Surgery - Take 2 - part 2

This is the post I'm supposed to recount what happened with surgery day.  However I'm still a little groggy and basically slept the day away yesterday.  The procedure was a little longer and the anesthetic a little different this time around - but those are good things because it means we made some progress.  Most of what I know now is from what our doctor said to my husband while I was still in recovery - but the look on his face when I woke up enough to ask questions said enough.  I can't explain it exactly, but last time he had a sadness, a fear there - this time there wasn't.  It is too early to know everything we'd like to, but at this point we do know this:  I apparently actually had 2 small areas of normal tissue/cavity buried beneath a mountain of "concrete-like" scar tissue.  But our doctor was able to recreate a uterine cavity and get the balloon to stay in place.  He apparently had to use a number of different instruments to do so, and was surprised at how dense the adhesions were so it took a little longer, but was relatively satisfied at the end.  So that is a victory, and more accomplished than last attempt with our previous doctor.  I have follow up next week, and in the meantime have to monitor closely for any fever or infection.  Since the scarring was so severe he hopes to leave the balloon in place for 4 weeks, so antibiotics everyday for that.  Then there are the fun hormones to help everything heal as best it can, and hopefully the endometrium to grow.  Considering the doses this time around are even higher than before I'm sure to be an emotional mess again.  I cried every day for no reason before, so the count down to that is on.  A small price to pay though I realize, it is more a warning for others than a complaint from myself!  

As I've mentioned before on this blog - there are really 2 goals of this surgery.  One is relieving the obstruction to reduce endometriosis and cancer risks.  I feel good about that outcome, and the ongoing office visits will hopefully confirm that.  The other is to restore our fertility, and there is a lot more to do before knowing if that will be possible.  I've said it before, even with an open cavity and a restored endometrial lining the actual live birth rate for patients with severe Asherman's is not great.  Miscarriages are frequent, as are preterm births with a lot of complications if one does get pregnant.

For now though we aren't dwelling on the downers, I'm restarting my prenatal vitamins and Metformin in case we do get the go ahead, which is as optimistic as I get.  We are taking the time to laugh at my groggy comments, even joke about having to buy a pill organizer ("think they'll card you for that to make sure you are old enough?") and at how different the "lady products" are since the last time I bought any.  To much info you might say?  Well, that comes with the story.  So laugh along with us, and keep your fingers crossed.  It is all we can do for now while we wait.