I had my post-op appointment yesterday. It was scheduled for 10:45, but we ended up waiting almost an hour and a half to see the doctor. By the time he walked in the room, I was annoyed. I was missing time from work, I was hungry, and sitting up on an exam table for that amount of time with nothing to support my back were all combining to turn me into the ultimate "Katie Cranky Pants" (as Joey likes to call it).
But, surprisingly, the wait was worth it.
Let me remind those of you who forgot or those of you who don't know: this was only my second visit to this doctor's office. The first one didn't go so well and days later I found out that this person would be CUTTING ME OPEN to try and remove the large cyst before it completely swallowed my ovary. And while my time spend speaking with this doctor on the day of the surgery was extensive, I still wasn't necessarily convinced that this guy would say anything new or groundbreaking.
He did. He actually attempted to diagnose what's going on. FINALLY! After seeing nearly half a dozen doctors in just three years, I have an explanation for why my left ovary makes cysts every month.
They are all follicular cysts. None of them are endometriomas.
Almost all women get follicular cysts. They are the kind that bench you for a cycle or two - just long enough to piss you off and make you go crazy for taking a break in treatment. It's common, and it occurs when your dominant follicle fails to release an egg. Instead, it keeps growing larger and large until:
- your doctor gives you birth control to shrink it
- it ruptures
- you need surgery
- it simply resolves on its own
No big deal, right? Only my left ovary does it all. of. the. time. Sweet!
So, what does this mean? It means that I need that ovary to completely shut down/stop making follicles in order for this to stop happening. The decision to place me on birth control was a good start, but it wasn't enough. The pill I'm currently taking isn't strong enough to suppress my ovaries. This leaves us with three options:
1. Take two extra progesterone-only pills a day (total of 3) to help further suppress.
2. If option 1 fails, a monthly shot of Depo-Provera instead of the recommended "every three months" dose. They can special order a subcutaneous version of this that I can give to myself at home.
And if neither of those work and we end up needing more surgery? Good-bye, lefty. He's already said he doesn't want me having a lap every year, and I certainly don't want one every year.
I feel good about the plan. It's not the most ideal situation, but I'm comfortable knowing there are back-up plans in case this fails. I also feel like this doctor cares. When I asked him if he wanted to see my back, he replied that not only did he want to see me back, but he wanted me to call the minute something changed or didn't get better. He said, "I don't want you to come in after three months and still be in pain. Because then I'm going to ask you why you didn't call me and come in sooner." He also told us, semi-jokingly, that the reason why he wasn't driving a Porsche is because he wasn't an RE and wasn't interested in making money. His ultimate goal is to make the pain stop.
We share the same goal.