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. . .
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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]

Neither of these abstracts discloses how many d&cs the patients has and the first is from a foreign country.  If I had access to the full copies of each, I'm sure that I could find other ways they are not completely on point.  My original point stands -- if this is a concern, talk to your doctor, not some random internet poster with a bias.  For many women, the d&c is preferable to the drugs -- it was for me and I did both.[/quote]

Okay, well, OP didn't ask about getting a D&C.  She asked about taking cytotec.  I'm not the PP quoting statistics.  I'm the one trying to avoid a second D&C.  I had no problem with the cytotec.  I just won't know until the follow-up sonogram if it cleared everything.

I don't know if you can say, based on your own anecdotal experience that many women prefer the d&c.  Personally, I didn't think the cytotec was a big deal.  I wish I would've done it the first time before doing the D&C.

How is your anecdotal experience more valid than mine?  Or even some of the other posters with asherman's?

It seems like you are trying to scare OP away from taking the cytotec, when that is what her DOCTOR recommended.  And not all women have a horrible experience taking it.  I didn't.
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