Blighted Ovum at 6w6d

[Anonymous]

CW: Pregnancy loss, ending an unviable pregnancy

Went in for my first scan and was 50/50 it was a BO due to a few factors. OBGYN could find gestational and egg sac but no signs of fetus. I have a scan scheduled next week for 7w6d and was told to continue medication until “confirmation stand”.

Seems like by almost 7 weeks they should 100% see an embryo with heart activity for it to be a viable pregnancy. Only incidences of second scans at this point in pregnancy showing different results is on non-IVF pregnancies where patient has POC or another reason cycle could be off.

Pretty frustrated, I feel like it’s just prolonging my misery. Still have pregnancy symptoms and my hCG is within the normal range for a healthy pregnancy at this point and still doubling.

If anyone has gone through this (and I’m incredibly sorry if you have) what did you do after confirmation? I’m debating a natural miscarriage, medicated or D&C. D&C scares me dude to risk of scarring and risk or Asherman’s. I also don’t know if it’s possible to test tissue with BO. My RE didn’t seem to give me the options until it was all confirmed but I want a plan. This is my very first pregnancy. My embryos are untested but not mine. I am 31-years-old. I had an exploratory saline hysterectopy and there appeared to be no issues. I did not have a Hysterosalpingogram but I plan to before next transfer.

If you had a BO how many months before you were able to try again? If you’ve had BO or early MS what option did you choose and did you feel it was best?

Thank you!

[Anonymous]

I was much older than you when I had my BO. One of the reasons they may be cautious is that a tilted uterus can be mistaken for a BO. I waited mine out for a natural mc. I was in my 40s and very concerned about possible scarring from a D&C, as I wouldn’t have time to fix that.

My understanding is that if you do a D&C you have to wait a full cycle to try again to make sure your lining rebuilds itself.

My natural mc happened at 11w. It was . . . not great. Still the right decision for me, but not without its cons.

[Anonymous]

I’m very sorry you are going through this. I had a BO and did the follow up scan after my first scan didn’t show an fetus. I decided to wait it out but when I didn’t miscarry naturally, I ended up taking the medication. I had to take it twice since the first time didn’t get everything out but I’m still glad I did that rather than D & C because I was 39 and still wanted to try again and I was very worried about scarring. I think I could have tried again soon but we waited several months for various reasons. Wishing you the best whichever way you handle it.

[Anonymous]

I had a BO with my first pregnancy at 37. I got pregnant the first month we tried but the doctor's office didn't want to see me before 9 weeks. It was at 9 weeks no heartbeat but they said it stopped growing at 6 weeks, 6 days. I went back one week later for a scan and then had a D&C at Georgetown. I started spotting while I was waiting for the D&C to start. The whole time was so sad for me. I got pregnant 3 months later naturally. I delivered my first daughter at 38 and my second daughter at 40. I didn't have any problems with the D&C. We started trying again 1 month after the D&C and after 3 months of trying, we got pregnant. With my next pregnancy, I got to hear a heartbeat at 7 weeks.

[Anonymous]

I had a blighted ovum and miscarried naturally around 14 weeks. I should have done a D&C since I ended up with one anyway. I easily got pregnant a few months later and had an uneventful pregnancy resulting in a healthy baby.

[Anonymous]

Thank you for the responses.

Stopped my progesterone and estrogen two days ago and spotted a lot yesterday. Hope to naturally miscarry but if not traveling to my RE for D&C as he doesn’t use a curette to reduce chance of scarring.

[Anonymous]

I had one, had medication induced MC at 10 weeks. 0/10 don't recommend this method. It was extremely painful. Got pregnant again two months later, baby is now 10.

[Anonymous]

Anonymous wrote:I had one, had medication induced MC at 10 weeks. 0/10 don't recommend this method. It was extremely painful. Got pregnant again two months later, baby is now 10.

Medicated miscarriage is my last choice for this reason and there’s an increased risk for need of emergency D&C.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I had one, had medication induced MC at 10 weeks. 0/10 don't recommend this method. It was extremely painful. Got pregnant again two months later, baby is now 10.

Medicated miscarriage is my last choice for this reason and there’s an increased risk for need of emergency D&C.

What's the alternative?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had one, had medication induced MC at 10 weeks. 0/10 don't recommend this method. It was extremely painful. Got pregnant again two months later, baby is now 10.

Medicated miscarriage is my last choice for this reason and there’s an increased risk for need of emergency D&C.

What's the alternative?

A scheduled D&C.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I had one, had medication induced MC at 10 weeks. 0/10 don't recommend this method. It was extremely painful. Got pregnant again two months later, baby is now 10.

Medicated miscarriage is my last choice for this reason and there’s an increased risk for need of emergency D&C.

What's the alternative?

A scheduled D&C.

Yes. A scheduled D&C. My RE said emergency D&Cs tend to have a higher rate of potential scarring vs. scheduled. I don’t know why, but I can take a solid guess.