u/IndustryOk1616

i might need a septoplasty and if i do, it will be funded. i understand you shouldn’t touch the nose until after surgery but it feels complicated, please help!

jaw surgery is unlikely to be funded for me. there’s a small chance public healthcare might fund it, but if they do, they will likely make me do septoplasty first to see if that fixes my breathing before approving jaw surgery

i’m considering paying private and going abroad for jaw surgery bc i cba jumping through hoops and waiting years, but there’s so much to figure out, it will still be ages away. i also fear DJS, genio and septo all at once would be too much as it sounds hellish already

my options are as follows:
- get free septoplasty asap to improve my breathing now, and risk messing it up with jaw surgery. also miss out on opportunity to refine tip of nose for free as you shouldn’t really make changes like this till after jaw surgery (insurance covers septorhino)
OR
- wait until surgery and pay private unnecessarily for the septoplasty, struggle with my breathing for longer, go through a worse recovery physically and mentally (possibly more change to appearance, more difficulty breathing and more pain)

what would you do?

i’m also wondering how it works done all at the same time, does the jaw surgeon do your septoplasty? or do they have to liaise with an ENT?

despite having all the symptoms except snoring and witnessed apneas, recessed jaws, a possible deviated septum, apnea in the family (not diagnosed but witnessed it), and obesity, apparently i don’t have apnea. i have lost 60lbs and am very sure i did at my highest weight.

watchpat was ahi 2.4, rdi 3.1. was very surprised rdi was so low. i am going for a lab sleep study but understand it will probably come back similar.

in the absence of apnea, is it worth doing surgery? i believe my bite is bad but both dentist and ortho say it’s fine. it doesn’t look bad, but i disagree that it’s fine. i have a complete deep bite but teeth don’t touch palate as they’re worn down and short. my jaw is in constant tension holding it up to close my mouth. i have several other symptoms that realistically could be explained by other things

is it worth the risks given my bite is borderline and apnea isn’t there yet? i am torn between trying to convince nhs i functionally need it, and listening to them when they inevitably say it’s not worth the risks for a borderline case. fixing my bite would be surgical, but ortho said it’s basically not bad enough. individually there is no clear need, but together to me it seems there is.

in particular, is it worth doing it to increase airway size regardless of whether there’s apnea? this is something nhs don’t consider, but there’s a clear difference in my breathing when moving jaw forward. however, my body currently compensates well enough that it’s not collapsing during sleep. to me, my airway is an issue but apparently waking breathing doesn’t matter??

so i got pixie medium and large cos heard good things about their customer service, i will reach out to them too but i’m here for now lol

i did a LOT of research before buying and lemme tell you, it was still a lot harder than i thought. context that may explain some things: i have not had sex for years and i have not had periods for years, so my girl ain’t used to being disturbed. more context: i am awaiting my first bleed after coming off the pill and trying before to practice. more context: cervix is very high and extremely difficult to reach.

i started with medium, used a lot of lube and honestly didn’t enjoy the experience of jamming it up there unaroused. i pushed back and down as much as possible but was sure there’s no way it’s under my cervix with how uncomfortable it was. wondered after if i was pushing it too much back and down and not up enough. i attempted to ‘feel my cervix through the cup’, not a chance in hell. i tried feeling underneath it to see if i could feel cervix outside of it, it seemed pretty far in and i just couldn’t reach any further to find cervix. at this point, it’s still pretty far out of me (under pubic bone, and the string outside body), start to try and tuck it but i am now just jamming myself and having a terrible time (while trying to relax muscles and breathe) so decided to give up.

read a bit more, decided i would try and push up a bit to make sure it really was as far in as it would go. it went further and i felt ok. tried again to feel for cervix through disc and outside of disc, its just not happening. it definitely felt further but it was still JAMMING my pubic bone. i squatted, bore down and just pushed hard and eventually it went above (and could probs go further if not so uncomfortable), not pleasant though. it felt different to yesterday so happy enough with progress but could still very much feel it. left it in for about an hour but it felt mildly crampy almost immediately. context of no sex or periods for years, or current period may be relevant to that too though.

my confusion is whether it’s under my cervix, but also if the discomfort may be from just the string or incorrect placement. the string felt like another obstacle to getting it past my pubic bone (even though it’s only the tiniest bit over the disc at the front) and i know i’ll need to cut it at least a bit cos don’t like the feeling. shall i just wait till period to see if there’s leaks etc to understand if placement is correct?

next confusion - is it possible i just have an extremely prominent pubic bone lol? i’m not hugely comfortable with penetration (depends i suppose), but it does feel like my pubic bone is massively in the way and that’s the bit that’s uncomfortable. i’m sure muscle tension plays a part but idk. i never got on with tampons, if i didn’t push it mega high till almost a ‘click’ feeling (sounds weird) it would constantly feel like it was falling out and sometimes would. which is kinda contradictory to feeling tight and like there’s no room lol.

next up - size. i have a high cervix and initially considered large might be easier to reach all the way back/under, but the idea of trying anything larger after 2nd attempt, i mean i’m literally already shoving it in uncomfortably. however, i wonder if it’s too firm and if i tried a nixit, if i could fold it in a way (once in as far as possible) to tuck it up rather than just jamming at my pubic bone. this didn’t really work with the pixie, it just wouldn’t bend enough. i could ask pixie for a small, but my cervix is so high would that even work? should i cut the string and see if it’s the string that’s making me uncomfortable with it in? should i stop trying till i get my period?

sorry for the essay, appreciate any help at all x