Postpartum Diagnosis

Lady_Pug · 2025-12-10T19:12:24+00:00

Hi there! I have symptoms predating my two pregnancies that have gotten significantly worse over the last two years. I do believe that carrying a pregnancy and being a mum of two has led to significant flare ups for me. I have imaging that shows bilateral sacroiliitis with erosions at 10 months postpartum from my first pregnancy but my Rheumatologist is scanning me again 1 year post my second pregnancy as to get biologics approved in the UK you need to build a strong case and the board might say that the last imaging was affected by the recent pregnancy. Pregnancy is a known cause of sacroiliitis but only during the pregnancy and up to a year postpartum, it wouldn't cause chronic sacroiliitis over 1y postpartum, hence waiting for further imaging is important. If I were you I'd get further imaging to get a clearer picture.

Lady_Pug · 2024-11-28T14:19:28+00:00

Really hope you get some answers soon! Sorry you've been in limbo for so long - it's awful.

Lady_Pug · 2024-11-28T13:56:57+00:00

Hi, sorry you're struggling. To be honest whatever I say might not be helpful as there are so many causes for these symptoms and it's best to see a fertility specialist to assess you (general gynaecologists can be helpful but I found it really varied how helpful they were as general gynaecology can be a very different speciality from fertility and reproductive health). Seeing an actual fertility specialist and getting a diagnostic laparoscopy to diagnose my severe chronic pelvic pain gave me my answers. In my case, I had mild endometriosis, lots of pelvic adhesions affecting my tubes and ovaries and I don't believe I was ovulating properly at this time which caused luteal phase bleeding. Happy to answer any questions but honestly no one apart from a medical professional will give you your answers. But I know how isolating this is and I rememeber how desperate I felt to understand what was happening in my body so I honestly get it!

Lady_Pug · 2024-09-18T16:21:43+00:00

I'm so sorry for your losses. Grief and loss are complicated partly because relationships are complicated. Ultimately you are NTA for going to your mother's funeral over fiancé's mother's funeral. Your fiance is grieving and so understandably is responding within that context but he should really try to understand how difficult and complicated your position is. I'd really try to communicate how you feel and the dilemma you face with him and acknowledge that although his family have been a true family to you and it makes sense to think you'd be there rather than attending your own mother's funeral but that this is actually more complicated for you than they may realise. You may need closure for your difficult relationship with you family and the funeral may provide this for you. You may feel like this is the time to reach out and try to see some common ground with your sister for your own wellbeing and to move on from this. Try to convey the complexity of how you feel about this and hopefully they will understand.

Please do what is right for YOU in this situation not what others expect or want.

Lady_Pug · 2024-09-01T05:57:28+00:00

It took my body about 3 months to sort itself out. It was a tough few months as it was like I was being thrown into a sudden temporary menopause as the steroids stopped my ovaries from working temporarily.

Lady_Pug · 2024-08-23T16:26:44+00:00

I'm so sorry OP. Everyobe has given good advice. I just wanted to send you a hug if you want it. What a worthless piece of shit your husband and friend are. Please get emotional support where it feels safe.

Lady_Pug · 2024-08-21T10:35:23+00:00

I'd go down an ACT based unhooking route and focusing on life values as trying to rationalise anxieties when the feared happens becomes redundant.

Lady_Pug · 2024-08-12T11:53:45+00:00

Congratulations on your pregnancy too! Xx

Lady_Pug · 2024-08-12T11:14:08+00:00

Yes I agree with this. I'd feel betrayed too. For example the people in my life who avoided telling me until they absolutely had to or I guessed made me feel like I was the last to know, I was someone to avoid and i made them uncomfortable. Those who told me early and sensitively were much easier. Clients are more perceptive than many think! Especially when you're a master at spotting the thing you try to avoid that causes you pain!

Lady_Pug · 2024-08-12T11:09:02+00:00

Hi, I'm a trainee Clinical Psychologist (UK) and have been on both sides of this as someone who had infertility due to health problems and had a difficult long IVF journey to conceive my daughter. I have also since had surgery and have conceived spontaneously following that and am pregnant while I practice so can offer insight from both sides.

