Thursday, October 1, 2009

OB appointment update

Just a quick update about my appointment yesterday.  Let me preface this by saying that I *love* my OB.  In fact, we are friends outside of our dr./patient relationship.  So going to my OB appointments are also like catching up with a girlfriend.  From here on out, I'll refer to her as Dr. Adorable, because that's what she is, doll-like and adorable, but don't let that fool you, she is extremely capable.  Dr. Dreamy referred me to her after I was released with Piglet. That Dreamy, he never fails me.  

Appointment details: All is well with Les Twinkies, hearts beating away.  I have not gained any weight - not shocking considering my current hate-hate relationship with food.  I didn't have an ultrasound since I'll have an in-depth one at my NT scan next week.  I'll keep having ultrasounds every two weeks with the MFMS until about 28 weeks and then I'll start having them at my OB's office if all is on track.  I might even have them at both places. Fine by me!  

One of the topics we discussed were my delivery options.  I had a V delivery with Piglet and all went fine.  The fact that the twins are mono-di means that a C-section is probably in my future.  I'm actually ok with this.  I could have another V delivery if a lot of things fall into place: the twins are both head down, they have not had any growth or fluid issues my entire pregnancy and I carry them to at least 36 weeks.  I'm thinking this is doable (like how I was so breezy about ticking those things off my list already?  Ha!).  

But here's the funny part. 

While we're talking about the possibility a C-section, Dr. Adorable says "Do you want me to do a tubal while I'm in there?"  

I started laughing hysterically.  

ME!  An Infertile!  

Talking about getting her TUBES TIED! 

Surely you jest.

She might as well have asked me if I wanted to walk on the moon too.   

Once I collected myself, I said "Do you really think that's necessary? I mean, given that I'm you know, completely infertile?"  

And she replied "Well I've seen other people get pregnant again..."

And once again I started laughing hysterically.  

Those other people also don't have gimpy ovaries that barely respond to the highest doses of stimulation medications. Those other people didn't have cysts come back six weeks after being surgically removed. Hahahahahaha!  Tubes tied!  Ha!

Then she reminded that I had already bucked the odds because I have a toddler at home and identical twins on the way.

Gulp.  She was right!  

That cured my laughter pretty quickly.  

In the end we decided on a C-section because I am going to have her take out my left ovary at the same time.  Not sure about the tubal yet.  

But I know that horrible cyst is coming back with a vengeance soon after I deliver the twins and there is no way I'm going through the stress of having someone else care for my babes while I am recovering from surgery. 

Been there. Done that.  Not going back.   

So that was my appointment in a nutshell.  I go back in three weeks.  

Next up, first trimester screen including a nuchal translucency scan.  

After that, my next ultrasound will be my gender scan at about 15w.

GENDER, PEOPLE!  We will know if Piglet will have baby sisters or brothers.  


PS -- I have to give a shout out to MeInsideOut for her HILARIOUS comment, giving a name to my "toilet water on my face while puking" description - a TOILET FACIAL. Seriously.  Infertiles are so funny!!! 


Mo and Will said...

So glad you had a good appt! And I don't know about getting a tubal or not, but hey, you've done pretty well so far for someone who is infertile - two IVFs and three kids... pretty darn amazing. Hope the hate-hate relationship with food gets better soon.


Cameron said...

Hooray for things going well! :)

I have a friend (who has a PhD in molecular biology, so is one smart cookie and understands science) who didn't know she was pregnant again for, ahem, let's just say far too long, because they already had two and her husband had had a vasectomy. Then later, due to unrelated complications she knew she was going to have to have a C-section and the Dr. was asking if she wanted her tubes tied. She started laughing, saying, "I don't need my tubes tied, my husband had a vasectomy!" The Dr. just looked down at her pregnant stomach until she got the message and agreed that yes, she would like her tubes tied. LOL!!! :)

Anonymous said...

Sounds like a very informative appointment!! That is great. I am 15 weeks tomorrow and I hope to find out the genders at my next MFM appt on Wednesday!

'Murgdan' said...

OMG. I would die of laughter if I were offered a tubal. I would die further if my husband were offered a vasectomy. Do people not see the irony in these types of things or what? Love it.

Oh. And also had a toilet water facial the other day. Led to more gagging. Gag.

Simone said...

I laughed when my OB wanted to put me on birth control after having L , I was working with high FSH, stage 3 endometriosis and a blocked tube and look what happened…#2 on the way, so you never know…LOL

Carrie said...

YEEE! I love it when they ask about "birth control". What IS that besides an IVF primer drug?

Interestingly enough, our clinic feels strongly that ID twins should always be C-section as they can develop TTTS DURING labor, even if they've never shown signs before. CRAZY!

Cannot wait for the anatomy scan- I have got to think you are team blue- but what do I know?


Sunny said...

Sounds like a great appointment! I'm so glad everything is going well. :)

I would consider getting my tubes tied because we seem to have unexplained infertility. I have very mild endo and the doctors were split on whether they thought it was affecting our TTC. I still think we COULD do it on our own, if we were willing to try for like 4 or 5 years. Which obviously we weren't. :) The previous commenter scared me with her story of a pregnancy after a vasectomy... maybe DH and I should have both, just in case! Because really, the irony would be just too much.