I have an appointment with my OB in an hour. At my last appointment, I asked him about a tubal ligation after the birth of my son, to which he refused, stating I was "too young and immature to make such a decision". While I admit, I am 22, which is young, I have also suffered two consecutive miscarriages and lost a twin this pregnancy, have uterine fibroids and rapidly progressing (stage 3) endometriosis. My husband and I also both know that we do not want anymore kids.

We have these reasons:

1. We’re done
2. Our family doctor won’t refer my husband for a vasectomy until he’s 30, and he’s only 28 now.
3. The endo and fibroids put me at a higher risk for preterm labour, hemoragging, ectopic pregnancy, and pregnancy loss.
4. Emotionally, I cannot handle another loss.
5. Although we could afford a third, it would not be to the degree that we would like. With two, we can give our kids the best, with 3, we’d just be getting by.

I did some research and found that my health insurance will not cover a vasectomy under the age of 30, unless the male has 3 kids, and will not cover a tubal ligation until the mother is under 25 with 4 kids, over 25 with 3 kids, OR there is a reproductive medical condition that can put a pregnancy or mother at a higher risk.

I fall into the 3rd category.

Instead of agreeing, my doctor feels the need to push birth control on me. The last he pushed was Mirena, which I don’t feel is right. It will also cost 0 as opposed to the 100% covered tubal ligation. I am not too keen on the idea of artificial hormones surging through my body unless absolutely necessary.

I know I will eventually need a hysterectomy, most likely by my 24th birthday and will have the artificial hormones then and have accepted that.

I truly feel that the ligation is right for me and for my husband and our children, especially given my medical history.

How can I convince my doctor that I’m not too young and immature to make such a decision and how can I keep my cool if he refuses again?

Hi,

I was hoping that someone could provide me with some advice. Below are my reports, this has been going on for more than 10 months. I saw one Gynecological Oncologist and she said that the reports show functional cysts (despite having them for 10 months) that will go away by themselve and no treatment is needed. That was last week.

I saw another Gynecological Oncologist this morning for a second opinion and she said that they are Endometrioma. She has scheduled an Trans-vaginal ultrasound for Jamuary 21, and I will get those results from her on February 4, 2009.

I am completely confused. I do not know which one to trust. Worse still – will these continue to grow? What if they are neither? My CA125 was 63. My father died of colon cancer and my paternal Aunt of Breast Cancer.

My first report dated February 8, 2008 states:
Endometrium double layer thickness is just over 7mm.
The uterus is anteverted with overall diameters 37×40x76mms. There
appears to be a fibroid subserosal posterior at the fundus 24×19x14mms.
In the cervix, there is a little cyst 8mms.
The right ovary is 34×28x22mmx. Here we find 2 follicles or a
biloculted cyst with a thick septum, more likely that these represent 2
adjacent follicles.
The septation between the two are little hyper vascular.
The left ovary is 30×30x28mms contains a follicle 13×8mms.
The cul-de-sac is clear and the bladder appear normal.

Report 2 dated Sept 22, 2008:
The uterus measures 7.7×4.8×3.7cm. There is a fibroid at the fundus
measuring 2.2cm. Endometrial lining is 0.4cm. In both
adnexa there are abnormalities. On the left there is a complex
primarily solid but inhomogeneous irregular mass measuring
6.1×4.1×3.7cm. On the right there is one measuring 2.5×2.4×2.3cm.
Sorry, should have mentioned that I am 37 years old, have never had kids, and got my period when I was 13. Symptoms: bloating pelvic tenderness, lower back and leg pain, headaches, constant need to urinate (sometimes a lot, sometimes a false call!) and extremely tired. Very heavy and painful menses.

I was diagnosed with multiple fibroids. I’m only in my 20’s and I am trying to conceive. My doctor told me that she does not see any reason I would have trouble conceiving because my uterine cavity is clear and I don’t have irregular periods. My concerns is that I can feel 2 of my fibroids and it seems like I would have trouble having a baby. I have only been trying for about 2 months but I am concerned. Anyone going through something similar? any advice?

I had a fibroid embolization, and when I came out of hospital the next day, my left leg and left arm are not what they were when I went into hospital. They both hurt when used and I barely made it around the supermarket today and up the driveway to collect the mail. I had to stop several times.
I hope this is not permanent.

