Everyone was running late today, but no matter. My lunch appointment just had to wait. The very thorough sonographer (the same one who did our miscarriage scans) first spent 20 minutes finding and then measuring an impressive crop of fibroids. The big sub-serosal one that we knew about, a bunch of intra-mucosal ones that I didn't know about, and then a few small sub-serosal ones that I should have known about but didn't remember. Luckily none were sub-mucosal, i.e., pointing into the cavity of the uterus. Dr Candour was not worried about the fibroids. Much. He saw all the sub-serosal ones on my last lap, and showed me the pictures to prove it. He was worried about the intra-mucosal ones as they didn't show up on the lap, so either they were there, just buried in the muscle so the camera didn't pick them up in the lap, or they have grown since. All except the big one were between 1cm and 2cm cubed. The only outcome so far is that he wants to keep an eye on them to make sure they aren't rapidly growing. At this size he says removing them would cause more damage than leaving them alone.
The good news was that my ovaries were clean, no endometriomas, and showed a healthy crop of antral follicles. Poor babies, those follicles will never get to reach their full potential as Dr Candour went ahead and delivered a dose of Zoladex that will knock them out of action. Ah well. We will start the cycle on Monday 21 August, as I suggested yesterday. One change in our care this cycle is that Dr Candour suggested that Dr Casual keeps a special eye on us. "It doesn't make a difference to outcomes," he said, "but sometimes it can make the process feel better. I'll talk to him and make sure he does your scans, your egg retrieval if possible, and certainly your transfer." We told him we would be only too delighted to work with Dr Casual. He is definitely my favourite of the doctors in the clinic, despite his sometimes somewhat brusque manner on the phone. He has always been great in person, and was very sweet about the miscarriage. I prefer (as you all know very well) a doctor who is actually prepared to have a conversation with me, and who isn't afraid of delivering bad news.
We also got a vote of confidence in our holiday plans to go to this spa I mentioned in Thailand. "Sounds like an ideal thing to do just before a cycle." Dr Candour said. So I think perhaps part of the excitement I'm feeling is excitement about having a holiday plan. I'm so looking forward to eating really healthily and doing lots of yoga, thai chi and swimming. H will throw himself up and down a few mountains, and carve up the sea in a kayak, and bash himself around on a tennis court, and I will be totally zen and meditative. Maybe. Lucky us, to be able to take this break.
We've started. One hurdle down, 7,849,353 to go.