Life after a Hysterectomy

Close your eyes if you don't want to read this post. I know it's not a topic for everyone. However, the more I tune in, the more I find that it is a topic for more and more people. So be warned.

You can read down my past blog posts to find out more about what life was like for me and why I decided to go through a very traditional medical procedure even though I'm in quite an alternative mind-set in general. 

I agonized about having an operation to remove my uterus. I delayed it by trying alternative options through diet and meditation. I could have had the operation much sooner it turns out.

I asked a lot of people I could get my hands on about having the procedure. And even though there were books about how bad it is to have a hysterectomy and radio programs with people calling in complaining about complications, not one person I spoke to personally had a bad time. I even spoke to my grandmother about her surgery that must have been over 50 years ago. All of these women were happy to have it out so their symptoms were gone.

I confided in my GP that I was so anxious about having the operation and it actually comforted me when he told me that it's such a common surgery now that for a doctor it's like taking your tonsils out. They just go in a tube and pull it back out on itself. Gulp.

Before surgery I did take a controversial drug to shrink the tumour. The side effects were unpleasant and I'm glad I didn't take it for too long. The Lupron did its job though, and the fibroids were small enough to be removed without incisions in my abdomen.

Going into surgery was scary for me. I hardly even go to a doctor's office let alone know how to navigate a hospital recovery room. If I were to do it again, I'd have someone stay overnight with me. The care after surgery left a little to be desired. Not being familiar with being in a hospital left me with a distinct disadvantage as to the protocol after hours. 

Because of the type of procedure I had, I have no visual scars. In order for this to happen, I had my cervix removed as well. I would have preferred to keep it, but in discussions with the doctor beforehand about how it was going to work, it was clear that I would not get to keep most of my cervix. My grandmother told me she was sorry they didn't take hers in the first place because she ended up needing a second surgery to remove her cervix after bleeding continued after the first surgery. I don't really miss mine.

I still have my ovaries, so I still ovulate and I still have a cycle (and I still have pain that I suspect is coming from one of them that I'm getting checked out later this week), but I don't get my period. I don't take any hormones or iron pills (whoohoo!) and there are no side effects that matter to me. I don't feel a hole where my uterus used to be. My organs haven't shifted into new places and my body feels good. I do have more energy in general now because for the first time in years I'm no longer anemic. I don't feel less creative or less of a woman or anything like that. I wasn't that clear before the surgery but I'm clear now that I won't have anymore children, which is really fine with me. 

As I wrote in a previous post, I can wear a bathing suit, or shorts, or white clothes, or go for long walks and bike rides, take car trips and plane rides and not have to worry if I'm going to bleed through in a horrific spectacle.

I looked into the alternatives. I considered what there was available. I think we as a society have to do a better job of understanding what causes fibroid tumours and how to reduce them in some way other than cutting them out. Given what we have available right now, I'm grateful for that option. Although I think it is somehow distasteful to have had a hysterectomy socially, there's still a stigma attached to it, I am grateful that I had the surgery.

Women who are younger who are still planning on having children have other things to consider. Women who are closer to menopause could possibly wait just a few more years and the fibroids and bleeding will stop on their own. But if you're reading this in your 40's and you're faced with the recommendation from your doctor that you have one, I would suggest doing it sooner rather than later.

New Beginnings

Happy New Year! And I mean it. I have had a happy new year so far. I hope you have, too.

This year I have a new body. People have come out and just asked me, "what's it like having no uterus?" or "how's it going having a hole where your uterus used to be?" so I figure I'll just answer frankly. So far, so good. To be honest, those questions do take me aback. When I think about what happened to me I get squeamish. I have a copy of the operation report I got from my GP and I can't read it all. It sort of pains me a bit. My breath goes shallow and my throat tightens and then it hurts my ginie.

You can't tell by looking at me that I had an operation recently (3 weeks ago today). Yesterday I went to my first Bikram yoga class. The day before that I went for a short run. My insides didn't fall out. I didn't pass out. And actually, since I had the operation I've had more energy than usual. I skip potential nap times and just wait until bed.

My uterus was the size of a 14-week pregnancy and the fibroids were 6 cm as I recall from previous reports. It must have been quite a handful of stuff but I didn't get a look at what they took out, even though I asked in advance. It seems like that space got filled up with my intestines and other stuff, because my pants fit the same even though technically I should have come out 2 pounds lighter. (I don't have a scale and then there was Christmas, so maybe if I hadn't had a hysterectomy my clothes wouldn't fit by now what with all of those cookies and turkey.)

