Today was my IUD removal and while the procedure itself wasn't noteworthy, the experience and my reaction is worth mentioning.
My appointment was at 10:00 am and I really didn't want to get out of bed. Mostly because I slept better those few hours after the hubby left than I have all week! While I didn't eat a good breakfast (munched a piece of dry toast) I did feed and pill the cats, feed and poop the dog, and remember to down a few ibuprofen before the appointment-just in case.
The wait was usual, about ten minutes past my appointment time. Of course, they had me wait nearly another ten minutes after I had undressed from the waist down. So nice how they request you get indecent and then make you wait around, awkwardly bare-ass on the paper lined exam table with a perfectly proportioned-to-be-useless scrap of drape.
I was happy to see the same nurse I had last time. She was cheerful and witty and generally pleasant. My DO on the other hand seemed skeptical with a veneer of supportive doctor. Not exactly the type of supportive provider I'm used to having.
Before the procedure the DO chatted a bit, made sure I was ready to go type of thing. She mentioned some of her colleagues had seen positive changes for their patients after removing hormonal birth control from their systems, that even the low doses of progesterone had affected their moods. But the main gist of her spiel was Natural Family Planning, Fertility Awareness Method or any other sympto-thermal birth control is basically playing with a loaded gun.
I suppose if I said we were planning to augment our natural birth control with barrier methods she would've been appeased, but I just didn't feel like saying the word "condoms." She on the other hand kept coming back to it and I felt like a teenager being scared off sex by the threat of unplanned pregnancies.
While she said some supportive things, the overall feeling I got was she expected me back with an unplanned pregnancy very soon. Not exactly what I would call supportive.
Anyways, the procedure was seamless. No signs that my device was embedded at all. All I felt was the usual speculum ratcheting and a little crampy traction as she pulled the IUD out by it's strings with forceps. Nothing worse than an annual exam when they tickle your cervix with the fuzzy tipped tools and spatulas.
I remember her parting words tinged with warning, almost like a schoolmarm shaking her finger at the kiddies playing rough at recess, "You are fertile as of today."
I don't doubt that I made the right decision. I feel better already knowing that my uterus is unoccupied and while I'm a little nervous about the increased risk of unplanned pregnancy I'm excited to be hormone free. But the doctor's words and attitude, intended or not, greatly affected me and my mood, sending me on an emotional roller coaster after my appointment.
At first I was simply befuddled. I was happy, already feeling better noticing my nearly daily cramps subsiding but also angry and frustrated, hurt by my doctor's words and confused at my reaction. I felt insulted, I felt scared, I felt doubt and doubted.
Poor hubby, he walked in home from work and became a lightning rod for all my turbulent emotions. He played his cards right and got me out on a walk, historically a tried and true method for rooting out problems and getting me talking. By the time we showered I had ranted and raged to a point when I began to get a grip on my thoughts.

Unfortunately part of my process involved snapping at the hubster like a handful of Snap-n-Pops and eventually I burrowed into a pile of blankets to finish reflecting on my own and eased into a lovely afternoon nap.
Here's what I came up with.
I think I'm in the midst of a big "growing up" phase and still learning to make my own decisions and take responsibility for my own actions. I first started taking oral contraceptives at my mother's bidding (from what I remember I was 15 1/2 or 16) in order to rein in my heavy flow. I don't regret taking those pills or hold it against my mom for putting me on them, but I don't think it was really my decision. I don't think I was mature or educated enough to make that decision at 16.
Without me knowing it, decided to have my IUD removed and having the procedure done brought back those teenage memories. The doctor's skeptical words triggered my insecurities and I fell into an eddy of self-doubt and anxiety. Years of following Mom's orders (spoken and implied) has insulated me from consequences and ownership. Today marked the beginning of a new era.
I'm going against my indoctrination, society's message that smart, modern women use birth control and have careers while babies are a secondary goal relegated to your thirties, after you've polished a cookie cutter home to Better Homes and Gardens standards. That message has been floating around in my psyche for years and the birth control pills I started taking as a teenager just reinforced the programming.
 |
NYMag.com article photo. Sure, I'm pro gender
equality, but I hate the pressure I feel to "wear
the pants" to do right by women's lib instead
of doing what's right for me, whatever
gender role my dreams may fit! |
Brene Brown's books are a good resource when hashing out these internal schemas. She mentions something along the lines that once our minds form certain beliefs, they begin interpreting the world in a way to support those beliefs, good or bad. Well, getting this IUD removed and going "granola" AKA hormone-free goes against what I've lived towards for many years.
I'm on the cusp of releasing those old beliefs and creating my own world. Without trust, faith, and confidence in myself it sure makes for a rough transition! The doctor's doubts spoke to my own insecurities and set my panic center into overdrive. I'm the only one who knows what's best for me and it's my responsibility to myself to do what's in my best interest and advocate for my rights to do so.
But boy, this path comes with some tall hurdles! I have to process the anger and betrayal I feel toward myself, my family, and my society. I need to cultivate and protect my self-trust, self-respect, self-confidence, and self-esteem. I need to develop coping techniques to process judgement and doubt, from internal and external sources.
A lot of changes on the horizon, and I'm not just talking about my uterus. ;)