D&C for Miscarriage - In office or anesthesia?

[Anonymous]

I am having another miscarriage and have already decided on a D&C. I had a D&C for a previous miscarriage and was put under for it. I am considering just having it done in the office this time to reduce the hassle and time factor, but I am worried about the pain. I am at GW, so I think they only provide anxiety medication, and my uterus is very sensitive- I almost passed out from an IUD insertion. I've had a few miscarriages pass naturally or with misoprostol and the pain was so terrible!

How bad is a D&C without getting put under? I know it's really quick compared to misoprostol, but I'm still concerned about getting through it.

[Anonymous]

I thought it was painful. I did mine at Georgetown very generous with pain meds.

[Anonymous]

I got knocked out for mine, there is no way I would want to be awake for that.

[Anonymous]

Also, OP, so sorry for your loss.

[Anonymous]

I am sorry OP. I was put under for my D&C and would recommend that - both for pain purposes as well as the mental health aspect of being semi-aware during such a sensitive moment.

[Anonymous]

I had one, and I couldn't believe how painful it was. I was groaning and moaning involuntarily, and I generally bear pain well. It was worse than my miscarriages or unmedicated vaginal birth, though much quicker. I had reasons for not wanting the anesthesia, and I survived, obviously, but I can't recommend it.

[Anonymous]

Anonymous wrote:I am sorry OP. I was put under for my D&C and would recommend that - both for pain purposes as well as the mental health aspect of being semi-aware during such a sensitive moment.

This! I am so glad I was unconscious for it. I just needed some time without feeling my emotions.

And I am so very sorry OP.

[Anonymous]

I had one in office. It was fine. It's not ever going to be a great experience

[Anonymous]

Im so sorry for your loss. had one at GW in office. I was measuring 11 weeks so I was pretty nervous beforehand that it would be excruciating. They gave me a bunch of drugs— anti anxiety meds and also Tylenol w codeine and high dose ibuprofen. It wasn’t fun and parts were a bit painful, but honestly I’m glad I did it that way. First of all, I was able to get it done sooner. Secondly, I didn’t have to go to the hospital for the whole day. I was only there about 2 ish hours and it was pretty private. The doctor who did mine also said we could play music. Neither of us could think of what type of music to play so she got out her phone and played something.

[Anonymous]

Anonymous wrote:I had one, and I couldn't believe how painful it was. I was groaning and moaning involuntarily, and I generally bear pain well. It was worse than my miscarriages or unmedicated vaginal birth, though much quicker. I had reasons for not wanting the anesthesia, and I survived, obviously, but I can't recommend it.

This. I couldn't believe how painful it was. I don't know why but I wasn't expecting that at all. I also could not recommend it.

[Anonymous]

I'm so sorry for your loss. I had one in the GW DC office a couple years ago and they gave me the anti-anxiety medication and some strong pain medication. I was measuring 8/9 weeks. I didn't find it physically painful, maybe a little uncomfortable. My husband was there and he held my hand, that definitely helped. Again, so sorry you are having to make this decision at all.

[Anonymous]

Anonymous wrote:I'm so sorry for your loss. I had one in the GW DC office a couple years ago and they gave me the anti-anxiety medication and some strong pain medication. I was measuring 8/9 weeks. I didn't find it physically painful, maybe a little uncomfortable. My husband was there and he held my hand, that definitely helped. Again, so sorry you are having to make this decision at all.

I, too, am sorry for your loss. I had the in-office procedure at GW just last month. While on the phone to schedule, they told me they would be sending 4 prescriptions to the pharmacy for me to pick up and bring with me: an antibiotic, an anti-anxiety (Ativan), and two pain medications (Percocet and Rx strength ibuprofen). I took all 4 of them shortly after the resident had me sign the consent form for treatment. They make you wait for an hour after taking the drugs before doing the procedure - which was something they didn't tell me. I felt the speculum being inserted at the beginning and some gauze against my cervix at the end. The rest of it was fast and, for me, painless. I would choose that procedure again before doing it under anesthesia. It was really nice to leave about an hour after the procedure was completed.

[Anonymous]

I am so sorry. When I had one for a missed-miscarriage, I was under anesthesia in an outpatient facility (Washington Medstar, IIRC). This was standard for my doctor, but he did also mention that anesthesia for me made sense since I had such a sensitive cervix based on how I reacted to embryo transfers (I had IVF). Given your previous sensitivity with the IUD, you may want to consider anesthesia.

[Anonymous]

OP here. Thanks all for your responses. The scheduler didn't even mention an in office procedure, and I was too chicken to bring it up. With everything I'm going through having the procedure be practically painless seems worth it.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I am sorry OP. I was put under for my D&C and would recommend that - both for pain purposes as well as the mental health aspect of being semi-aware during such a sensitive moment.

This! I am so glad I was unconscious for it. I just needed some time without feeling my emotions.

And I am so very sorry OP.

Same here. Good luck to you, OP