Tuesday, June 23, 2009

Same Shit, Different Day....does it get any worse?

My doctor just called me and said she finally spoke to that fertility specialist. The good news is that he said he never codes things as fertility and he wants to see me right away. The bad news is she told him that she felt I had Cervical Stenosis because of the fact that I had so much pain when we tried to do the HSG. He said he has never had a patient with Cervical Stenosis that did not have Endometriosis. See below: Association with InfertilityGenerations of gynecologists have recognized that among infertile women, endometriosis is relatively common. Probably between 25% and 50% of infertile women will have at least some degree of endometriosis present. It is easy to understand how someone with severe endometriosis, including dense pelvic adhesions, might experience difficulty achieving a pregnancy. More difficult to understand is why someone with one tiny endomtriosis implant on the sigmoid colon would also experience infertility. The answer may lie in the complexity of endometriosis. Rather than blaming endometriosis for the infertility, it is certainly possible that there is some other, yet unexplained factor, that predisposes the woman towards developing endometriosis and also predisposes her toward infertility. Severe cervical stenosis, for example could promote a large amount of retrograde menstruation (setting her up for endometriosis) and also interfere with normal sperm transport through the cervix (decreasing her chance of fertility). Anyways, I have to call him and set up and appointment. He said that he didn’t think my Progesterone levels were good and that he really wants to see me. He will be out of town next week, but the next week after that I guess I will try to set an appointment up for a consultation.

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