Introducing my new fibroid

I just had my RE appointment this afternoon and it was an interesting experience. My partner basically laid it out there for her, that we were feeling that it was worse to get pregnant than to not get pregnant -- since losing the pregnancies was far worse than not having them. She suggested that we try using Femara to induce ovulation for a few cycles, in the hopes of promoting a stronger ovulation. After a few cycles we could then move on to trying IUI. She said that really, in spite of my partner's poor morphology, that getting pregnant on our own really was the ultimate test of his fertility.

We also discussed and scheduled a HSG for next week, to check for adhesions, any damage to the lining from the two d&cs and make sure the tubes are open. Sounds reasonable, and its what I wanted.

I brought up again that I had read that low ferritin had been linked by some doctors in Britain to lower fertility and increased miscarriage rates and she dismissed me and said that she had never heard that and it wasn't something that she would check for on her own. If I pressed she would do the bloodwork but whatever.

Then she suggested that we do an ultrasound right then and there to see about any new fibroids. Sure I thought, but there weren't any when I had my ultrasounds around the last miscarriage. Low and behold, there was a brand new 2.5 x 3.5 cm intramural fibroid, but away from the uterine lining and towards the outer wall of my uterus. I was in total disbelief. I just went through major abdominal surgery just 14 months before, and there wasn't anything on the scan last June. How could this happen so fast, and in the same are of my uterus?

She said it seemed to be pushing the right ovary out of the way a bit, distorting it on the scan. How nice eh? She said she doesn't think it is causing me any problems right now. She also checked my lining via ultrasound and said that it didn't appear inconsistent which can sometimes be an indicator of adhesions. I'm going to have an HSG on Tuesday next week to check my tubes. If that all looks okay then we'll try for a few cycles using Femara/Letrozole to see if maybe there is an ovulation dysfunction that we can override.

As my doctor was leaving the operatory I said dryly, "well at least I've been growing something in there," and she totally didn't know what to say but then she laughed (my twisted sense of humor overwhelms them you see).

So what should we name this new little interloper?


Some of the lovely things you find in the RE's office.

Beta HCG - What it is

Beta HCG is the pregnancy hormone. The fertilized egg and embryo produce it and it cause the corpus luteum to sustain and continue producing progesterone to support the pregnancy. It come from the embryo, not the ovary, uterus or fibroids. I don't know if it contributes to fibroid growth directly, but the progesterone/estrogen produced in pregnancy sure do.

BASELINE ULTRASOUND

A baseline ultrasound just helped to provide a comparison measurement before and after treatment. My RE wanted to see how it was doing since it had been almost a year since the previous scan. Without it I would have no way of knowing if it was larger or smaller than it had been so how would I be able to just if the treatment was really working.

I arranged for a second ultrasound to see if there was any change
from the acupuncture and chinese herbs, but note that I waited 4 months with continuous treatment -- change if any would come slowly
my acupuncturist assured me. I mentioned that I was pregnant for this second ultrasound so it is possible that there was additional
shrinkage but the pregnancy hormones didn't provide a clean comparison.

Your doctor may do yearly ultrasounds to monitor your fibroid, you
may want to go more frequently if you feel a lot of changes, every 6
months perhaps. If you are wanting to try to evaluate the affects of
a particular treatment a baseline comparison before and after will
help you to see the affects.

Fibroid Growth in Pregnancy - SIZE CHANGE

Considering that my fibroid only grew in the 18 months prior to treatment and then shrank back 2 cm I think that is a pretty big change. I knew that when I got pregnant I might experience growth (though I hoped I was the rare girl for which it would shrink) but it was important to me to try to shrink it beforehand.

It did grow, and quite a bit but what can one do. We were ecstatic
that we got pregnant and were taking it all in stride, unfortunately
no embryo developed so I had to have a d&c to terminate since my body was happy cooking along. It also shrank back some right away, I'm hoping we can shrink it some more.