Monday 30 October 2017

..Procedure Day - HyFoSy..

Hey Guys!!

So.... It's been 1 day ago I had the HyFoSy done! It was a smooth journey but pretty less comfy I shall say! Let's start!

So my appointment was arranged at 9am, but I was told to reach at 8.15am for some pre-procedure baseline documentation. Sadly I arrived at 8.45am.. The road jam was massive! I was out on the road since 7.25am, usually takes me about 30 minutes to arrive..
But the staff are nice! They helped me and ensure that I didn't miss the procedure and it's on time! So they wanted me to change into the gown and i was attended by RN Diane and Sonographer (SG) Ann who will be assisting in the procedure. So they asked me few question pertaining to my conditions like last menses date, any medical condition, any surgeries done, miscarriage, abortion etcs... which is all none..
So then she told me to have a seat, while waiting for the doctor to arrive. I was attended by Dr Shabana Rasheed, an amazing Dr I would say! She explained to me with diagram along clearly on what she will be doing with my cervix and womb. Ensure that it will be a smooth and straight forward procedure..

So about 5 minutes later, i was escorted by RN Diane into the procedure room where she told me to empty my bladder and to remove my lower garment and lay down.

I almost have the thought of backing out because I was pretty scared. Mountain Bear wasn't around as I told him that the procedure would take about 2 hours plus I required to be monitored after the procedure, so asked him to take the afternoon off from work instead for the whole day.

So I lay down and SG Ann started doing some baseline ultrasound on my lower abdomen. SN Diane was preping the sterile tray of instruments and tubes for the procedure. So once she has done that, she called Dr Shabana and in less than 5 minutes she came in and off we start!

So here goes the conversation:

Dr: Alright darling can we have your name and NRIC number please?

Me: ******* ******** 1234567F

Dr: Alright dear we shall start the procedure.

So they drape me like a birthday present.. lol! RN Diane was on my left while SG Ann was assisting in the lighting and also controlling the ultrasound machines.

Me: Alright sure.. *resting with my butt lifted to be placed with a hard pillow*

Dr: Alright so now I will insert the speculum just like doing a pap smear..

Me: Uhuh *breath in slowly as RN Diane comfort me by rubbing my knee.

Dr: Ok now we will be just cleaning your labia area and the cervix as well..

Me: Sure.

Dr: Ok now i will be inserting the catheter with the sodium chloride to flush into your uterus. Do let me now if it's painful for you.
*instructing Diane to push in the fluid while she start inserting & using the trans vaginal ultrasound device.*

Me: Ooooo *Sudden cramp felt.. Initially it felt bearable* It's alright I can bear it..

So she took few pictures and move the device left right up and down in my vagina. I swear I imagine as if my vagina will stretch so much that you could fit a football in it by the way she had it move around.. LOL!!

Dr: *after 5 minutes* alright we are done, now I will remove this and insert another catheter that will contain the foam solution and also a balloon for anchoring purposes which i will inflate once it's sits at the entrance of your cervix opening.
Me: Alright sure doctor..

RN Diane: You doing alright dear?

Me: Yeap2 I'm good..

So the Dr insert the catheter and OMG!! The feeling was intense. I almost wanted to stop the procedure due to the discomfort. How does it feel?

It's like you are having a bad menses cramp and you had a bad diarrhea waiting to explode into the toilet bowl with some twisting and pinching sensation.

Dr: You alright dear? I will try to reduce the balloon size alright. But if the catheter slips out, we might need to reinsert it again ya?

Me: Yes Dr, pretty uncomfortable right now but much better once you've reduce the size of the balloon. you may proceed Dr. *smiling*

Dr: Alright now I will insert the device to scan through alright.

Me: *Nodding as i start breathing in and out slowly..*

I could feeling my whole body starts to turn cold and I could feel the sweats developing on my forehead as if i was sweating on a hot day! It was pretty painful for me but I manage to recite some verses, closed my eyes and breath slowly as the Dr starts communicating with the SN Ann..
Dr: Ok take this picture.. *Turn scan device on various angle* alright this one.. Take this one too..

I think she took over 35 pictures of my left and right ovary, the Fallopian tube, the uterus..
So after 30 minutes..

SN Diane: Sorry dear, are you in the Medical Line?

Me: *Shocked* Ummm Yes dear.. How do you know??

SN Diane: Ouhh I accidentally saw your pass hooked onto your bag. Hahaha!

Me: Ouhh hahaha alright!

Dr: Ouh! So are you a Registered Nurse?

Yes.. As she asked me where I've work and how is everything, bla bla  bla.. hehehe

So after another 15 minutes, we are done..