I keep feeling like my period should be starting soon and then I remember I won't be having one again. And unlike a total hysterectomy where they take out your ovaries as well, I am not going into menopause and I'll still ovulate, but I won't have a period.

I have enough energy to do stuff but I hold back because I remember that I can't see where my surgery happened and I've been warned to take it easy and to let it all heal. Healing requires circulation so I know I'm supposed to be active, but not too active. Rest, but don't stay still for too long. I think I'm doing pretty well with that and having the recovery time coincide with the holidays was helpful so I'm not tempted to overdo it with work and other activities.

I'm not taking iron supplements anymore. No hormones. Nothing special. I do have some aches that may be because of my organs getting into their new positions so I take an Advil now and then, but really, I'm free. I'll be able to walk around Ottawa, which has a notable lack of public restrooms, because things won't be as urgent as they were. I'll be able to ride bike with my daughter in Paris. Wear white pants to yoga! So there's a lot of possibility in my future.

One of the main reasons they recommended I have the surgery is because I'm so young. To go another decade with anemia and the stuff that went with my condition would not have been good. So even though I resisted the news and the descriptions of the treatment, I can honestly say I'm grateful I did the operation. What a great way to start off a new year.

On the Other Side

It's all over. I'm on the mend. I made it to the other side. Nothing bad happened. It all went as planned and I'm healing. My impression of what happened in the hospital is that the surgery team was tight and focused and the recovery group was less directed, but it's all over and I'm fine. I had the operation later on Tuesday than planned because the operating room was running behind. I was in the recovery area by 4, had visitors by 6:30, spent the night and was gone by 7 am Wednesday morning. Slept most of Wednesday, hobbled around on Thursday and ventured out for real outings by Saturday. I opted out of the narcotics when I went home and got by on Tylenol and Advil and halved that the other day. I could probably even drive but I'm not doing that just yet for the sake of it.

I attribute the speedy healing to me being in relatively good health and knowing how to relax. On top of it, a week before the surgery I started listening to a recording to prepare me for surgery on the advice of someone who had recently been there. I think it really worked! I took it with me to the hospital and at one point in the surgical day care unit some of the nurses asked me if I was meditating because my vitals were doing something unusual. Not sure what it was, but they did ask.

Here's what I used - it cost $20, which seemed high for an iTunes download, but it was money well-spent in my experience.

Tomorrow's the Day

It's been quite a roller coaster. At the time of me writing this, I'm feeling really quite fine, not even nervous. Earlier today I was super-sad, feeling a sense of loss about having a hysterectomy and thinking maybe I'd change my mind. "Wait! I want to have another baby!" "What do you mean I'll never nurse another baby?" and things like that. I sobbed. It really isn't too late. I could change my mind. But I'm not going to. As much as I love kids and I think I'm a great mom, I LOVE being a mom, I'm not going to do it again.

So then I'd think about the "freedom" I'll have when I'm not all bleeding and tired and awkward and that would make me feel a bit better but then I went to, "what if something goes wrong?" "What if they sew my vagina too short and I'll never be able to enjoy sex again?" "What if my libido never returns like those other women said?" And that freaked me out so I took a half an Ativan. That made all of those thoughts disappear.

I decided to stay busy and moved all of my later-in-the-week clients to today and that worked out well. As I led my yoga classes this afternoon, I breathed into myself as I always do and this time the breathing felt the same as it always did except that there was this feeling of new conditions. Last day of the uterus. Last day before going on a big trip of surgery including a night in the hospital. I got home and my daughter said the hospital called and I am expected at 10:45 in the morning. Great! I'll skip the traffic and freezing rain warnings and even be able to sleep in if I can.

Yesterday as I was in Yoga Teacher Training I almost blurted out - "today's the second last day of me having my uterus!" But of course, I didn't say that. I woke up this morning thinking, "today's the last day with my uterus - what should I do?"

That reminded me that I'd like to see it. I haven't asked yet if they'll let me look at it because I figure the answer will be a creepy no. But tomorrow I'll ask and maybe they'll let me look at it. My uterus. My womb. My daughter's home. I kept my daughter's placenta for ages in the freezer so I wouldn't put it past me to at least take a good look at this other organ. But hospitals aren't designed for that. Viewing of the tissues. I'm going to see what they say...

