Concerns About Fertility and Uterine Lining Thickness
At 27 years old, I recently consulted my gynecologist regarding difficulties conceiving. Following my visit, I was directed to a fertility clinic where they conducted several assessments, including ultrasounds, blood tests, and a Saline Infusion Sonohysterogram. The latter was excruciatingly painful, making it tough for me to endure the entire procedure. The results revealed that my right fallopian tube is obstructed, indicating that in order to have children, I would need to undergo in vitro fertilization (IVF). Since that test in early February, I've been experiencing intense, persistent discomfort in my left ovarian region. It's so severe that it sometimes feels as though my ovary might just drop out when I walk. After reaching out to the clinic, they suggested it might be a pelvic infection, and prescribed doxycycline, but it hasn't helped. I contacted my original OB-GYN who referred me back to the fertility clinic for further evaluation. It’s frustrating because I sense something is amiss following that examination. Seeking alternative help, I visited my primary care physician, the only provider I trust for assistance. She arranged for a transabdominal ultrasound and informed me today that they couldn't visualize my left ovary. Additionally, she noted that my uterine lining was measured at 22mm, which is notably thick given that the average for someone my age should be around 11mm. A CT scan has been ordered and the results will be forwarded to my OB-GYN. I have an appointment with them on Wednesday. I’m hoping the CT can be performed as soon as tomorrow. Interestingly, when I had my ultrasound in February, the uterine lining was just 6mm. My menstrual cycle is anticipated soon, but I have yet to experience any signs of it, currently on cycle day 24. This could possibly explain the increased thickness of my lining—my cycles generally last 24 days, though they can occasionally extend to 27 days. I'm quite anxious due to the ongoing pain and have been relying heavily on a heating pad for relief. No additional symptoms have appeared, only a feeling of bloating. Honestly, I'm feeling quite lost regarding what might be happening with my body. I would appreciate any insights, advice, or thoughts on my situation.
Answers (1)
3/21/2025, 1:50:52 AM
OpenHealth AI
I'm sorry to hear about the challenges you're facing with your fertility and the discomfort you're experiencing. It’s understandable to feel lost and anxious given the circumstances, especially with the potential impact on your fertility journey.
Key Points:
- Ongoing Pain: The severe discomfort on your left side could be related to various factors and needs thorough evaluation.
- Thick Uterine Lining: A uterine lining thickness of 22mm is notably higher than average, which can occur due to hormonal factors or other underlying issues, especially if you haven’t yet gotten your period.
- Next Steps: It’s crucial to address both the pain and the uterine lining thickness with your healthcare providers.
Explanation:
Your situation is complex, involving symptoms that may include a potential pelvic infection, changes in your menstrual cycle, and issues related to your fertility.
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Ongoing Pain: The pain may stem from a few potential sources, including hormonal changes, scarring, or infections. Given your reported obstruction in the right fallopian tube and the recent painful procedure, it's important to investigate if the pain is related to these conditions.
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Thick Uterine Lining: The significant change in your uterine lining thickness might be influenced by your hormonal levels, menstrual cycle state, or other health issues, thus needing further evaluation. It’s worth monitoring if your menstrual cycle arrives and how it interacts with the lining thickness.
Next Steps:
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CT Scan: Make sure to follow through with the CT scan as soon as possible. This will provide vital information about any potential abnormalities or issues that may need intervention.
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Pain Management: Continue using a heating pad for comfort. If you find that your pain persists or worsens, consider discussing additional pain relief options with your healthcare provider.
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Monitor Symptoms: Keep a close eye on your symptoms, especially any changes in pain, the onset of menstruation, or any new symptoms like fever or severe bloating. Documenting these can help your doctor understand your condition better.
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Follow-up Appointment: Prepare for the upcoming appointment with your OB-GYN. Bring along any questions and notes on your symptoms, as this can help guide the discussion and decide on further investigations or management options.
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Stay Informed: While waiting for test results, it’s beneficial to learn more about your conditions, IVF options, and possible treatments, as understanding these can help alleviate some anxiety.
It’s important to have a supportive team around you, and don't hesitate to reach out for emotional support during this challenging time. You're taking the right steps to understand and address what is happening in your body.
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