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

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]
You do realize that the particular cite for "up to 30 percent",is from an article that is more than 30 years old.  [b]Medicine has advanced quite a bit since 1982.  [/b]Not to mention the fact we have no idea what the sample size was the article looked, etc. . .
[/quote]

You'd think so, wouldn't you? But the fact is that D&Cs are now almost always performed [i]exactly [/i]the same way as they were in 1982: "blind", by feel, scraping with a curette. The only ones I know who are performing guided D&Cs are Asherman's specialists.

[quote]I'm sorry that you suffered with its universally described elsewehre as a "rare" side effect of d&c.  However, I do think you are scaring off others from a procedure that is much quicker and for many women, much less painful both emotionally and physically than the alternative [b]with a bare minimum of medical fact and a lot of personal emotion.  [/b]D&C also makes it far easier for the doctors to procure a tissue sample to determine the cause of miscarriage.[/quote]

I am absolutely not telling anyone to trust my "personal emotion". My personal emotion is driving me to tell women to educate themselves about the very real and underreported risks of D&C. Look at the information out there and decide what risks you're comfortable with. Here are some more recent references:

2007: "In the present study, 37.6% of the women subjected to curettage following abortion had IUA [Intrauterine Adhesions]." 
http://www.ncbi.nlm.nih.gov/pubmed/18094891

The is the only study I know of that followed women after D&C regardless of whether or not those women were trying to conceive, and that diagnosed them via the gold standard, a hysteroscopy.

2014: "In a recent meta-analysis, the pooled prevalence of IUA after miscarriage was found to be 19%, the vast majority of which developed after treatment with dilation and curettage (D & C)... In women with early pregnancy loss after in vitro fertilization (IVF), the prevalence of IUA has been reported as high as 38%."
http://www.ncbi.nlm.nih.gov/pubmed/24959821

It is absolutely true that if you want to test the tissue, you've gotta do a D&C. That's part of the cost-benefit calculation.[/quote]

Well, but my doctor said that they don't test the tissue until it's your third miscarriage.  I confirmed with my insurance, and they don't cover testing the tissue until the third miscarriage.

They didn't test the tissue from my first D&C and made it clear they won't test if I get a D&C this time (second miscarriage).  So that's a moot point, unless you are willing to pay out of pocket for the testing and specifically request it.[/quote]

My insurance paid after the second.[/quote]

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