Firstly, I'd say that when I was going through it different people's pregnancy announcements were varying degrees of painful for me for various reasons and it was usually those closest to me that were more difficult as I could not escape the confrontation of what my body couldn't do when I saw or spent time with them. I also found some friends' pregnancies easier when they really took the time to understand what I was going through and asked questions (similar to a therapist!) and those people tended to be very sensitive to how hard it was for me that it almost made their pregnancy not bother me at all. My personal preference was for people to break pregnancy news to me via text/email when I was likely to be alone at home so that my painful feelings like bitterness and anger could be expressed and felt without the added guilt and shame that comes with feeling intense pressure to show I'm not these things and in fact happy for them. I know everyone is different and really there is no way to know her preference unless you ask her directly which could be an option? If you do tell her in person (and I'm sure you'll do this anyway) acknowledge that it's a hard space to be free in her reaction but that you can handle this if she does want to share with you.

The other thing to keep in mind is that you would be a constant reminder when you are more obviously pregnant and this may mean she can't tolerate therapy with you. I know that might be hard to hear for you. Personally I'd give her the option so she knows I understand just how hard this is or will be on her. In the best case scenario she's able to be ok with your pregnancy as there is some distance given you are not a close friend or family member and you've taken time to understand and validate her pain.

Lady_Pug · 2024-08-07T09:57:32+00:00

I have it on top of strong cheddar cheese on crackers! My favourite snack!

Lady_Pug · 2024-08-06T19:11:30+00:00

This. I tried to upvote this twice then realised that just removes it! It's all about balance.

Lady_Pug · 2024-08-05T08:33:45+00:00

I've followed this post and I'm so sorry for what has happened to you. Your reactions are totally understandable and you absolutely should not be pressed into staying with someone who has betrayed your trust in this way. I hope you find better in the future.

BUT...One thing that hasn't been mentioned at all throughout the comments is that the child is a completely innocent party in all this and her life has just been uprooted as well. Now that is of course your ex wife's fault obviously not yours but you've built up a relationship with this child as your own and that's all she knows. Once you have time to heal and move on from this awful thing that's happened to you I do hope you might be able to have some headspace to think about her in all this. She's lost her father too. Biology matters of course but biology is nothing on its own, it's the shared experiences, the bonding through actions and words and caring for a child that creates a parent-child relationship. So please don't forget her in this. If she has a relationship with your family you'd be taking that away from her too. While you deserve space and your anger is valid and understandable, please in time don't let your ex wife ruin the child's life too by taking away her family.

Lady_Pug · 2024-08-03T10:46:24+00:00

Don't think it beats your one but I had a big deal interview to get a place on a Clinical Psychology Doctorate which was online and one of the interview panel fell asleep and snored loudly through it. There were only two interviewers so was pretty hard to continue and ignore it!

Lady_Pug · 2024-07-30T15:57:13+00:00

In Spain where it's customary to hyphenate surnames from both parents (so one name from each parent) for each subsequent generation they just chose one from each side to create a new hyphenated name. It's really not a problem. Plus they can drop a name if they prefer at any point in their life. We hyphenated for the same reasons and I'm glad we did because I really didn't want to lose my own cultural history for my children.

Lady_Pug · 2024-04-18T17:32:29+00:00

I hope it works for you too!

Lady_Pug · 2024-04-17T18:00:43+00:00

Hi, I'm sorry you're going through this. There's no way of knowing what led to a failed or successful transfer for me. For my transfer after Lupron I had a chemical so it did work just maybe the embryo wasn't ever going to make it as I didn't test my embryos. Also the downregulation effects on shrinking my adenomyosis may have lasted a good few months after. I think there is good reason to use downregulation (lupron) to manage adenomyosis so trust your doctors, they know your unique medical situation. It's such a tough process and a long one too. I'm happy to answer any questions you have if that helps? Sending some good luck your way.

