The Western Front

Tuesday, June 18th, 2013.  CD11.

Howdy, friends.

All’s quiet here… No surprise, I’m sure.

I wish I had more to report on these days, but I really don’t.

And you know what?

I’m okay with that.

As for reproductive updates, I have few, but here they are:

I just wrapped up five days of Femara, complete with the lovely letrozole headaches to prove it.

I have a teensy amount of Gonal F left in the fridge from last cycle that expires liiiiiike… today.  I’m probably going to take it tonight, because hey – why not?

I’m not having any medical monitoring – blood work, ultrasound, or otherwise – this cycle.  Just good ol’ fashioned temping and OPKs for me.

I don’t have a whole ton of hope that five little pills and a miniscule amount of FSH are going to help me conceive, but for what it’s worth, the taking of the pills has done what I hoped and helped me to feel like I’m doing something to further my cause.

Unrealistic though that thought may be, it works for me right now.

I’m having some trouble with my diet lately, and therefore I’m also having some trouble taking the Metformin as I should be.  Some days I skip my lunch dose because I forget, or some days I skip my dinner dose because I eat too late at night.  It’s not healthy, but I’m working on getting back on track.

I’m also doing that self-defeating thing again where I forget to take my vitamins.  It’s not that I don’t want to, it’s just that sometimes I don’t see the point.  Sometimes I forget.  And yeah… sometimes I just don’t want to.

I’m working on that, too.

Other than that, it’s been a fairly laid back week since I last updated.  Work has been keeping me extremely busy, I got my hair cut and colored last night (some people go blonde for summer… I go ginger!), my garden is in and prospering, and the husband and I are traveling out to my homeland this weekend to have family photos taken with my side of the fam.


The only thing stressing me out a bit is that I’m waiting on pins and needles for my doctor to call me.  She is the only one who can schedule my laparoscopic surgery to look for endometriosis, and once I have a date in hand, I’ll be able to start planning around my recovery.

Speaking of lap recovery, I’ve heard anything from two days to two weeks… Does anyone here have any insight?  I’d really like to not be laid up for a fortnight (Ha!  I’ve always wanted to use that word!), but if I can plan my work around a tentative recovery time frame, I might be able to swing it.

Also, can anyone provide input on what cycle day(s) your doctor/surgeon recommended having the surgery?  Mine is recommending before cycle day twelve, but after the bleeding stops.  For me, that leaves probably around five days to work with, likely the second week of July.

I’ve heard that others have had their surgery during the very start of their cycle, and have gone on to have a normal ovulatory cycle that month.  I suppose it would make the most sense to me to have the surgery done as close to Aunt Flo’s arrival as possible, as that would be when any suspected escaped endometrial tissues would be the most inflamed…

Then again, I’m not a doctor.

I just play one on the internet.  🙂

Do you have any advice or insight on having laparoscopic surgery?  Please comment below – I’m all ears!


13 comments on “The Western Front

  1. Sara
    June 18, 2013 at 11:17 am #

    I had my laparoscopy and hysteroscopy last summer. I am a teacher so I did not have to go back to work right away, although I did go up to school about 3 days after the surgery to do some work, I had a friend drive me. That was a mistake and would not do that again. The shoulder pain from the carbon dioxide really bothered me. From what I remember it took about two weeks to feel completely better but I was able to run errands, attend some work meetings, and do some work after about a week. I only took the pain medication prescribed the day of and after the surgery, I am not a big fan of the strong pain medications they make me feel really out of it.

    We did not schedule the surgery based on a particular day of my cycle, just when the surgery center and doctor had an opening.

    Hope that helps!


  2. Amanda
    June 18, 2013 at 11:20 am #

    I just had a lap Tracy. My surgery was on a Friday. My doc said I could go to work on Monday. I did, but this is why: they found NOTHING. So my surgery included 2 incisions (belly button and just below), flushing of the tubes, D&C and lots of picture taking… but NO lasering. I went to work Monday, but had it not been a brand new job, I’d have skipped Monday. I wasn’t in ridiculous pain, I was just crazy tired.

    However, I believe that if they DO find something, if ANYTHING is removed your pain will be much worse; therfore you need more time to spend doped up on Loratab or Percocet. : )


  3. Rachel
    June 18, 2013 at 11:33 am #

    My lap was scheduled on cycle day 10 last summer. I had a tube removed and they found some endo, too. The pain was extremely minimal. I just took a lot of ibruprofin and didn’t even use the stronger stuff they offered. I mostly just remember being completely exhausted after very little movement. That walk from the car to my bed felt like the longest walk of my life! My surgery was on a Thursday, so i took off work through the next Wednesday, but I ended up going back for a half day on Monday and then full days on after that. I do have a cushy desk job. For me, the worst part was worried about it before it happened! Overall, it wasn’t a bad experience. Oh, and the constipation from the anesthesia was horrible! I wish I would have taken stool softeners right away. It really isn’t bad, so try not to worry too much!


  4. Kitten
    June 18, 2013 at 11:41 am #

    I think recovery is different for everyone and depends on how much work they do. Turns out I had Stage 4 endo, so the surgery was long and the dr removed lots of adhesions and a cyst. I had 5 incisions. It was a full 2 weeks before I was back to normal activities (including the gym) and a normal schedule. I had my surgery on Wed and was back to work on Monday.

