Could use thoughts-sort of urgent -uterus pain (infection or ? worry).

(22 posts)(6 voices)
  • Started by SendrikBlack ago.
  • Latest reply from SendrikBlack.
  1. Hello...

    I could use some thoughts from the collective wisdom here.

    I would call/page my dr. but I am our of the country, so getting a hold of them is going to be a major producton as calling me back is an issue. But if it becomes neccessary I will of course do that.

    Problem...I am on supression meds and asprin, and am due to start estrogen and doxycyclin on thursday (in 3 days). I had a endometrial biopsy as part of my fet protocol 2 weeks ago. My period (after 21 days on bcps) started 4 days ago... the problem is for the past couple of days I have been having pelvic discomfort, it is so especially (but not only) when my bladder is full I feel very uncomfortable, and once I pee it really helps. At first I thought it might be a uti or something, but I have no issues with peeing (no burning, pain, or difficult in going/quantity etc...). Just the discomfort/pelvic pain.... and my period is heavier than usual, especially for a pill cycle...but it is not at the level of "concern" based on normal standards. But it isn't really stopping, and it all seems very fresh...and still the pelvic discomfort that seems to be uterine based. It isn't quite crampy..more of a very sensitive feeling, kind of like after ER for me. It is not severe or I would seek medical care here.

    My thought is that perhaps my uterus is bleeding from the biopsy more so than from what should be my period...that the biopsy 'injury' has not healed and is now freshly bleeding..or I have developed an infection... if it is just the biopsy site bleeding I would be less worried I think....my plan is to stop asprin for a day or two and see if that helps...my other option would be to start the doxycyclin early in case it is a developing infection, and/or maybe not start the estrogen and just stay on supression (to hopefully avoid scraping the whole cycle) and see my dr. as soon as I get home (Sunday or Monday).

    I would love to hear any thoughts of opinions anyone has...I promise I will not take it as medical advice

    thanks.

  2. you could still have a bladder infection, which is largely asymptomatic. could you pee in cup somewhere to rule it out? an infection would likely be presenting with an elevated temp, did you mention that?

    i guess i would think its 'just' some tenderness from the biopsy, irritated by the sloughing of your lining. it could also be related to the OCP's just b/c they are something new to the mix. i would not worry, just consult your doc when you can, or you can always post and cross post this on SIRM's site if you are really concerned. best of luck to you!!!!

  3. you could still have a bladder infection, which is largely asymptomatic. could you pee in cup somewhere to rule it out? an infection would likely be presenting with an elevated temp, did you mention that? i guess i would think its 'just' some tenderness from the biopsy, irritated by the sloughing of your lining. it could also be related to the OCP's just b/c they are something new to the mix. i would not worry, just consult your doc when you can, or you can always post and cross post this on SIRM's site if you are really concerned. best of luck to you!!!!

    thanks so much for your reply violet (by the way..how are you?!)...

    no fever.

    No place really right around where we are to get testing without a bit of a fuss (I am in the Carribean).

    I have been done the bcp's for a week already....but I am really hoping it is just tenderness irritation from the biopsy (which ironically is sort of the point of having done it)...but this didn't happen last time we did it... thanks again for your reply....unless this gets worse I am leaning towards it being biopsy related and not too serious...but still a bit worried of course (and uncomfortable by manageable).

  4. I agree with violet that it could be a UTI that just isn't manifesting the typical symptoms. But hard to tell without getting a culture. My vote would be to hold steady - I wouldn't start the doxy because there isn't anything to indicate that you actually do have an infection.

    I wish I could be more helpful here. I hope you're at least still enjoying your vacation...

  5. My take is, the cramping is from the biopsy and your period is redder and is still continuing due to the aspirin. There could also be an infection going on. What I would do.....stop the aspirin for a few days and start on the doxycycline and instead of the 5 days on the doxy, I would take it for the full 7-10 days. HTH!

