Good News, Bad News

Today was our first OB appointment.  I LOVE our OB.  He came highly recommended from my RE and highly recommended from one of my husband's top surgeons in his territory.  He also spent  three hours with us today.  I also love that he is a straight shooter...he doesn't just tell you what you want to hear.

First, the baby looked excellent today.  My OB gave us 3D pictures and the baby is so freaking cute.   I was actually almost measuring 10 weeks today when I am really only 9W3D.  The baby was dancing around in its little bubble.  Baby's heart rate is at 167 bpm.  It is so crazy to think that the baby is that active and inside of ME!  I have no morning sickness anymore and am really only suffering from tiredness, so it was such a relief to see that everything was ok.  More good news...my OB did not even hesitate when we asked if we could come in next week for another ultrasound.  Generally he would not perform another ultrasound until 13 weeks, but due to my history he is absolutely willing to see me weekly until 12 weeks.  Such a relief!  My miscarriage risk is all the way down to 4%.  To think I have a 96% chance of not miscarrying is great....now he was quick to point out that this percent does not include pre-term labor, stillbirth, etc....but overall we have a good shot right now!

Now, not everything was all peachy today.  A matter a fact we received some unsettling news which will warrant extra attention during my pregnancy.  The OB said he wouldn't consider me entirely high risk, but there could be some complications.  I always knew that I had fibroids which was part of the reason I had a lap done last spring.  Well, the largest fibroid is now the size of a nerf football.  It has already grown almost 4 cm. in 9 weeks and it is laying right on top of my colon.  I believe the measurements were around 11cm x 10 cm (it took up the entire ultrasound screen zoomed out).  At least my sciatic nerve pain can be explained.  The doctor will be watching this carefully as  it could degenerate and worse case scenario make me go into pre-term labor.  My RE had already explained this risk, but it never felt real because I have never gotten this far into a pregnancy.  Most likely I will need a cesarean, although, my OB will do anything/everything for me to have a vaginal birth.  If a cesarean is the worse thing I have to face, then I am happy.

More alarming, my OB discovered another fibroid which is inside of the muscle of my uterus (unlike the nurf football sized one which is on the outside).  He became very quite when he saw this.  The problem, the  placenta is latched on directly underneath this fibroid.  If the fibroid grows (which is likely) and starts pushing in on the cavity of the uterus, then it could be threatening to the baby and possibly cause miscarriage.  Again, this is a worse case scenario, but I am glad the doctor told us about it regardless.  There is also mixed data showing whether these fibroids decrease blood flow to the uterus.

So, these fibroids which were not supposed to cause me any issues according to my last GYN are now possibly threatening to my pregnancy.  A matter a fact, my previous GYN never even saw the fibroid inside my muscle because they never used a 3D ultrasound, which is the only thing that picked it up.  Ladies...this is why it is imperative to have an excellent OB/GYN.  My RE never really said much about these because his job was to get me pregnant.  Anytime he saw an issue, he referred to my GYN.  Seriously though, if you go on the intranet and look up whether fibroids are threatening to a pregnancy, almost always it says no.  So why the hell is my case any different!  It is so frustrating.

Anyways, I am not going to complain because overall everything went well today.  I mean what pregnancy is absolutely perfect?  Probably none.