My first impression of our new fertility specialist was definitely positive.
The doctor, who I’ll refer to here as Doctor B, asked me to bring along my medical history in my own words. It ended up being an 8 page document. She was 15 minutes late for our appointment because she’d sat in her office and meticulously read the whole thing. Straight away I felt like she was actually listening to me.
We then talked in-depth about my medical history, she asked me lots more questions and also asked my mother a lot of questions about our family history. After that, Doctor B took me through to the examination room to have what she described as the “full 20 thousand kilometre service” which meant I had to strip completely naked. She did a breast exam, felt my tummy, checked the scars from my previous two surgeries then did an internal exam, internal ultrasound and a pap smear. This is going to sound weird but even through years of problems with my reproductive system, fertility consultations, two surgeries and two rounds of fertility treatment no one has ever done such a thorough exam on me. She was patient and caring, asking me constantly if I needed to stop for a break.
During the (external?) ultrasound Doctor B noticed some adenomyosis, which she confirmed in the internal ultrasound. It looks like there’s a huge pocket of it in my uterus at the moment, which shouldn’t affect my fertility too much (ha…ha…I have no fertility!) but may cause pre-term labour so it’ll come into play later in the game. But otherwise Doctor B said my uterus is very beautiful. Finally some good news! The ultrasound also confirmed I still have cysts all over my ovaries.
“Has anyone ever officially confirmed the diagnosis of polycystic ovarian syndrome?” she asked.
“No, actually.” I replied.
Doctor B explained that whilst one in four women have cysts on their ovaries, only a few of them actually have PCOS. The syndrome needs to be strictly diagnosed by having at least two of the following three conditions met:
- oligoovulation and/or anovulation
- excess androgen activity
- polycystic ovaries confirmed by ultrasound with the volume of at least one ovary measuring more than 10cc.
Doctor B wanted to get an official diagnosis before we start any sort of treatment and also meet Doug.
She ordered a full set of blood work, a pelvic ultrasound to confirm PCOS, and an MRI to make sure I don’t have a pituitary adenoma. The last test was ordered because of my hyperprolactinemia. I’d previously had a CT scan confirm the presence of a tumour in my pituitary, but a follow-up MRI had ruled it out. Doctor B wanted to be sure I’m still in the all-clear on that front.
We booked in a second appointment for 27th of May – one Doug can definitely attend.
For the first time in a while I feel positive about the future.