Tuesday, January 28, 2014

Starting from zero :Doctors Appointments Dr Gamal Mathias

I had a little break , I came back  to the gym to try to loose the 8 kg I gained  at the end of  the last pregnancy .. I think  I actually  gained the more  weight when I was winding down from the prednisone,
I think december  was very hard for me  .. not  only  because of my lost,   but  because  I had " retained product  " in my  uterus ...  I was very  stress out ...  I didn't know what  to do... do  what your  doctors  tell you or  just   follow  your  heart ....
So this month I did had a little  break of  thinking about  babies  or having a  family  :-P , but  who I am lying to ,  If I don't look for possible  treatments  myself , nobody is  gonna  do it for me .. 

So 15 days  ago my husband  read and article about surrogacy and then we  watched a bbc  show about  surrogacy in India ,  he though that surrogacy could be a good alternative  for us  as we dont  know whats  wrong with my  uterus ..  so I  actually  wrote to some of the surrogacy leaders in India, I contact  Dr Nayana,   they  were very helpful and  gave me some info  online  about their  surrogacy programs 
but at the end  . I really like  it .  but  at the end  $28k  is just too much for  us , especially  right now that only  MrB is working and not me , I have  been  working  super hard  sending my  cv's and selling things in my  2  ebay sites  but is just gonna be almost impossible to pay 28k in 9 months ... 
I did  contacted other surrogacy programs in Thailand, Vietnam  , India, but all of them   are  about the same  price   :-(  .. I am still waiting for a ivf clinic in Colombia that has a similar program , but they haven't answer  to me yet

So I came back to  plan A :  investigate  what's  wrong with me .   Should I go overseas,  Should I stay , I am so  confuse I dont  even know where to start again .

so I called Dr Gamal Matthias  in sydney , I will have a phone appointment with the doctor , this will cost me $300. Dr Matthias is an specialist in Reproductive  Immunology, I choose him  coz I read about him in some of the forums ,  I wanted to see  Dr Sacks  but  he doesn't do phone appointments  and It would cost me at least  $1000 to travel to Sydney and back and then pay for  tests on top . 
with doctor mathias  I will be  discussing  new tests  and possible  treatments .

I also Contact  Ivf Australia , I will be having an appointment with  Dr Ron Chang , it will cost me  $190 .  With Dr Chang  I will be  discussing  if is possible to have a Hysteroscopy /laparoscopy to check that everything is alright  down there  and that I don't have  any  Fibroids  (as one of the  ultrasound technicians  suggested  I probably had , as  he couldn't  see properly lining of my endometrium .. this happen at the ultrasound of the 31 of  december )  I am just  hoping  Dr chang has  successful experiences in women with Unexplained recurrent miscarriages .
with  doctor chang Ill be  discussing the possibility of  having  Ivf  with PGD/PGD-aCGH , prices etcetera. 
So , my ebay sales will be all going to  this specialist appointments I guess  ,

 I am very  interested in the Ivf  with aCGH  to be able choose the best embryos  and ruled out the possibility of  chromosomal abnormalities .

I feel little bit  left  behind  because  I know  all this treatments are very expensive, I know that we can't  afford them right now  :-( 
Thats why I also contact  some of the clinics in thailand , they seem to have very update  technology  and more reasonable prices than Australia .   I particularly like  one  , they seem to be  quite complete , joining the  immunology and the ivf in one same place , but I still have to  register with them to  know the costs . 

I also contact  some of the clinics in Colombia , I found  one  to be the most  I like , their  Ivf includes aCGH  cost about  8k  so is  not  that bad . 





Missed miscarriage update

well ... 1 month ago  I choose  to have a  medical termination for my  missed miscarriage , I  am very  pleased  with the results ...   I feel  great ..   I had a couple of  bad  days  .. the 31 of december I did  an ultrasound and  it  seems I did had  some  retained  product ,  the  doctors insisted me  to have a D&C but  I choose  to wait , I  had my period  the  31 of  december  and for my next  ultrasound  everything  cleared  up, I was  very  upset  as I didnt  really  wanted  to do another  D&C  as  I only had  just a fragment of my placenta, and  to be honest  the D&C is a blind procedure , in which  they can not see  where  exactly is the fragment in your  utero. I would  never  recommend  another  d&c .

I ask  the doctors if  it was possible to have a hysteroscopy for the management of retained product of  conception   instead  of a  d&c , but they  refuse , they said that it was not  possible as you have to push  liquid with pression  for being able to introduce the camera , they said  the pression could make the fragments to move to the  fallopian tubes ...

But I read in many of the Gynecological journals  online that  hysteroscopy is actually the best  method to  treat  retained product as  is less invasive and  let the doctor has a clear view of  what's going on in the uterus..

In my advise , always  read  , read and read  , as  is very important  to have  knowledge of what  the doctors are doing to you  and why they are  doing it,  don't  let yourself be fool by the doctors , some of them they just don't have enough time  to read  the latest treatments or they are very conservative in the way they practice . This  doctor in the hospital didn't  wanted me to use the misoprostol  instead  of the d&c ,  he  predict  it  would be retained product  in my uterus .. but  he  didnt expect that  my  body was going to settle  down  and eliminate this product  by itself ......
at the  end  I think doctors were  rushing me to have a  d&c ,in fact ,   they offer me this procedure 4 times after  the misoprostol,  I was  just  imagining  how many  women are  rushed by their doctors to  do this type of  procedures.  I guess there is more money .


I did call to colombia  to one of the best Doctors available , he is an specialist  in high risk pregnancies , he was  very kind with me  ,  he totally understood my case ,   he  answer my email and then he was  very  nice  on the phone with me , he  didn't  charge me any money , for his time , and  he was actually very please to hear that I was calling him from so far away ... and he was  very very  very  kind and cooperative ,  he also agree with the procedure I was  interested  in , he actually  told me that in cases of  retained  product  hysteroscopy is the  optimal procedure with the best  results , he also told me  that  is a  ambulatory procedure  in which they  put local anesthesia .


You  just can't imagine my  face when in my last scan  my uterus  look  beautiful  & clean  ..... I was over the moon ....  I follow my  heart  this  time , I just did  what it  felt  right  :-)     and I am so happy  with the results .. :-)




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