One other thing. Today's the last day of my uterus but you know what? It's also the last day of having fibroids. Yay!

Living Your Yoga Some More

Last night Kat Mills and I wrapped up our penultimate Living (Your) Yoga session. One of the participants mentioned that she's really enjoying the classes and even though she had something she would normally have stayed home for, she didn't want to miss it that night, which was encouraging to hear. It's our first time running this class and it's great to hear that people like it. We're going to run it again in the new year - it will start January 10 and go for 8 weeks.

When I got home and walked up the few steps to my door, I felt so achy. Even though I said last post that I've gone back to Bikram and it's helping my joints, I guess I'm not doing it enough because my hips just hurt. It turns out that it's one of the side effects of the medication they gave me (Lupron) and it's normal that I'll have sore joints. Someone sent me a tweet that warned me of how toxic that drug is and how the symptoms don't go away afterwards and people are plagued with sore joints, night sweats, and depression for years. Oh well. It was an injection, so I can't undo it or stop taking it.

I just hope that it did the trick and shrank the fibroids enough to get out using what I'll call the "simple method" as opposed to a bigger cut that will be required if the medication didn't work. Even the "simple method" will require an overnight stay in the hospital.

I'm using this as an opportunity to surrender. Just like getting in a plane and going on a trip, which really scares me - I'm going to go on this flight of surgery and participate in our culture - and this is important to me. So I'll give up control; I'll trust the training the doctor has and listen to people who say he has a good reputation and others who've had the surgery who are really happy they did. Big breath.

Back to Bikram

When I first came to Ottawa and wanted to go to yoga classes, I wanted something predictable. I didn't want to hear a new yoga teacher's spiritual take on life or try fancy poses, I wanted something comfortable and known. So I went to Bikram Yoga, as I had learned it back when I lived at Kripalu when Bikram himself came all the way from California to teach us. It helped that the classes in Ottawa were often taught by my old ashram brother, Luc.

Over the years I've done Bikram on and off. I hate it love it hate it love it if you know what I mean.

Lately I've had some tightness in my shoulder and wrist and I've adjusted my downward dogs and been careful on my hands and knees and I even talked to my trainer about it. "Jamine, you're getting old." Well, that did it. I walked straight into a Bikram class and went to work. My shoulder and wrist are about 90% better after 3 classes last week. That series is so therapeutic and if it doesn't kill you, it will definitely make you feel better.

As for the heat, the medication I'm on is giving me hot flashes, so I'm already there and it doesn't seem to make them worse. I would figure it's actually balancing me except that the stuff I'm on is intentionally unbalancing me so I don't want to mess with that too much. I'm preparing mentally to have surgery in just less than a month and it's probably not a bad idea to prepare physically while I'm at it. I don't want to be stuck with a sore shoulder and unable to move around, so I'll fix it now and hopefully it won't be bothering me afterwards.

Confusion - Fibroids - TMI

I'm confused. I have had conflicting advice about which medication I should be taking and I don't know where to turn for information. I will be getting back in touch with my specialist but an appointment isn't that easy to get and the wait is long once you get one and I just want to know if I'm doing the right thing or not. I'll get unconfused, or I'll just continue along this way, but that's where I'm at. The details aren't that important but they include things like the medication that was supposed to send me into menopause didn't exactly do the job and I'm wondering now what.

In the meantime I've been contemplating my body and how it houses me and and how it really just runs itself provided I do certain things and I'm so grateful. It's confusing to think there's this big thing going on inside I can't see or really feel and it makes me feel so out of touch. Like there's a stereotypical teenager in my uterus doing her own thing and not reaching out except once a month to make a scene and then return to her room leaving me to wonder what in the world is going on.

When I asked my GP why people are saying I need a hysterectomy when all of these new-fangled surgical options are available, he described to me how the fibroids are growing. Basically they're "intramural" and the big one is incorporated into my uterus - it's not on it or something they could cut off. It's integrated and to get it out means taking out my uterus, too. So supposedly I can have this operation and continue to ovulate each month, although my mom kindly pointed out, "sometimes people go into menopause from the surgery even if their ovaries are left." Great. Not that menopause is that bad, but I was kind of looking forward to continuing to have my cycle even without menstruating. Who knows.

