Like the BBC my blog's mission statement is:
Except I replace 'programmes and services' with 'posts'.
And 'enrich' with 'steal a few minutes, that they can never get back, of'.
And 'educate' with 'witter on about things that I have but a passing knowledge of but sometimes go so far as to check with Wikipedia or Doctor Google'.
This post belongs in the 'inform' category. (By which I mean the sharing of information, not that I am going to capture all your personal data and tell your bosses if I find you accessing this site during working hours).
Last week, during my various appointments, I had a lot of questions regarding their diagnosis and treatment plan. In the hope that some of you may have stumbled across this blog whilst trying to find out a bit more about endometrial hyperplasia with atypia (and judging by the stats some clearly have) here is what I discovered:
Q: Why am I having a coil?
A: The progesterone coil (Mirena) is a more direct way of releasing provera into the womb. This thins the womb lining.
Q: As the Provera didn't work what are the chances of this doing fuck all as well?
A: There is a chance it won't work but as it is so localised it is more likely to help than the Provera which isn't as targeted.
Q: Will I have check ups during the six months to ensure it is doing what it should do, rather than having to wait half a year only to discover it hasn't worked.
A: No, but unlike the provera, the womb lining should start to shed whilst the coil is in so I should get a bleed pretty soon, certainly before the six months are up.
Q: What are the likely side effects of the progesterone coil?
A: Because it is more localised than the provera I am less likely to feel the nausea but (in the doctors words) I am 'will probably feel a bit grumpy, like PMT throughout the treatment'. (The husband did a little silent groan at this news, six months of PMT: wow).
Q: Are there any alternatives?
A: Not at this stage. If I didn't have treatment I have a 30% chance of developing cancer within 5 years, assuming the treatment works I have a less than 0.5% chance.
Q: Is there a way of removing the womb lining manually?
A: This is a DD & C or to use the more graphic old-fashioned term a 'scrape'. But this wouldn't address the underlying problem.
Q: Is this endometrium the reason that I couldn't get pregnant before?
A: Possibly, it may have stopped any fertilised eggs implanting, but this is coupled with (and likely to be related to) the fact that I have polycystic ovaries so rarely ovulate anyway.
Q: Is the diseased womb lining likely to grow back?
A: It is likely, so I will be given priority treatment as soon as the coil is out to get Intrauterine Insemination (IUI) before it has a chance.
Q: When will my IUI start?
A: I have an appointment scheduled for the 16 of June to book in the IUI and ensure we are ready to 'hit the ground running' as soon as the coil is whipped out.
Q: When is the coil coming out?
A: 27 of July. Appointment booked for 9.00am.
Q: Anything else I should be aware of whilst taking the coil?
A: I might start to bleed almost immediately, and there is a chance that I will continue to do so for the WHOLE of the six months, this is nothing to worry about and I can carry on as normal, use tampons, have sex without any additional contraception etc. (The husband wasn't to sure about the compatibility of copious, continuous bleeding and copulation).
Q: How are you? (That wasn't a question I posed to my Doctors, nor one that they thought to ask me, instead it is a question that I am asking to myself on your behalf - whether you want to know or not).
A: Well thank you very much for asking. Today is bloody brilliant because it has snowed in the UK and, as we are unable to cope with any weather condition above or beyond a light drizzle, I was sent home at lunch time. This rocks. I would normally be out frolicking in the white stuff and making snowmen except I have an essay to for a course I'm taking along side my job, so naturally I am blogging. Hey! It involves sitting at the computer so that is practically like work, right?
In addition, I have a period. Woot! The gunk is coming out thick and fast, yes, take a moment to really picture that charming image. Of course it means that I have pretty constant cramping but I can deal with that knowing what I am expelling. So all good.