Reply to Need to take Cytotec to start miscarriage--advice?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]I am one of the previous posters who had d and c.  I went on to have two healthy kids and didn't have to take any narcotics.   Really don't think infertility is a a common side effect, but talk to your doctor if you have concerns.[/quote]

I am the another PP who had an uneventful D&C. It cost me a $25 copay for in office and literally period cramps are more painful than the procedure was. (I just wanted to mention this, because while the lady with asherman's had a bad result, she is definitely not the norm and she seems to like to try and scare people out of a minor procedure.) Really a pedicure can end up in an amputated foot, but it doesn't stop me from getting them. [/quote]

I am the first PP who mentioned Asherman's, the one who used acetic acid.  It's the second time I've ever posted about it on DCUM, so I'm not sure why you think you know who I am and that I "like to try to scare people out of a minor procedure".

It may be a minor procedure, but it does carry risk. Doctors around here are woefully ignorant. I guess I just selfishly and bitterly… don't want other women to lose their fertility if they don't have to. 
[quote]"AS has a reported incidence of 25% of D&Cs performed 1–4 weeks post-partum,[9][10][17] up to 30.9% of D&Cs performed for missed miscarriages and 6.4% of D&Cs performed for incomplete miscarriages.[18] In another study, 40% of patients who underwent repeated D&C for retained products of conception after missed miscarriage or retained placenta developed AS.[19]

In the case of missed miscarriages, the time period between fetal demise and curettage may increase the likelihood of adhesion formation due to fibroblastic activity of the remaining tissue.[7][20]

The risk of AS also increases with the number of procedures: one study estimated the risk to be 16% after one D&C and 32% after 3 or more D&Cs.[21] However, a single curettage often underlies the condition."[/quote]

http://en.m.wikipedia.org/wiki/Asherman's_syndrome

When I went into my D&C, my doctor pooh-poohed my questions about scarring. I was so upset about miscarrying after IVF and didn't ask too many questions when he told me that the risk was tiny. It's not tiny.

Medically, Cytotec is the lowest-impact and lowest-risk option. It's the conservative choice. But it doesn't really fit our medical model as well as D&C does.

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