That brings me to menstruating. So I was getting ready to say goodbye to my period, having my final mixed feelings about it all, really noticing the blood (I'll spare you all the rest, just know I was really paying attention), and like the patient who doesn't die when pulled off the life support, my medication didn't do the trick and I had another opportunity to possibly say my last goodbyes to my period. By the time it finally goes I will have said goodbye a whole bunch. Like standing in the yard waving to family members in the car who drive off, only to come back 5 minutes later because they remember they forgot something, the goodbye I'm having has lost its initial dramatic feel and will be a simple nod by the time it finally gets on its way.

I could not have this operation. It's not life-threatening. But like going to Montreal, I could walk. Thanks to modern technology and cars and whatnot, I drive to Montreal. There are consequences and there's a price I have to pay to participate in this culture. Same thing. I could wait for my body to stop making fibroids, but there's another 10 years or so left of that, and while that's all going on, travel is difficult, teaching yoga for more than an hour is difficult at times, it's hard to plan, and my energy is wild. I could put up with it, keep looking for natural solutions and new yoga poses to do the trick, just do "watchful waiting" as it's described in the reading material. Or I could have it taken out, heal up, and be on my way. Everyone I've spoken to who has had this operation is happy about it. Even my 94-year old grandmother said she's glad she did it. Maybe I will be too.

Am I Grateful Yet?

I said that if I end up having surgery for my situation (read past posts) I'd want to be grateful when I did it. After months of herbs and prayers and things, I may be entering the Grateful Zone.

I got a call today from a clinic that said they'd try and get me in for a second opinion. Word is a doctor read my chart and said she wouldn't do anything different and doesn't have time to see me in the next six months. The person who left the message was really helpful and said she'd help me find someone in the community who could do a second opinion. I'll call her back.

Practising yoga all these years has luckily for me, made living in my body relatively comfortable most of the time. I haven't had big things to deal with up until the call from my doctor's office last year that freaked me out. Why would they call me for just me having low iron? I'm starting to get it.

It's not that my body is turning on me, it's that it's maturing, and with that, there are changes happening to it that I haven't had to experience fully until now.

I don't like the idea of a general anesthetic. I don't the idea of losing my womb. But really, this could be so much worse (and it will get that way if I don't treat it), and I'm lucky that I live in this age when both the energetic as well as the physical options are available. Colour me grateful.

Making Changes

After giving it some thought, I'm going to stop teaching my drop-in classes for the next few months, or the next session at Rama Lotus. It feels a bit radical but also so right. There is a lot behind the choice to pause, including what I've written in the last number of posts.

Starting in September, I won't be teaching any public drop-in classes. I will still be teaching on the teacher training team and leading workshops and teaching all of my regular non-public classes.

The major thing that not teaching every Friday night and Sunday morning brings me is, can you guess? Weekends! I will have a weekend in my life after 10 years of being committed each one. I'm hoping this will bring me opportunities to use my energy differently and look at healing my body, which is all good and serious, but what I'm really excited about at the moment is sleeping in! Going away overnight! Taking a workshop! Staying home!

I could go on and justify why the drop-in model is also tiring for me as a teacher, but that doesn't matter. I'm going to be on pause. Gratefully, the centre where I teach has said I can be off the schedule and I'll get my classes back in the next round. I may really miss teaching those times. It has been a part of my life for about a quarter of it and I didn't complain about the weekends. I enjoy this hour on Sunday morning. I love seeing who shows up. I love teaching Friday nights to help people unwind from their work week and set them up for a great weekend.

Given what I've got going on health-wise though, teaching 90-minute classes straight through isn't always workable, let's say. I sometimes need a break in that time and it is awkward to leave a class in the middle of it, at least the way I have been teaching my classes up until now. Maybe that will change and I'll build in a natural break. Or maybe I'll have my uterus taken out and I won't ever need to have that break again. I'll keep you posted.

On Second Thought

In my recent post I said I didn't think what I was going through was worth having my uterus taken out but I'm starting to have second thoughts about that as I sit in my home feeling trapped for a couple of days while my period passes. I'd like my freedom back, actually.

The doctor's office called the other day with the date for my surgery. At first they tried to give me a date in September, but that was too close to my presentation for the India Canada Friendship Circle. Then a date early in October, but that was the weekend I am taking my daughter down to the States to review the Forum. How about the 18th. Fine. I half-scheduled it. I just said yes to please the system. I was still thinking I'm going to beat this.