Dr: Alright my dear, we are done. Ann, please do another baseline as I'm not happy with the grainy pictures. Get your partner to fix the machine and redo the images alright..

Me: Alright.. Thank you so much!

So SN Diane help to clean up and pull out the catheter and the sterile drapes off while i decide to lie down still for SG Ann to continue with her baseline images.

As I see Dr Shabana moved to the desk, I heard her say, "please make sure you get the image clear yes? And indicate there "TUBAL PATENT".
When I heard that, subhanallah! I was extremely happy to hear that! Knowing that I do not need any other operation or maybe another painful procedure, I was indeed happy I went through this procedure!

So after SG Ann finish up the final image, she helped me up and I sat down, feeling a gush of blood stained fluids flow out from my vagina.

Me: Is this normal??

SN Diane & SG Ann: Yes ma'am, it's normal, you will see some staining for a few days. It's because Dr was moving the device a little vigorous because there were alot of air in your intestines and it's a little hard to view the tubes..

Me, feeling better upon hearing that, slowly stood up and wipe the gels and such off and wear the pad and was escorted to the nearby toilet to change and check on the discharges.

Once I've change back to my normal attire, i was told to be seated for monitoring..
I swear I feel that my tummy is aching badly and it's suppose to be normal as the uterus is cramping back to it's shape.

They took my blood pressure and it was 112/75. Its consider as normal and I wasn't feeling any giddiness of dizziness at that moment.

So I rest, while listening to other patients being questions upon a certain procedure that they are going through as I closed my eyes.. trying to ignore the cramping that I was currently having..

After 30 minutes later, the department sister in charge walked up to me and asked me to check if there are any heavy bloody discharges and escort me to the toilet. I got up and proceed. Minimal bloody stain discharges I told her. She noted and took my next blood pressure reading.. it was 134/85.

Are you in pain dear?
Because I wanted to go home and knowing that I can bear the pain, I told her that it's bearable currently. She then jot it down and advice me that to call us if it continues to bleed heavily for the next 48 hours. I nodded and was given a Medical Certification for the day.

I realized that it's pretty hard to walk fast as it's still cramping pretty intensely.. So took my time and walk over to the counter for payment.

The procedure was $602+.. With the government subsidy and the use of my medisave, I was left to pay $263.30 in cash. Pass over my card and sat down like an obedient child. hahaha!

Overall the team has been great!! All are polite and attentive, friendly and knowledgeable.. So I walk out from the clinic and move to the free shuttle area. I just wanna go home and rest!!

Tried listening to some of my favorite tune and wishing that I could somehow move to the groove while waiting for the shuttle bus to arrive.. My tummy felt bloated and seems like I'm pregnant! lol!
And of course, I was given a seat in that queue. lol!! Actually I really needed that seat.. I was feeling super achy and crampy if i continue to stand up or even walk more..
The bus arrive and I got up, felt more discharges coming out, sat down and off we go. Message mountain bear that I've completed the procedure and although I was in pain, I was hungry! Pretty hungry.. lol!! So told Mountain Bear to meet at this Food Court and let's have a quick lunch!

So after 1 hour has passed, I felt much better.. Not much of the pain.. Just mostly soreness around my lower abdomen and I finally manage to pee and poop! I was worried that my uterus was messed up and pretty much blocked my urinary tract. LOL!

So we manage to get some great meal and head home after.. I was so happy to be home! Showered and got changed. Had some hot compress applied on my belly and rest..
**Update
It has been 4 days and I still have some bloody discharges.. Almost like menses stains but lesser.. some brown stains and that was it. And i read online that it was normal.. As long that I'm not down with any fever or increasingly heavy discharges. So again, I was reminded that I should try to avoid conceiving these 3 months to ensure that my future child is not affected by the live MMR vaccine.

So now, I will be awaiting for my next consultation appointment with my Reproductive Doctor. Definitely I will update my progression.

So for those who are going or thinking of doing HyFoSy, I would recommend it as it helps to rule out the main issue on sub-fertility which is "Any Fallopian Tube Blockage?" and plus this is much more safer compared to HSG as the contrast dye might cause some allergy reaction. So yes! It may be uncomfortable for some people including myself, but I'm glad I did and spent that money for this procedure. Did i regret paying $600+?? No, actually it made me feel better that I know I'm all cleared from any blockage and I can continue my conceiving session soon! And for those who knew that they are having blockage tube, you should be happy too as you finally find the cause of why you are having issue to conceive. The Dr will recommend procedures to follow up to enhance the chances of having a child. So don't give up so soon! Miracle even need time to be created! And definitely GOD is GREAT!

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