Dr. OB and I talked about my options. Any birth control method with hormones – an IUD, cervical ring, inplant, etc – would make me feel crappy and I didn’t want to live that way. He said if I was sure that I was done having kids that he could do a uterine ablation. It’s a procedure where they cycle very hot water through your uterus for about 11 minutes and that destroys the lining (the endometrium) of your uterus. Most patients never have a period again, and most of the rest have very light periods. In a very small percentage of patients the ablation does not work at all. He said there was no way to predict if it would work for me or not, but chances were good that it would. But I had to be SURE that I didn’t want kids, because it’s permanent and if it’s completely successful then there is no endometrium for the baby to grow on.
At the same time he would place inserts into my fallopian tubes that would develop scar tissue over the next six months and block my tubes. This would be a precautionary measure because you can still get pregnant after a uterine ablation, but it's a really bad idea. So between the ablation and tubal inserts I'd be done having children.
This was a really hard decision for me. I would really like one more child, but I'm old and we can't really afford it. I guess it's not so much a decision but a coming to terms that I won't be having another baby. I loved being pregnant, having the babies, and taking care of them afterwards. Sure, the breastfeeding was a hassle, and I really like being able to sleep through the night now (well, mostly - sometimes the kids still get up!), but I will really miss those times.
Finally I decided that I needed to let the baby thing go and get this surgery. It would be done under heavy sedation, which means they'd just let me sleep and wouldn't have to intubate me or put me on a breathing machine. It would be outpatient so I could go home that day. All that was left to do was schedule the surgery. Or was that all?
Part 6 - But wait, there's more...