Then I started thinking about what life would be like if I wasn't anemic and hemorrhaging every 3 weeks. That started to make me feel good. I go back and forth. I think, "what if this happened on the weekend I was supposed to be leading my workshop? That would be really distracting and uncomfortable." Then I flip to, "I hardly ever lead that workshop, so is it really worth having major surgery to take your uterus out just so you're not inconvenienced?" That turns into, "but maybe I'm not done having kids and I think I'd really like to have another baby, that might even make the fibroid better," which quickly goes to, "oh who are you kidding? You can't afford to have another baby and you wouldn't really want to you at your age."

The doctor I saw told me this, "if you were my sister, I'd recommend you have this surgery." The other women I know who've had the surgery are all grateful and I have yet to meet someone, although I think they're out there, who regrets it. My mom said, "it's common surgery now. They do it all the time. It's not experimental and the risk of something going wrong is small." She's right. They're right. But I don't want to get cut open and have my womb removed. I just don't!

However, the risks of significant blood loss over time are real and likely given how it's going. Even with the herbs, I'm running around trying to manage this situation. I'd be okay if this part were over. I could adopt if I really want more kids. Maybe I'll be a grandmother soon, who knows. (I use the idea that I'm really okay being a grandma and teenage pregnancy wouldn't be that bad as a deterrent for my 12-year old daughter.) I think it's likely that I'd be someone who would respond well to the surgery, who'd recover quickly, and be back to work within days instead of weeks.

The next step is to go and take the shot, which costs $500 that will shrink the tumour so it can be removed more easily. Once I take that shot my body will be sent into menopause temporarily. See, menopause would take care of this tumour naturally. But menopause for me is a good decade away most likely. If I have the surgery my doctor is prescribing, although I'd lose my uterus, I would keep my ovaries and still ovulate and have a cycle, just without the menstruation part.

I said I'd go in and get the shot when I'm back from Omega in a couple of weeks. They said okay. But I'm supposed to be on that stuff for 3 months before having the surgery and Oct 18 isn't 3 months away. So if I can get up the courage to go in and get the shot in a few weeks I'll be on my way and can reschedule the procedure as needed. Big breath.

Update - health and other things

I really have not been comfortable sharing what's happening in my life, so I shut up. At the same time, I've been encouraging others to keep writing, keep sharing, knowing full well I could be doing that myself. I'm just at a hard spot and it's hard to put it out there.

Healthwise: I was terrified of going on a recent trip to Paris with my daughter due to the situation presented in previous posts. I made the trip manageable by staying in our own place, rather than finding a hostel or place where we'd have to share a bathroom. That made me relax, knowing if I had to get up a lot at night, it would just be my little family I was disturbing. I also made it so we were not traveling around, we just stayed in Paris. That way, if I wasn't feeling particularly mobile, we could just hang out at home for the day or two I'd need.

It turns out that worked out well. I more than survived and was quite comfortable. The other thing that really helped is Paris is full of free, clean, public toilets. And if those aren't available, the local restaurants totally let you use the washroom without feeling ashamed that you're not a customer.

My next hurdle is the upcoming trip down to the States to teach yoga. I'm pleased that my period has arrived early, so perhaps I'll have the bulk of things to manage, let's say, here at home. That's relieving.

So are the herbs helping? They might be. I haven't felt like I wish they'd take my uterus out or anything, but I really have to manage to make it feel that way. My Natural Doctor said it isn't time to have another ultrasound yet because the herbs will need longer to shrink the tumour. So I suppose I'll get another one in the Fall.

Dealing with anemia has raised a challenge for me, which I think I'm really taking on. I was feeling so tired and wiped out and so I slowed everything down, which resulted in more weight on me, less energy, and I don't think that helped. So I have picked the pace back up, returning to my gym and trainer, and dealing with some of the things that were stopping me from running (sore knee) and making sure I'm being more physically active in general. Hopefully this will result in less weight for me to be carrying around, as well as greater energy overall.

Relationshipwise: I haven't been writing about it but I have a boyfriend. He's been around for over six months now and if you've seen me in that time, you've probably met him, because we're together a lot. Maybe it's because I've been burned in the past while I've been blogging and I'm afraid to have to explain it all or maybe I'm just not there yet, but I haven't been talking about him. But just so you know, I have a great boyfriend. He gets along well with my daughter, and we're happy.

Workwise: It's summer and I'm not leading the summer yoga teacher training intensive as I have for the past two years, so I left that space open and I've been having a good time traveling and spending time doing not much. As a result, I have lots less money though, which does freak me out. As an entrepreneur, I need to be spending time finding new work and cultivating clients and stuff, but I haven't been doing that at all. I've been at the beach and in Paris, and really just enjoying myself. Things will pick back up in the Fall I trust.