  6. all good advice...

    question- what kind of antibiotic did you take with the biopsy, and for how long?

    personally, i would just take whatever meds have been prescribed, and for as long as prescribed, unless a dr. tells you differently.

    i really , really think its tenderness from the biopsy, and when your bladder is full it may press on your ute right near where the biopsy was taken. with no redness, swelling, or fever, i would not be concerned about an infection-

    enjoy your holiday! ( i'm doing fine, fet in a couple of weeks )

  7. all good advice... question- what kind of antibiotic did you take with the biopsy, and for how long? personally, i would just take whatever meds have been prescribed, and for as long as prescribed, unless a dr. tells you differently. i really , really think its tenderness from the biopsy, and when your bladder is full it may press on your ute right near where the biopsy was taken. with no redness, swelling, or fever, i would not be concerned about an infection- enjoy your holiday! ( i'm doing fine, fet in a couple of weeks )

    the biopsy was over 2 weeks ago...so I would have understood it being sore like this right after....but for it to flare up now weeks later like this is what is concerning. No antibiotics for the biopsy (just pain meds that day). The significant tenderness now is why I am concered about infection...weeks after the biopsy.

    is your transfer in a couple of weeks or starting meds then?

    -------

    thanks so much for all the replies. I am feeling a smidge better today (stopped asprin and drank cranberry in case that might help if it was bladder related), but I am still tender/uncomfortable in the pelvic region....and AF still dragging on not as usual making me wonder.

    I am going to start the doxy early, since it is just prophalactic anyway (and they were going to let me start it days late to fit my schedule)...I know for sure my dr. would be okay with me starting early instead. I figure, it can not hurt, but could help. I will see my dr as soon as soon as I get home for a quick check.

    thanks again!

    and if anyone has any other thoughts, feel free to share.

  8. this sounds similar to what happend to me and it turned out to be endometritis.. inflammation of the uterus. i had it in FEb 09 and just in dec 09 after my csection.. since you had a biopsy it could have pushed up some bacteris or caused a infection from the tools. many possibilites.. you can go to your dr and they can try putting you on antiobiodics. i was in the hospital and got a 48 hour iVF dose of Viamicin.. or you can go on oral dose for 10 days of levaquin, doxy, meta. if the pain subsides in a few days with antiobiodics then it could have been the reason,..i thought mine was a bladder or UIT but the dr checked and it wasn't gl..

    if it does turn out not to be a UTI or ballder and it is a uterian infection i strongly sugggest canceling your FET until antiobiodics are finshed.. if u have a uterian infection and get preg from the FET it will put you at risk for rupture of the membranes...This just happend to me over a year ago and the uterian infection affected the preg.. it can be really bad..

    gl KUp on what the dr says

  9. hmm.. how soon till you're back stateside?

    it could be anything, most likely nothing, but bladder infect is still on my mind.. i am REALLY surprised you didnt get an antibiotic for your EB- that's standard.

    my only concern about the doxy is that if its prophylactic, it might not be strong enough, or the correct anti, if it IS some kind of infection, bladder, uterine, whatever, and it might only cause the bacteria to become more resistant.

    i would probably try to go to a clinic where you are , if theres any way you can, just to rest your mind.

    meds in 2 weeks, hopefully transfer in 4.

  10. it could be anything, most likely nothing, but bladder infect is still on my mind.. i am REALLY surprised you didnt get an antibiotic for your EB- that's standard.

    I think there was no antibiotics for this Eb was because the point is to slightly 'injure' the endometrium and hopefuly the subsequent healing part might help with implantation for some women...which has shown some promise in those with previous failed cycles...(there was a small study done in Isreal - not sure if you have seen anything about that)...anyhoo...my clinic normally does antibiotics for everything (more than many clinics actually), but my RE chose not to give me any for these EB's specifically. This protocol is not their standard at all since the EB as part of protocol is fairly experimental....I think I am one of the only patients my RE has done this with.