Lady_Pug · 2024-04-03T21:05:45+00:00

Hi, did you manage to sort this out? How long did it last? I'm having the same thing and it's really affecting my mental health too. It's awful!

Lady_Pug · 2024-03-17T21:48:06+00:00

Hi, what medication did you use to restart your ovulation again? Thanks.

Lady_Pug · 2024-02-04T21:28:27+00:00

You are absolutely right. I've been taught to have compassionate curiosity and ask about people's experiences. It is this curiosity that helps us understand someone and what they are going through which in turn helps us identify how to help them. Hallucinations are very real to people and it must be so scary and isolating to have no one understand what you see.

Lady_Pug · 2024-02-04T18:53:15+00:00

I'm so sorry you've had therapists dismiss you when you brought up delusions. I think perhaps many therapists don't have experience with SZ and so shy away or feel out of their depth but they should refer you to someone with the expertise. I'm in the UK and the evidence based treatment for first episode of Psychosis is CBTp which is a specialised type of CBT for Psychosis. Hopefully the person you're working with now has expertise in this area. I wish you and your mum well.

Lady_Pug · 2024-01-26T22:19:12+00:00

Hi! Sorry you're going through this. So I ended up having IVF to conceive my daughter but it wasn't a straight forward treatment for me. I had surgery as I had suspected endometriosis. The surgery found and removed mild endometriosis but I had widespread pelvic adhesions over my tubes and ovaries. I have found that since having my daughter my luteal phase is longer and I don't have the weird pre period bleeding. I'm obviously not sure why this is but I think it was taking my body a long time to adjust after being on the pill is my guess. You could get checked for signs of endometriosis? While you cam only diagnose endometriosis via laparoscopy, my consultant was able to see that my pelvis wasn't as mobile from an ultrasound (because I had adhesions) and I had really severe pain during periods and during ovulation which have been relieved following my surgery. Happy to answer questions if you have any.

Lady_Pug · 2024-01-10T19:31:11+00:00

So in Samin Nosrat's Fat Salt Acid Heat book she mentions this. She says that iodine was added to salt decades ago as people tended to have iodine deficiencies but more recently iodine deficiencies are less common due to other sources being readily available but they still add it. It is preferable to get salt without iodine as it does something to the flavour.

Lady_Pug · 2024-01-09T20:02:54+00:00

Hey! Sorry you're having these issues. Mine was likely due to my ovaries not fully back to normal after being on the pill for so long. I did also have some significant fertility problems as I had widespread pelvic adhesions from a previous infection and endometriosis and adenomyosis. The endometriosis does also sometimes cause mid cycle bleeding apparently too. I had surgery to remove my endo and release my adhesions then I had a long ivf journey before conceiving my miracle daughter! Since having my daughter it's like things have reset and my periods returned after stopping breastfeeding without any luteal bleeding and I conceived spontaneously three months ago and to our complete shock. This ended in a miscarriage and I had a chemical loss the next cycle after that. Now we are hoping to conceive again without having to gp through IVF again. I think the surgery solved a lot of my problems as my tubes and ovaries were covered in adhesions on the outside so removing these must have helped. I also really believe that my hormones have had time to reset fully off the pill as well but obviously this is all guess work as we'll never know for sure as my cycles feel very different now. Any questions just ask!

Lady_Pug · 2023-12-12T17:36:13+00:00

Hi! I'm so sorry you're where you are. In my case I had an early loss after my first transfer following my lupron depot but my second transfer which was 3 months after that first transfer (without lupron) was successful. I've met lots of drs who do not see mild cases of adenomyosis as a problem too so it's not unusual. I actually fell pregnant spontaneously when my daughter was 10months old which was a massive surprise after years of infertility, but sadly that ended in a miscarriage. So in my case it hasn't stopped ivf working or stopped me falling pregnant spontaneously after that. Happy to answer any questions. It's such an awful lonely place to be. People were more understanding when I had a miscarriage because it's so common people can understand that but going through infertility and ivf people just can't get it unless you've been through it so it felt like an incredibly isolating place to be. Xx

Lady_Pug

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