Practicewise: I've been taking things easy, as I've already mentioned. I'm not meditating as much as I used to - I've been doing other things. Lately my meditation has sometimes taken the form of focusing and working with the fibroid. I'm "allowing it to be there" while I also take steps to have it go away, so there's a bit of a juggle I do internally, trying not to be a hypocrite, but really being present with what's happening in my body. I've been back with my trainer the past two or three months and that feels really good.

There you have it. The update. I won't take so long to do it again.

The Herbs *May* Be Working

It's probably too early to tell, and maybe I'm just really hopeful, but I think this next period I have is going to be closer to a normal one. I can just feel it. If it's not, I figure I'm in big trouble and will have to do something about it, so there is a lot riding on this one, and I'm hopeful.

What I've been doing since I last blogged is eating seeds like I said, and taking herbs to reduce bleeding, and balance my hormones because apparently the situation I'm in is in part due to raised estrogen levels, which is natural at this time of my life.

I bought a Blendtec blender and have added lots of raw foods to my diet - without eliminating other foods altogether at all, rather replacing some meals with smoothies, which has been a lot of fun. I've been tweeting my smoothie concoctions and apparently they're getting tastier - my daughter is quite particular about her smoothies.

It feels so weird to have been going on a certain way for 30 years and then all of a sudden to have things be so different. I know other life situations are like that, but this was an internal process rather than an accident or some external intervention, just that clock inside.

The women I've spoken to who've had the recommended procedure have not regretted it at all and said their lives are so much better post-surgery and I find that encouraging. However, I'm still determined to resolve this without medical intervention. It was the same thing with the birth of my daughter. I was prepared to go to the hospital if I had to, and at one point during the labour my midwives "threatened" to take me to the hospital if I didn't get my kid out (full disclosure: she was 4.9kg, really long, and her head circumference was actually off the growth chart, ouch), but because of the research I'd done that revealed that often medical intervention leads to more medical interventions, I was really motivated to do it myself. My mom's had loads of surgeries that have made me want to make sure I don't have that happen to me and very sad for how she's had to recover from extra interventions that would have not been necessary if extra care had been taken during the surgeries. If I can prevent that from happening to me, I'm going to do it.

Managing what I eat and what time I take all of the herbs and supplements and rub on the creams and I tell you, it keeps me on my toes. I'm not quite at the point where I need an app to tell me what time to take which tablet, but I can relate to those who do.

Seed Protocol

I'm doing a "seed protocol" to manage my hormones and try and shrink the fibroid tumour that's being scheduled to be surgically removed at the end of the summer or beginning of fall (the earliest appointment available basically). Thanks to the visit to the natural doctor (made possible by the boost from the YTT graduates), I am on a regimen of seeds, tinctures, herbs, and dietary changes that accompany the plan.

I think it's working!

I'm taking flaxseed and pumpkin seeds now and in a week I'll switch to sunflower and sesame seeds.

I don't know if it's really working or not but in the past 10 days I haven't had any pain and I feel pretty good! I want to try everything I can before having a significant organ of mine removed.

So it's a Fibroid (fibroidasana)

The technician wasn't supposed to tell me but she did. I have at least one really big fibroid, which may very well explain why I've been having the symptoms associated with having fibroids. But it's not for sure the reason and who knows - maybe a doctor - one that I'll go to see soon. And in case you're not following the links, having a big fibroid is not going to kill me or have me out of commission or anything. It's a nuisance, it drains my energy, and it may require surgery, but it's not any kind of cancer or anything like that, so don't worry.

I feel relieved on the one hand. Relieved to know there was "something" likely causing my symptoms and it's not just early onset menopause (I wish at this point). Relieved that other people, even people in my family, who've had to deal with this and are fine. Even the tech who did my ultrasound shared that she'd had some removed, had a procedure that's used to take care of this and she said her energy is back, she feels great and has the period of a 16 year old again (very light)!

It turns out that the medication I took for 6 weeks to try and address some of the issues I was having likely made the problem worse. Ooops. Oh well, guess I just wasted some time and 60 bucks on pills and made it so the problem is that much more acute.

