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missed miscarriage at 9 weeks - options
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Anonymous
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OP here. Thank you so much to all of you PPs for your kind wishes and for sharing your experience. I'm very sorry that you had to go through this as well.
9:55, my doc says I should start trying again immediately. I'm 40 though, and I'm sure that has something to do with her recommendation. Small amount of graphic discussion to follow - you may not want to read further. I'm especially grateful for the feedback on D&C vs Cytotec - and all responses, however graphic, are helpful and appreciated. 9:41, thank you for posting your experience. I'm so sorry. I was warned about the large amount of blood to expect. DH and I have discussed how to handle the embryo when I pass it (if it's obvious, and as you mentioned, it may or may not be). My age plays into my decision as well as my provider's recommendations (although she is supportive of all options). I don't feel as though time, or my body for that matter, are on my side. I don't want to wait for the miscarriage to occur naturally, because I'd like to move on and start trying again (and it's too emotionally hard to carry a non-viable pregnancy). The D&C sounds as though it would be much easier emotionally, but I am worried about scarring. If I were say 32 or even 36, my perception of the risks would probably be different. I am concerned about what a couple of you wrote - you may need the D&C anyway, even after suffering through the effects of Cytotec. |
Anonymous
| I agree with PP. My RE said just wait to get your period after the D&C and then you can start trying. There is no need to wait a few months. He monitored my blood to make sure the beta levels were zero which they were in like two weeks or so and I was ready to go. |
Anonymous
| I am so sorry you have to go through this. I had a miscarriage last spring and was offered the three options you were. I wasn't given any recommendation from the doctor in the ER, so I opted for a D&C. I am glad I did. The recovery is minimal and the D&C actually shortened the length of my cycles (which are usually long). My OB said I could try again after one period. I charted and am got pregnant the third cycle after my miscarriage. Again, I am very sorry for your loss. |
Anonymous
The first time I waited the 3 months. The second and third time I didn't wait (but took 2 cycles and then 1 cycle to get pg.) |
Anonymous
| 10:14 here. OP I just read you were 40. That's how old I am too. That is why I wanted the D&C and did not want to wait. |
Anonymous
No, they didn't. My OB used a transvaginal ultrasound. As soon as the image came up, DH and I knew there was something wrong. There was absolutely no movement, and with our DC (my only other pregnancy), there had been a lot of movement at this stage. There was absolutely no heartbeat. She spent a lot of time checking, and she pulled a sonographer in right away who confirmed everything - no movement, no heartbeat, stopped growing at 7 weeks. Thanks again for all the kind wishes. I'm sorry that there are so many of us who have had to deal with this. |
Anonymous
| I am sorry for your loss OP. I had a missed miscarriage at 9 weeks as well last December. I got a D&C and I would recommend that option. The procedure was done fairly quickly and I recovered quickly as well. I did not want to go through the pain and uncertainty of miscarrying on my own. I suffered no complications and got pregnant again in February and gave birth to my DS last month. |
Anonymous
| I am the 9:08 poster. I also second the advice to have someone with you the first couple of days when you are passing the heavier tissue. it turns out that i had some condition ( i forget the name) that makes you pass out when your cervix goes through some type of trauma (some women get that also with an IUD insertion). It's not common but i had no idea i had that and luckily my husband was home when i passed out. |
Anonymous
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I also had a D&C after a missed miscarriage at a similar stage. I am 32, so I know I don't share your age concerns, but I do want to share my experience. Like some pp's I couldn't stand the thought of carrying around the 'products of conception' and waiting, so I opted for the D&C. The procedure was simple as others have said and I was pregnant again 4 months later - now 22 weeks with an uneventful (so thankful!) pregnancy.
That said, when you mention concern about time - my only issue was that my period did not come back after the D&C. It had always been regular before. I waited 3 months and then was put on Prometrium and was one of the lucky ones for whom the "jump start" worked - ie, I took it for 10 days, got a period immediately after stopping, and my regular cycle resumed and I got pregnant with my current baby shortly thereafter. But if you are worried about time passing you may want to check with your doc to see if there's an option if your cycle doesn't resume normally. So much luck! |
Anonymous
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I chose to do a medical termination D&C at 14 weeks. The procedure was relatively painless and I experienced no major discomfort after. I got my period exactly 4 weeks later. For emotional reasons I chose to wait 6 months and got pregnant on the second try 7 months after the D&C. I am now 13 weeks pregnant and am 39 years old.
I would recommend the D&C. |
Anonymous
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A new poster here - I also recommend the D&C.
For what it's worth, if you're worried about scarring, choose to be awake during the procedure. Sometimes surgeons are not as gentle if the patient is unconscious. (You don't like to think that, and I am sure your doctor is very careful, but to be on the safe side...) I chose to be fully conscious (no sedatives or anything) for a D&C I had 10 years ago. It took less than five minutes and the ob/gyn was very supportive. I won't lie - having your uterus vacuumed out bites big time. But it was very bearable. |
Anonymous
| Egad, I had a friend stay awake during the D&C and she was totally traumatized by it. I would not recommend it. Just get a doctor your trust. |
Anonymous
| I took cytotec for an abortion at 8 wks and although it was emotionally difficult, I had no complications. I had pain and heavy bleeding when I initially miscarried, ten continued bleeding (like a heavy period) for 3-4 days. Then light spotting for another week. I was at home and I took ibuprofen. I did not find it particularly painful and the bleeding wasn't crazy. |
Anonymous
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I had a missed miscarriage a couple of years ago (at age 33). I opted for Cytotec (misoprostol), and I would choose that again if I had to. Yes, it was painful, damn painful (I hadn't ever gone through labor at that point), but I really didn't want an invasive procedure. I took the pills mid-day and stayed up through the night, but it was all over by the next morning. I conceived again the next month I tried (I chose to wait a few months after the Cytotec experience), and had an overall great pregnancy and labor. Oddly enough, taking Cytotec was more painful than labor.
If you take Cytotec, you may want to have your partner or other supportive person there with you. I told my DH (before the labor pains began) he didn't need to stay and regretted that decision when I couldn't get up off of the floor to get the prescription-strength Tylenol. Yeah, it's rough. |
Anonymous
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I am about the same age as you OP. I had a missed MC last year. I was afraid of a D&C because of scarring issues so I waited to pass it naturally. Well, I waited for about a month and nothing happened so I then opted for the D&C (two days before Christmas). I briefly looked into Cytotec but read that they are not always effective and a D&C is often still needed.
I'm sorry for your loss. Good luck whatever you decide. |