    Quote:
    my only concern about the doxy is that if its prophylactic, it might not be strong enough, or the correct anti, if it IS some kind of infection, bladder, uterine, whatever, and it might only cause the bacteria to become more resistant.

    I agree, it might not be strong enough...but since I am supposed to be taking it anyway, and was starting in 2 days , I figure starting now is better than not. with all the antibiotics I have taken over the past decade cycling, I figure I am probably resisitant to most of them anyway...yikes.

    thanks so much for your thoughts violet...I really appreciate it.

    Quote:
    meds in 2 weeks, hopefully transfer in 4.

    Cool. we should be close....(if this cycle doesn't get derailed!).

  11. this sounds similar to what happend to me and it turned out to be endometritis.. inflammation of the uterus. i had it in FEb 09 and just in dec 09 after my csection.. since you had a biopsy it could have pushed up some bacteris or caused a infection from the tools. many possibilites.. you can go to your dr and they can try putting you on antiobiodics. if it does turn out not to be a UTI or ballder and it is a uterian infection i strongly sugggest canceling your FET until antiobiodics are finshed.. if u have a uterian infection and get preg from the FET it will put you at risk for rupture of the membranes...This just happend to me over a year ago and the uterian infection affected the preg.. it can be really bad.. gl KUp on what the dr says

    Thanks for your thoughts.

    I am pretty sure it is not endo.

    I plan to see my dr. as soon as I am back home...and should they feel I should cancel, I most certainly will. I trust my RE to make the right call.

    Thanks!

  12. hopefully not.. but endometritis is alot diff then endometrosis.. it's just a uterian infection that can be diagnosed from pain, fever or through a endometrial biopsy.. lets just say mine went UNdiagnosed and i had rupture of the membranes in 2008.. i actually cancelled a cycle when i found out i had it again 2 days before transfer.. it set me back 11 weeks but i could not go through another rupure of membranes.. mine started as a little yeast infection that got pushed up either during trnasfer or retrievel.. and went in the uterus..

    i know my response was a little extreme but after going through a nightmare with it.. i wanted to just give a heads up just in case.. like others said could be many things bladder, uti ..gl at the dr's a course of antibiodics should do the trick no matter what it is..

  13. how are you doing zuz?

  14. hopefully not.. but endometritis is alot diff then endometrosis.. it's just a uterian infection that can be diagnosed from pain, fever or through a endometrial biopsy.. ;;;i know my response was a little extreme but after going through a nightmare with it.. i wanted to just give a heads up just in case.. like others said could be many things bladder, uti ..gl at the dr's a course of antibiodics should do the trick no matter what it is..

    Yes, I read it quicklly the first time and missed the difference (endo and endometritis). I did re-read it later and understood and thank you for your post...it never hurts to have extra information and things to consider.

    I am greatful that my RE is truly top-notch and rarely misses anything, and is extra cautious and vigilant.

    ----

    violet, thanks for asking about me. Stopping the aspirin seems to have made a difference...the discomfort subsided over the next 2 days and af slowed to normal...
    I am just back home and waiting to hear from my dr. for a follow-up.

    thanks everyone!

  15. SendrikBlack - just lurking over here. I have had 3 EB's done - and reacted differently all three times. One of them I bled quite heavily for - don't remember pelvic discomfort but the bleeding was significant and was on the period afterwards - so a couple of weeks later. My RE sited the Israeli study too - and I received no antibiotics for any of them either. I do feel that the EB was a significant contributor to my final successful FET that also included a suppression phase - something we had not done on previous FET attempts.

