You may be wondering what the heck dyspareunia is.  Sounds like a really bad disease.  Luckily it is just a fancy word for painful intercourse, something that I have unfortunately become a victim of.  I made a return to my old GYN this morning.  It was weird going to the place where I last went 2 years ago to have a D&C on such different terms.  Sitting in the waiting room amongst many preggos and babies, I finally felt at peace.  No anger, no sadness, no frustration.  I even made friends with the cutest 15 month old baby.

I definitely confused the heck out the medical staff with my current situation.  The last time I saw them was in December of 2011.  I had my second miscarriage and was there for a follow-up where the doctor proceeded to tell me that there was nothing wrong with me and to keep trying.  Well, thanks to the fact that I have a PPO, I made the decision to see a RE on my own and did not tell them.  One miscarriage, several months of fertility treatment, a pregnancy, and a c-section later, I was back.  Because their medical system is not on the same system as the RE/OB that I was seeing, I had to hash out the long and painful story of the last year and a half in medical terms, twice (once to the nurse and once to the doctor).

I thought I would get a lecture about how I should not have taken matters into my own hands, but the nurse didn't really care and the doctor was really nice and understanding.  He spent a lot of time trying to understand what I had gone through.  I think we talked for at least 20 minutes about everything.

He took a look at my incision and said it looked fine.  He commented on how low it was but made the inference that, based on the situation with B getting stuck in my pelvis, was the reason.  Next I had the lovely metal speculum inserted (OUCH!) so that they could do a culture to make sure I did not have some type of infection.  After that was the lovely internal exam.  He did a few tests to see where I felt the pain.  It ended up being at the back of my vag/perineum area where I whelped in pain.  He felt around my uterus and cervix to feel for adhesions or obvious scar tissue sticking out, but he found nothing, which was good.  I also had no pain associated with that part of the exam, which he said was good.

Based on the exam he made the assumption that my issue is muscle tension from lack of use (haha) and now mental association causing the muscles to tense even more after having had one painful experience.  Basically, now I am expecting it to hurt so I am not enjoying it and not relaxing the muscles.  He also said that the mini-pill and breastfeeding will kill your desire along with exhaustion.  He mentioned that it was a myth that all women are "ready" for sex again 6 weeks postpartum.  He said it usually takes much longer.  Even after making this "diagnosis" he decided that he still wants me to have an ultrasound on 8/30 to make sure I don't have anything else going on that he can't feel.  Basically, because of my 2 D&Cs and c-section my uterus could have some scarring that would be better found now rather than later when I want to try to get pregnant again.  Fine by me.

So I guess the good news is that there doesn't appear to be anything seriously wrong with me.  I guess I'll find out for sure in a few weeks.  The doctor told me to use lots of lube (duh) and to work at it slowly when I am not stressed out.  Haha.  I am always stressed about something!