The appointment went well. I really like our doctor. He seems to really know what he's talking about and didn't try to sugar coat anything. He told us not to worry about the Lyrica, that he really doesn't think it will cause us any problems. He wants me to have all of my CD 3 blood work done again and have an HSG done next cycle before he gives us a treatment plan. Danny had another SA done today so we'll see how his numbers are compared to the last one.
The doctor did an ultrasound today which kind of surprised me. It showed that I have a retroverted uterus, which I already knew from when I was pregnant with Ashton. My right ovary is "beautiful" but I have an endometriosis cyst (endometrioma) on my left ovary. He said that in most cases they are usually benign but if it doesn't go away on it's own then I'll have to have surgery to remove it. He did say that there is a chance that it is a corpus luteum cyst but probably not. I'll go back next month for another ultrasound to see if it has gone away or gotten smaller. If it hasn't then I'll have laproscopic surgery to remove it. He did mention that there is a chance that I could lose my left ovary but if it comes to surgery he would try to save it.
Not really what I was expecting to hear but if this is what has been causing all of our problems and it can be fixed then that's good. He also said no more Clomid for now. He'd like to see what my body does without any medication first, then see if I need to move on to Clomid or other drugs.
Some info I found:
What is an endometrioma? An endometrioma is a mass of tissue (noncancerous cyst or tumor) that contains shreds of endometrial tissue. Endometriomas most frequently occur in the ovary, in a part of the peritoneum (sac around the internal organs) between the rectum and uterus, the wall (septum) between the rectum and vagina, and the outside of the uterus.
How are endometriomas treated? Several surgical treatments are available for endometriomas:
Simple puncture - This procedure is completed by draining the fluid from the cyst. Endometriomas have been shown to recur in about 50 percent of the patients treated with simple puncture. However, a more aggressive surgical approach, such as cutting away the mass, can cause extensive adhesions (scar tissue) that may prevent the ovary from releasing an egg.
Ablation - Another approach is to drain the cyst and remove its base with laser or electrosurgery. However, heat can also damage the ovary.
Cutting away of the cyst wall - This is the procedure of choice to decrease recurrence of disease. This procedure can also damage the outer layer of the ovary that contains the eggs.
Draining, drug therapy, and surgery - Endometriomas can also be drained, treated with medication, and later removed by surgery. Endometriomas recur in 8 percent of the patients treated with this procedure. Results from several different prospective studies have reported pregnancy rates of 50 percent over 3 years. There are no randomized clinical trials comparing these different treatment methods.
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