Friday, April 13, 2012

Update - Good News!

I had another ultrasound today, but much to my surprise this was no ordinary ultrasound. I had a saline ultrasound so the doctor could take a good look at my uterus and make sure the septum (the tissue that I had the surgery to remove) was completely gone. This kind of ultrasound was quite different than what I am used to, pretty uncomfortable actually. I had to take a pregnancy test beforehand, which they make me do every time they mess around with my uterus. I guess they have to cover all their bases just in case, but it's pretty ironic. (Spoiler alert: it was negative... LOL) I included a description of the procedure below if you want to know more about it  (the squeamish may want to skip!)

The discomfort was worth it though because my doctor was very happy to see that the septum was completely gone and said that my uterus looked great! In fact, I have a regular ultrasound and blood work again on Monday, and if everything looks fine, we can start the shots! Keep your fingers crossed that we can get this thing going on Monday!

Excited! Nervous, but excited!!! Thank you again to everyone who has been cheering my uterus on... she seems to be listening! Hopefully soon you can cheer for our embryos :)


The Procedure: Saline Infusion Sonohystogram
Once all the equipment is ready,  your doctor will widen your cervix with the use of a speculum. The speculum is slowly inserted through the vaginal opening, and then gently opened to allow a clear path to your cervix and uterus. This is the same type of procedure used at the start of a PAP test. The speculum may be a little cold since it is sterilized at room temperature.

Once the cervix is widened, your doctor will clean your cervix with an antiseptic such as Betadine. There is no discomfort while the cervix is cleaned.

Next, your doctor will begin to insert the catheter tube that will administer the saline solution. The thin plastic tube is inserted into the vagina, past the cervix and into the uterus. You will feel abdominal cramping as the tube is inserted past the cervix. Your uterus' natural reaction to a foreign object is to push it out, so cramping is a very normal reaction.

Once the catheter is inserted, the ultrasound technician and doctor will work together to position it before injecting the saline solution. The ultrasound technician will slowly insert the trans-vaginal ultrasound wand into the vagina to see the current position of the catheter. Once the catheter is in the correct position, the doctor will inject the saline solution. A small amount of saline solution, approximately 10cc's, will be injected into the uterus through the catheter tube. The saline solution may feel a little cold since it has been stored in room temperature conditions.

As the saline solution fills the uterus, the ultrasound technician will move the trans-vaginal wand around to get different views of the uterus. They will be able to capture still images and measurements of the uterus for further examination after the SIS procedure.

Repositioning of the catheter, the trans-vaginal ultrasound wand and injections of saline will continue for a few minutes until all areas of the uterus have been examined. Cramping during this part of the SIS procedure may be mild to moderate and cause you discomfort.

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