Post-op, Day 9 – Outstanding issues

I forgot to follow up on a couple of issues.

On Day 3 of post-op, I finally began experiencing the dreaded shoulder pain, which happens as a result of the migration upwards of carbon dioxide gas, which was pumped into me on the day of surgery. The gas enables the surgeon to inflate my trunk and therefore move my organs around easier.
The shoulder pain felt like joint pain. My shoulders were VERY tense during this time – it hurt to even touch my neck and shoulders. I applied a heating pad as instructed, and took Ibuprofen by Day 4. The shoulder pain subsided by end of Day 5.

On Day 7, I experienced mittelschmerz. I experience this nearly every month. Only, this month, I wasn’t expecting it. I wasn’t thinking about it. I figured since I had surgery, it wouldn’t happen. Stupid me.
Mittelschmerz is German for “middle pain”, and it applies to painful ovulation, or early onset of menstrual cramps.

I looked it up, and according to, “Most women who experience painful ovulation usually report a nagging pain that begins as a sharp twinge and diminishes into a dull ache for the next day or so. But for some women, the pain can be severe enough to be disabling and can even be confused with appendicitis. Occasionally, in addition to mid cycle pain and cramping, some women may experience nausea, and/or light menstrual spotting. Mittelschmerz lasts for 6 to 8 hours in most women; however, occasionally it can last as long as twenty-four to forty-eight hours.”

The pain I had on Day 7 was so debilitating that I was bedridden for most of the day. I took TWO Tylenol 3 and 600mg of Ibuprofen that day. The pain lasted into Day 8. I applied one Tylenol 3 and one Ibuprofen that day (yesterday).

The Mittelschmerz is BAD, because (according to the site referenced above), “Painful ovulation/mittelschmerz is believed to be caused by a small leakage of blood from the ovary that occurs at the time of ovulation. This blood, which is later reabsorbed, is thought to cause an irritation of the abdominal wall which causes pain.
This leakage is also what I believe to contribute to Endometriosis. Which means the disease is unstoppable – it does not take breaks, “It can’t be bargained with. It can’t be reasoned with. It doesn’t feel pity, or remorse, or fear. And it absolutely will not stop, ever, until you are dead!” (sorry, I couldn’t help the Terminator quote).

Today, despite having to take Tylenol 3 again for pain, I persevered and was able to work at my desk for most of the day. I only took one nap. The mid to upper back pain is still a big issue, though, while I try to regain muscle strength after being bedridden for a week.

The last issue facing me is that due to the ovulation, I now have PMS hormones coursing at light speed through my veins. I was sitting on the couch working on a genealogy project last night when suddenly I had a mild panic attack. I realised that I could feel my veins pumping in my neck and shoulders, and it was difficult to breathe. I had to stretch out and do breathing exercises to calm myself down. The same thing happened again today while I was napping. I awoke suddenly in a panic, veins pumping. When I got up, I was shivering, even though the house was warm. I paced the house and did some dishes (go me! First time in a week I was able to do all the dishes in one standing!), and the warmth of the dishwater and steam warmed me up and calmed me down.

I’m really afraid of taking synthetic hormones. I am slated to go on The Pill as soon as I start menstruating in a couple of weeks. I’m not sure if I’ll chicken out or not. I’m afraid of all the side effects, and I worry about my mental state. I’m diagnosed Major Depressive and I get suicidal ideation. I’m terrified my boobs will grow and I still have gender issues, especially surrounding having tits. I’m already a 38C and that hurts enough as it is. I may chicken out of taking The Pill.

But the alternatives are not pretty, either. The Endometriosis grows back. Taking The Pill supresses the disease, they say, because of the progesterone in it. Why have surgery if I get all the crap removed and allow it to grow back? Hm. Well, the surgery was for peace of mind to say “SEE? I TOLD YOU!!” to the medical industry. But still. Why allow the stuff to grow back?

I don’t want to be one of those women who have half a dozen or more surgeries in their lifetimes. I don’t ever want a surgery again if I can help it!

Comments are closed.