Reply to No heartbeat today ... and now I have to decide how to expell contents of uterus

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[quote=Anonymous]OP, I am sorry for your loss.

I had a missed miscarriage at 9 weeks and was pushed toward a D&C by my RE.  I was reluctant to incur the risk of uterine scarring, because I had encountered several women who were having trouble conceiving due to that issue and had done research which indicated that scarring from D&Cs is more common than most doctors believe and quote.

I ultimately took the cytotec vaginally at about 10 weeks, along with an anti-nausea drug and a painkiller.  It was unpleasant for a few hours, but I'm glad I went that route.  I was able to "catch" the gestational sac when my body expelled it.  Actually put it in a container, stored it in my fridge for a day (yup, very gross), and brought it back to my MD for genetic testing that confirmed a chromosomal error.

I would absolutely do the same thing again for a loss before 10 weeks, because it allowed me to control the timing while avoiding surgical risk.  The latter enabled me to confidently try to conceive again a couple of months later without worrying that I might have just added uterine issues to my old eggs issues.  There was also something kind of peaceful and empowering about passing the embryo vaginally rather than getting knocked out in a hospital and having to walk out of there a few hours later with an empty uterus.  I'm too weak-willed for natural childbirth and didn't opt for cytotec due for emotional or philosophical reasons, but in hindsight, I think the process itself was therapeutic in terms of helping me let go of the pregnancy emotionally.

That said, the cytotec was incredibly painful for about 45 minutes even with pain meds.  I'm talking about the kind of pain where all the sounds in the room start to drop away.  It was probably not worse than intense labor pain though.  Also, most women who opt for a D&C have no problems and wouldn't do it any other way.  It's good to have choices.

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