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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote]

[b]But again, I'm curious to hear what you think is the correct way to use the cytotec.  [/b][/quote]

http://www.misoprostol.org/File/guidelines.php

For missed miscarriage, the guidelines supported by clinical studies are:
   -   800mcg vaginally 3-hrly (max x2) or sublingual 600mcg 3-hourly (max x2)
   -   Give 2 doses and leave to work for 1-2 weeks (unless heavy bleeding or infection)

I often hear of dosages that are two low, or are not repeated, or (most common) not given enough time to work.

I am not asking anyone to trust a stranger on the internet rather than their own doctor. I am urging women to do their own research, to learn about global standards and the long history of the safe use of misoprostol, and not to assume that every reproductive endocrinologist/gynecologist/obgyn is up to date on the research about the prevalence of Asherman's and the safe use of misoprostol/cytotec. Because I can assure you: they are not.

70% or so of women will sail through a D&C with absolutely no problems. But that's cold comfort if you're part of the 30%.

Please, please educate yourself. I didn't and I lost the ability to have another child. Educate yourself and make sure that you are comfortable with the relative risks and benefits of D&C vs. misoprostol.

If you find the research difficult to read, I'm happy to answer questions (I do this stuff for a living).[/quote]

I call bs on your 30 percent statistic, particularly for women in the US going to a high end doctor/hospital.  I think you have your own personal agenda.[/quote]

Different PP.  I have absolutely no agenda, except that I think my last D&C caused problems.  I don't know for sure because my doctor wouldn't even let me get the saline ultrasound to check.

And therein lies the rub, it is really difficult to know how many women have problems.  Not to mention, I'm sure there are a range of problems, not all of them necessarily permanent.  I think the D&C stripped my lining too much.  Over time, I'm sure it will build back up.  But I'm not young, so time is of the essence.

I also think that they really resist doing follow up, like the saline ultrasound to see if there are issues.  When I expressed concerns, they were pooh-poohed.  A saline ultrasound isn't that complicated a procedure, and I don't understand why my doctor was so hesitant to do it.

As for the "high end doctor/hospital," the issue I have with this is that D&Cs, even in "high end" areas, are sometimes called "blind surgeries" because the doctor really has no way of seeing what he/she is doing unless they do it with an ultrasound.  Ask around, and I'm sure you will be surprised to learn that a lot of "high end" doctors/hospitals don't do it with a sonogram.  So it's difficult for them to see how much they are scraping.  I think it's also why sometimes, even with a D&C, there are retained products.

This is the concern that I have with the procedure.

I don't have an agenda.  I admit, the D&C was a lot easier than waiting it out.  But I have a lot of concerns that the D&C has caused me problems I wouldn't have had otherwise.

Sometimes, though, there isn't much choice and things don't progress, and you have to get the D&C.  I just think a lot of people are saying here that it's worth it to explore less invasive options first, but make sure that you ask questions b/c apparently, not all doctors use the cytotec the same way, and it appears as if some ways work better.[/quote]

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