I guess I'll be holding the pose of "fibroidasana" now. I'd like to handle it naturally, of course. I've never had an operation, I even had my baby on the bed at home, and I'm not that into being put to sleep by a general anesthetic. However, I'm not totally against it and if that's the route I'm supposed to take, I'll take it.

While I wait for a confirmation of what the tech saw (technicians work Saturday mornings but radiologists don't) I'll keep gathering information (especially on natural remedies). I'll breathe into the sensations (it's on my left side covering my left ovary in case you want to do a visualization that will help shrink it with me). I'll relax and know that it's a sign of life (a life that's getting older in a body that's showing signs).

At that Invisible Place

I’ve gone invisible. I haven’t been blogging for a number of reasons, but the biggest one is that there’s a health issue that’s been going on for sometime that’s started to make me feel like my body’s out of control. As a yoga teacher to have my body feel like it’s out of control is extra scary – isn’t part of my job to be healthy? So what happens to me if my body breaks down? Can I teach? Do I have a job?

The way I teach right now, the answer is pretty much no, I don't have a job. I teach to people as a contractor, so if I don't show up, I don't get paid. I don't make money for workshops I design and have others lead, I only earn money if I'm on site. That has always felt honest to me, but with the health stuff coming up, it feels pretty risky. If I have to take a week off, there's no money coming in, and no promise that I'll get my classes back or my workshop spots back or anything like that. That's one of the aspects of being self-employed in the service industry that's unripe and makes me understand while people do form unions and create safety nets, but it's also one of the things I have appreciated about it from an entrepreneurial point of view.

Being a full time yoga teacher, able to teach classes regularly, take the time to design course materials for workshops and trainings, and be available for student's correspondence, means I don't have another job. Lots of yoga teachers work full-time at jobs and then teach yoga on the side and I would recommend that's how people for sure start out because earning enough as a teacher to not only be paid for your time but enough that you can save to have benefits or savings or take a vacation, is unusual. Lots of us live simply so we are willing to earn what seems like a lot of money per class at times, but when weighed out over time, isn't very much at all. We don't teach yoga for the money, let's put it that way. Or what seems like a great income when you and your family are healthy may not be there when you get sick or need to take extra time away with your family.

So hopefully we yoga teachers will stay healthy long enough to share yoga with people who want to learn. And over the past year I took on a project to earn money for myself and other yoga teachers as an alternate source of income and another way to provide teachings of yoga (that's the company, Capital Yoga Publishing). It's still a baby and won't pay for my vacation anytime soon, but it's a start.

The invisible place is being a woman in my 40s who's now for sure out of my youth. My periods have gotten heavier and way longer. As a result, I have low iron and I'm afraid to check again because I must be anemic by now. I've seen my doctor, I've tried hormone replacement, and I'm waiting now to see a specialist. My energy is zapped, I'm numb in parts and even though I practice yoga like I used to, I feel nervous and not sure if I'll have the energy to do everything I've got planned for my day. When I'm on the spot, leading a class for 90 minutes, sometimes I'm not sure I'm going to make it through the whole class without having to run out to the washroom to deal with the menstrual flow. Sometimes I've had to leave the class and run out and come back. Yoga is also taught these days in tight pants. They're comfortable but often revealing, so to wear enough support means having it show through the clothes, which can feel awkward. The whole thing feels awkward. I'm in a place at the moment where I would welcome menopause. My period keeps me up at night many nights and I've been having it for well over a month.

This doesn't happen to most women in their 40s. It won't happen to many people but apparently it runs in my family and I'm not sure how to handle it. It's scary on a physical level and if I had the kind of job where I could just excuse myself briefly and that was normal, maybe work life would be okay. But as it is, I'm on, eyes are on me, and it's tricky.

One of the courses I teach that's been actually something that has made teaching through this change in my body is the teacher training. The groups can be working together and if I have to go to the washroom every half an hour it's not a big deal. Sadly, I won't be teaching the training in the summer as I had expected. The centre where I teach is also feeling scared and wants to broaden their safety net of teachers. So they've decided to have someone else lead the summer program and I'll be back on for the fall they've said. This is motivating me to move my teachings in a direction where I can lead more groups the way I'd grown to love in the teacher training format and not have a centre decide if I'm teaching or not. It's going to take some time to develop ways to be an independent teacher, especially a way to market and advertise courses, but I think I owe it to myself to create work in my field as a yoga teacher, that's more secure or feels more that way. Obviously no one's secure and things can change at any time, but at least making a plan for it seems like a good idea.