My lower back hurts
My boobs stopped aching after a month (right after my 3-day period) – I HAD BROWN BLOOD on the 3rds day.is that normal?
When I had it my cramps were different I feel like my stomach is bigger.
My right leg hurts or cramps a little
I gained weight or my tummy is bigger and hard when touched.
I had 2 other periods before the last one but they were light too.

I didn’t have sex, I just dry humped fully clothed. 1 time I was only in pjs but he had pants and boxers on.
blood test came hCg less than 2 after 13-15 days after possible conception. all the hpt preg tests came out negative.it’s been 7 – 9 weeks. What could this be?

I feel flutterings in my stomach. I had a bad cramp on my left leg, is that normal? how was it tuspposed to feel when u r p? should I take the test?
IF it might be fibroid tumor, i would bleed a lot, but I don’t. Is there any case where it could be… I really don’t know.

My mom just found out today that she has between 5-10 fibroids and that she’d have to have them removed and possibly a hysterectomy. However, she said they it could turn into cancer if they grow. But I remember the doctor saying to me that it can’t. So which is it? I am 25 and I have one that I know and my doctor told me as long as it doesn’t cause any problems there is no need to take it out. Since she has so many now,(she’s 51) will there be a higher chance of me getting as many in the future?

I BELIEVE HE WANTS A COMPLETE LARAPSCOPIC MEANING SHE HE WANTS TO TAKE EVERYTHING OUT! SHE HAS HAD 4 C-SECTIONS, SHE HAS A COUPLE OF UTERINE FIBROIDS AND EXTREMELY EXCESSIVE MENTRUAL BLEEDING. I KNOW SHE HAS TO TAKE OUT THE FIBROI DS BUT WHY TAKE OUT HER UTERUS??? I DON’T HAVE TIME TO ASK THE DOCTOR’S BUT I THINK SHE SAID HE WANTS TO TAKE THEM OUT BECAUSE OF RISK OF FIBROIDS/CISTS RETURNING BUT I AM JUST NOT CONVINCED..I’M CONCERNED ABOUT EARLY MENOPAUSE AND AND THINGS LIKE THAT..ANY EXPERIENCES? CONCERNS I SHOULD TELL HER TO ASK THE DR? ANYTHING HELPS THANKS
and she has dangerous level of anemia

It’s a possibility that I am 6 weeks pregnant. If I am, it hasn’t shown on my last test which was about a week ago.

- My breasts are sore and tender. And the nipples are darker and I have a dark outline around my areola.
- My period is a month late on Weds. with no signs of coming and no PMS what so ever.
- I had a slight spotting last week but it was only when I wiped and it looked like dried blood. Only lasted about half a day. Didn’t even need a liner.
- I had cramping during weeks 2-5, but it’s died down a lot now. It was in my lower abdomen, right below my belly button.
- Mild nausea. Occasionally I’ll feel like I have to burp and I throw up a bit. Also when I’m brushing my teeth I start gagging.

I’m not looking to be pregnant. If I am that’s great! If not, that’s great too! I’m only 20, no rush for a baby. I just don’t understand what it could be.

I was checked for fibroids, cysts and a UTI. All negative. But according to First Response I’m not pregnant. My doctor can’t tell me what’s wrong with me.
Any ideas?
Also, I DID have unprotected sex on the day of ovulation.

I am 31 yrs old and was diagnosed with uterine fibroids and endometriosis earlier this year. I had undergone laparoscopy and they have removed my right ovary. I know both of my problems is tied with infertility but I was told by my obgyn that I will still be able to conceive. My question is, has anyone ever had an experience of getting negative hpt,neg blood test, still no period but still ended up pregnant? My last period was Sept 19, it was like my normal 1 day period. I tried using ovulation test during my supposed fertile week and I got a positive on Oct 2. We made love that same night then again on sunday night. My cycle is an average of 27 days so my expected period is Oct 16. I have very few symptoms, I have noticed nausea kinda like how you feel when you’re in a car and you’re reading a book and I always feel like I’m about to puke but it doesn’t happen. I had a migraine headache last friday. My breast is just a little bit sore but it doesn’t hurt to run or move. I have clear CM, I always feel like blood is coming out of me but, every time I check there is nothing, just clear mucus like I’m ovulating. I don’t feel like my period is about to come anymore, I mean, no more period cramps, just some mild cramping I relate to the fibroids. I really want to have a baby but I’m afraid I might loose it buy doing my regular routines because I always get negative results. Am I just imagining this because I really want to have kids or I may be pregnant?