I brought up endometriosis.

Thankfully, my gut told me, when it was time to go back in 2008 for a check up after a failed IUI, I decided to switch doctors. And I've been with Dr. Wunnerful ever since. Dr. Wunnerful who did NOT pooh-pooh my thoughts on endo, who performed a lap....after which I conceived my daughter.

I often think, 'if only I had switched doctors sooner.....?!?' but I can't go there.

However, after my C-section, performed by Dr. G. (again, ironically, almost exactly 4 years to the day after she performed my D&C) I was required to see HER for my follow-up check up 6 weeks later. During my follow up I was asked what form of birth control I would be using. I had to laugh. The thought of birth control, after 6 years or so of not being able to conceive, just seemed silly. So I asked, 'is there any risk, or concern, if I should become pregnant, after my C-section?'

Her answer?

No. You'll be fine.

No mention of the risk, no matter how slight, of scar tissue or possible ectopic.

Not that anyone could have necessarily seen this coming.

And, with my history with Dr. G., she probably figured my baby Grace was a fluke, and future pregnancy was not likely anyway.

Who knows.

But I can't go there. I get too angry.

So, back to the present.

Dr. Wunnerful said, 'Well, you probably want to know about the condition of the other tube.'

As if he were reading my mind. Yes.

To make a long story short, he is recommending doing another lap procedure, during which he'll do another dye test to check the flow of the other tube, right before we decide to try again.

Wait, what, hold up...So, Frenchie, does this mean you ARE going to try again?

At first we were unsure. We were very happy with our two, and figured, what are the odds I could get pregnant again? We would just 'see what happened' and would be happy either way. Then, when this ectopic happened, when I learned there was a baby inside me, that I would not be able to carry...it was like everything crystallized. Our 'what-will-be-will-be' attitude shifted, and we knew: we will try again.

But, when? Right now, the timing is crap. We have so much work to do with Handsome Man. He really needs my full attention right now. We are still trying to wade through this diagnosis--and to find the best treatment(s) for him. We are dealing with issues of extreme impulsivity, opposition, hyperactivity, rage, and frustration. I am trying to forge through the red tape of the Board of Education, to get him a much-needed one-on-one assessment in the classroom, so we can see if we qualify for assistance. If we do not get this soon, I don't know if he will be able to continue at his preschool. Most days I feel exasperated, stressed, tired and spread too thin. Add to this I am trying to care for an 8 month old...and, well, now is just not a good time to add to our family.

So when?

In a perfect world, we'd wait a year at least. After which, hopefully, Handsome Man will be doing better, and by the time the baby came, he'd be going into Kindergarten. And by that same time Grace would be about ready for preschool. Hopefully by then things would be a little less crazy around here.

But. Time is not necessarily on my side, either. I turn 39 in a couple of months. And, after that, I'm staring down the barrel at 40. I know plenty of women have babies after 40, but let's be honest, there's no guarantee. Plus we don't know how long it would take with my one tube.

Dr. Wunnerful told me not to start trying for at least two months, to give my body time to heal. I feel like 6 months sounds like a better time frame. Physically. I am not ready for any more activity in my pelvic region right now. I need time to rest, get my energy levels back up, eat right, take my vitamins, take care of myself.

So, in 6 months or so, Mister and I will reevaluate where we are with the baby thing. Mister thinks I am about bat-shit crazy for wanting to go under the knife again. I told him I would do anything to prevent having another ectopic. If, in 6 months, we are ready to start trying, I'll go have the lap, and see what the status is with my remaining tube. In the meantime, I've got a lot of work to do being a mom to the two children that are here now. And to mother myself a bit, when I can find the time.