    G/L! And I hope you are feeling better.
    Nancy

  16. SendrikBlack - just lurking over here. I have had 3 EB's done - and reacted differently all three times. One of them I bled quite heavily for - don't remember pelvic discomfort but the bleeding was significant and was on the period afterwards - so a couple of weeks later. My RE sited the Israeli study too - and I received no antibiotics for any of them either. I do feel that the EB was a significant contributor to my final successful FET that also included a suppression phase - something we had not done on previous FET attempts. G/L! And I hope you are feeling better.Nancy

    Nancy,

    thank you so much for your reply...it helps to hear from someone who has done the EB protocol and to hear your experience differred with each one. I feel much better hearing that. (and congrats btw!)

    I hope I made the right call by stopping asprin for a few days...it seemed to help the discomfort, and stop what seemed to be "fresh" bleeding (am seeing my RE tomorrow).

    thanks again!

  17. SendrikBlack - wanted to add on my last protocol we did a EB on Day 0 and again on D10 - so twice and transferred on d16 or 17 (can't remember which day exactly). This is the one that worked - and the suppression phase - bcps + lupron.

    Nancy

  18. SendrikBlack - wanted to add on my last protocol we did a EB on Day 0 and again on D10 - so twice and transferred on d16 or 17 (can't remember which day exactly). This is the one that worked - and the suppression phase - bcps + lupron. Nancy

    thanks, I am very interested in the EB protocols others are using or have used, since it isn't used that much around here... I have read a bit on a single EB and on a double EB...as I was worried because my protocol was only the one EB...but I didn't see much difference in success rates from what I could find and read about, so I figured I was lucky to get the one lol---since it isn't really being done at my clinic.


    SendrikBlack.

  19. My clinic seems to be using them a lot more these days. They have also almost completely switched over to doing FETs w/suppression phase prior to the FET which was not the norm when I cycled and did multiple FETs there 4 years ago. In fact, I did 3 un-successful FETs prior to my successful one w/the EB w/o the suppression. I would guess my clinic is going to contribute to a research study somewhere on their results but if I am any indication it significantly improved results - FET #1 - chemical. FET#2 - non-doubling beta. FET#3 - bfn. FET#4 - bfp. It was a long road and I was very resistant to adding the lupron - wish I had given in before. It is thought that it will kill off your natural lining (well it does) but if there is something that is hanging on in that lining that is preventing you from getting pregnant - replaces it w/a brand new lining. On my last FET, it took longer to build the lining after the 2 EB and the lupron - but well worth it.

    Its a Cdn clinic (somehow I think you are Cdn). I can give you more details if you want to contact them and see if they can give you better figures.
    Nancy

  20. Its a Cdn clinic (somehow I think you are Cdn). I can give you more details if you want to contact them and see if they can give you better figures.Nancy

    Thanks so much Nancy!

    yes, I am in Canada/at a cnd clinic (but I am pretty sure a different one from you). Please do PM me with their name, I am very curious about what they are doing with EB. This is my second cycle doing EB, I had sort of success with the first EB cycle (but lost the pg). That was my first real pg (beyond chems) after multiple failed cycles over many years...so EB is very interesting to me (and to my dr. since they wanted to do EB again with this cycle). I know my clinic is slow to make changes to standard protocols-mostly because they do have such good stats so they change slowly only when they won't compromise success rates, but they are fairly on top of what is new and promising. I know some other clinics are more into research and cutting edge treatment than mine...we considered going to one that was...but it is so much easier cycling close to home.

    My clinic usually uses suppression for FET cycles-so that has always been part of my protocol...I am somewhat hopeful about adding in EB to my protocol, but fear it has come too late for me, once we use our remaining frozen's we are done. So everything is crossed for this cycle!

  21. SendrikBlack-- r u still having the problems did the dr say what it was?? hope all is well...

  22. SendrikBlack-- r u still having the problems did the dr say what it was?? hope all is well...

    hey...thanks for asking. My dr. thinks it might have been related to the biopsy...but for now everything is back to normal and everything in there looks fine...I am very relieved. I agree that it was likely related to the biopsy given what others have said, my guess, and my dr.s thoughts.

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