    As for the timing, mine took place on 5 dpo, because I had a large cyst that needed to come out. I could have waited, but the doctor pointed out that my chances of being pregnant were very low (I was on a medication break because of cysts) and that the cyst could damage the ovary if left too long.


  5. Susy_Sama
    June 18, 2013 at 12:26 pm #

    Hi Tracy! My doc didn’t plan my lap on any special cycle day… we set the date as soon as I made up my mind (right away, I was so desperate to make a move!) and the clinic had an opening. He did suggest having it on a Thurs if possible so that I could take Fri & the weekend off and be back at work on Mon That year I didn’t have any classes on Mon so I was back teaching on Tues. I felt mild discomfort but I do agree with the girls above: I remember feeling very very tired. Doc lasered off mild endo & 3mo later I was pg (with medicated cycle) Wish you all the best!! ❤


  6. Susy_Sama
    June 18, 2013 at 12:31 pm #

    Oh, I forgot to mention an anecdote: I had surgery on May 20th; because I was in the IF closet on May 24th (Mon) I went to the birthday party of one of my best friends and NO ONE noticed anything. I felt (and looked) so great. To this day, she doesn’t even know I had that lap. Hope it helps ease your fears… Su


  7. Katrina
    June 18, 2013 at 2:41 pm #

    Hey Tracy! I don’t have any lap/endo advice except the advice I can offer you as a nurse, which is to stay plenty hydrated, especially if the anesthesia or pain medicine makes you nauseous and/or constipated. I wanted to mention something to you that I keep forgetting. (I’m a two-year lurker, and I don’t think I’ve commented yet). But I’m doing genetics testing through and it made me think of you. I’m doing it for geneaology purposes but their $98 kit also analyses your health risks and also for many gene mutations. I’m fairly certain the MTHFR gene and BRCA gene and cystic fibrosis and all sorts of genes that may play into reproduction are analyzed. You should check it out! They offer a printout you can take to your doctor, and their analysis may be cheaper than the more formal stuff. Anyway, good luck with your surgery, I’ll be thinking of you.


  8. nonsequiturchica
    June 18, 2013 at 3:05 pm #

    My experience will be a bit different than yours, but I’ll give you info on my surgery and you can take what you need. I was on a 3-month Lupron shot to decrease the size of the large fibroid in my uterus prior to surgery and decrease the amt of bleeding during and after the surgery. So, we didn’t pick a specific date in my cycle. My surgery lasted for 4.5 hours because not only did my dr have to take out the fibroid, but also stage 2 endo and a cyst. I stayed overnight in the hospital and left the following afternoon.

    I was drugged up for the first few days and needed help getting off the couch so as to not engage my abs (if you do it feels like you are splitting from the insides). I also had shoulder pain from the CO2. My surgery was on a Thursday and I took the entire week off the following week. The second week I worked from home.

    I had some restrictions:
    *Stairs only once a day
    *No driving for two weeks
    *No walking for exercise for two+ weeks.
    *No lifting anything for a month.
    *Eating, showering, etc. should be normal

    I started walking two weeks after the surgery, but I couldn’t imagine running or doing anything crazy for a while afterwards.

    Hope this helps! Let me know if you have any questions!


  9. A Morning Grouch
    June 18, 2013 at 9:33 pm #

    congrats on using “fortnight” appropriately. 🙂


  10. Michelle
    June 20, 2013 at 11:48 pm #

    Hey Tracy, don’t know much about recovery time or the pain because I’ve never had the procedure done. However, I have been in the OR and seen several Diag Laps done so I could give you insight on all the tools and stuff they use. Probably doesn’t help nor answer any of your questions though.


  11. mels journey
    June 22, 2013 at 11:14 am #

    I just had my lap on Friday. It wasn’t as bad as I thought it would be. I had an endometrioma, so I definitely had endometriosis. They lasered everything out. I was laid up during the weekend, super bloated. Monday, I jumped up and felt fine, but by the end of the day I was pretty run down. I took a total of 5 days off, but I probably could have gone back to work a day earlier.


  12. No Baby Ruth
    June 24, 2013 at 4:47 am #

    Your garden looks beautiful! I have such a brown thumb it’s ridiculous so I’m jealous of all that greenery!!

    I took a peek at your chart and it looks like maybe the femara and that one dose of FS might have done the job, no? GOOD LUCK!


  13. InLimbo
    July 25, 2013 at 9:36 am #

    Hey, this is a little late, but I thought I’d chime in too. I had a diagnostic laparoscopy and hysteroscopy to remove a uterine polyp in March. I was really scared as I’d read that some women can have pain with exercise for months afterwards. They found stage II endo (on my ovary and uterus), removed it, and they removed the polyp. I had three tiny incisions. I was told it didn’t matter when the lap was relative to the cycle (sometimes it is even good to have the lap during AP because the endo will be easier to spot since it would be bleeding, I heard), but they told me the hysteroscopy needs to be after AP before O. I think the recovery depends on how much work they do. I was shocked at how easy my recovery was. I only took the pain meds that day and one the next morning. I barely had shoulder pain at all, and my abs hurt (less and less each day) for a week maybe. All in all, I recovered quicker than after either of the egg retrievals (which were really hard on me) I had had before that!


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