SIS Ok

Well I am so glad I left 1/2 hour earlier than I had planned. Apparently there was something going on to do with opening of the new women's hospital. So as a result absolutely no parking. I ended up going over to the building where my OB/GYN is to park and walking to the clinic. So I walked to the clinic, picked up my rec, walked back to the hospital to the lab had my blood drawn, and the walked back to the clinic. I was back at the clinic right at my appointment time.

I went back with the nurse and she took my info and explained the SIS to me. She said it would be just to look at the uterine cavity....ok...I was confused at that point. I changed into my sheet and waited in the u/s room. I was wondering the whole time if they weren't checking my tubes then why was I having this test done.

Dr M finally comes in a resident in tow. The nurse wheels in the cart with the instruments of torture. I ask Dr M to explain why exactly I was having the SIS done. He explained to me that having a loss such as mine he wanted to make sure I did have any left over "stuff" hanging out in my uterus I guess placenta or other products of conception. OK. So I asked well what about the hsg and my tubes. He said that he didn't think my tubes were blocked. I thought to myself ok....so then why did I have to go for the HSG to begin with?!?

So on to the test. It was relatively painless and my uterus looked wonderful, it was kind of neat to watch he even pointed out my c-section scar. Yeah me! He did however reveal that I have quite the cervical laceration....from the delivery. Dr. T did not mention that when he did my pap 3 weeks PP. Dr M also said there was obvious damage from the HSG. It's no wonder I've been having no stop spotting. My cervix is a mess inside and out. Some might wonder how a 14oz baby could cause a cervical laceration. Gavin nearly delivered in caul. My waters were broken only after they protruded out of my body. So basically the sac along with the baby passed through my cervix at the same time. If I wasn't sufficiently dilated to allow all of that to pass at once tearing is a possibility.

I asked Dr M will this laceration heal and he said no?!?! I guess there will be a forever scar. I then asked if this would be a problem in a pregnancy. That is when we got into a discussion about the question of cervical incompetence. I am very happy to say that Dr M is going to send out a referral letter to the high risk clinic for a pre-conception appointment. So that we can have a plan set in place (a better plan than Dr T's) I want to be as proactive as possible. I will do whatever I have to do to prevent another loss like Gavin's.

I am feeling very thankful that Dr M is being so thorough. Dr T said go ahead and ttc right away. At the time that is what I wanted to hear but now I feel almost content to have done all this extra testing....but maybe that just because we are almost at the end of it. I did repeat the lupus anticoagulant blood work today. Results will take anywhere up to three weeks. My follow up is May 11. I am content to wait until after that. (for now)