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Impending M/C - what to do?


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#1 ForeverHopeful13

Posted 26 January 2013 - 06:17 PM

I am just after advise. I found out I was pregnant 2 weeks ago when I got a positive on a home test, next day went to doc and positive on his test. Did blood test next day and HCG level was 22,700. I was scheduled an US the following week, as I was unsure of my dates. Had my V/US this Thursday and showed my gestational sac was measuring 24mm which put me at 7 weeks 5 days.

They also saw the yolk sac, measured at 9.2mm but was empty and no heartbeat was detected. I went back to my doc this morning for more blood work, and my HCG level dropped to 6,000. Doc told me it was not a viable pregnancy and to wait a couple of days and go to hosp for a D&C.

Should I wait to miscarry naturally, or get the D&C done as soon as possible? I am absolutely heartbroken and unsure if waiting to miscarry naturally will be worse off for my mental state. Any advise will be much appreciated. My birthday is on Monday sad.gif

#2 Dresden

Posted 26 January 2013 - 06:20 PM

Big hugs xxx

I chose to have the D&C. I couldn't bear the thought of just waiting for it to happen.

I am so very sorry. xx

#3 Guest_LILLIANA1_*

Posted 26 January 2013 - 06:23 PM

I'm sorry, OP.  sad.gif

We found out at a scan at 10 weeks that our baby had died. I waited a week to miscarry naturally but it didn't happen so I had a D& C. It was the worst week of my life. I wished I'd had the D&C straight away. After the D&C I felt enormous relief that it was over. Physically, the D&C wasn't too bad.

Good luck. The situation is horrible.

#4 Holidayromp

Posted 26 January 2013 - 09:58 PM

Honestly it is best to have a d&c it is over and done with quickly.

I went through the same thing in November 2011 - a blighted ovum.  It took a few days for bleeding to start but I went through six weeks of sheer hell and heavy bleeding.  It then took a few more cycles for me to get back to normal.  If I had my time again I would have fronted up at the Early Pregnancy Clinic at the hospital and requested a d&c straight away.

I knew that I wasn't rpegnant from the get go and the ultrasound was no surprise so I just wanted things over and done with so we can try again.  The bleeding was a PITA and my hCG levels took ages to come back down again so I needed regular weekly blood tests.  

I was angry and frustrated at the process.  At one point I was flooding so I showed up at the hospital where huge TMI clots were cleared out.  I was sent home but I was soaking pads and spent a small fortune in them.

If you want a quick closure then I do recommend a D&C however the Doctors feel that it is better for you to go naturally but I beg to differ.

#5 ForeverHopeful13

Posted 27 January 2013 - 08:38 AM

Thanks everyone. I have decided to wait until my doc appt on tuesday to make a decision. It's hard being a long weekend and being in a new town.

I still have no spotting/bleeding or pain. I would rather it be over than be anxious as to when it is going to happen. I have had previous MC's before, but I only knew of them as they were happening, this is the first time I have found out about it before it happening. Quite scary.

I am just going to try to relax and hopefully enjoy my bday tomorrow.

#6 caroldiem

Posted 27 January 2013 - 09:36 AM

Hi ForeverHopeful13

Firstly sorry for your loss I had a similar thing happen to me two years ago where i went for my scan i was meant to be 8 weeks and 5 days and sac was only measuring 6 weeks with nothing in it (a blighted ovum) so i decided to miscarry naturally, I found it to be fine i passed the sac a few days later and i think i bled for a week or two and all was fine. It's a personal decision but i think it's important to be aware of the risks of having a D&C it is surgery and you can get Ashermans Syndrome there is a sticky at the top of the page called Ashermans Syndrome please read I think it's important woman are informed of all the risks before making the decision. As i said regardless of the risks a D&C might be the right option for you and it's a personal preference but it's good to know you made that decision knowing all the risks involved

Edited by caroldiem, 27 January 2013 - 09:38 AM.


#7 ~sydblue~

Posted 27 January 2013 - 09:54 AM

As with a few things, just ask for professional advice as to whether or not a D&C is the best thing for you. For some women it isn't, and can cause more problems. I never had a D&C with either of my 2 mc's.


#8 hernette

Posted 27 January 2013 - 10:02 AM

I have had 2 D&Cs and 1 natural m/c. The natural m/c wasn't as horrible as I'd thought but it was very early and I knew I had a few days with DH around for support. I'd also started spotting already so it wasn't like nothing was happening. Emotionally I'd say D&C is easier but it depends on your circumstances. Sorry for your loss sad.gif

#9 Bwok~Bwok

Posted 27 January 2013 - 10:25 AM

With the pg I had in 2003, like you, the miscarriage happened before I knew I was pg. I bled for about 3 weeks.

The pg in november - I waited, only for no bleed to happen. It was awful waiting, I didn't go anywhere incase it started happening away from home. I waited for about 10 days before things were investigated and shown my levels had gone back to 0 - so we are assuming I m/c without knowing?  

With the last pg - The Dr went through everything with me and what my options were, natural, induced miscarriage or D&C (that included the risk of Asherman's Syndrome and the risks of going naturally/induced ). I opted for the D&C because, mentally I had been through a lot with the pg, I couldn't wait any longer for a natural m/c to happen (and petrified I would see something). It has been nearly 2 weeks now and the bleeding has stopped.


The next couple of days are going to be hard whilst you wait to speak to your GP, so take care of you!  


#10 weepingangel

Posted 28 January 2013 - 12:01 PM

My advice is to do some research on all your options.

There are people on here (EB) who have had complications from having D & Cs so be aware and informed as to the very real risks.





#11 ChilliDog

Posted 28 January 2013 - 12:17 PM

So sorry you are going through this OP, it's really not fair!!

I had a natural MC in November. Went for a dating scan at 8.5 weeks and bubs was only measuring 5.5 weeks. Got told I should wait another 2 weeks and come back for a rescan as they just thought my dates might have been out. I knew they weren't so it was a really tuff 2 weeks. MMC was confirmed at 10.5 weeks and I started to MC a couple for days later.

It wasn't the most pleasurable experience but it was over fairly quickly for me. Passed everything within the first 24hrs then bled for about another 7 days so not much more than a normal period.

Just make sure if you leave it to happen naturally get some good pain relief and hot packs to help you through the worst of it and try and make sure you're not home by yourself the first few days. If you find you're bleeding through more than 1 pad an hour you need to go to hospital.

If I was to go through a MC again (I have all fingers and toes crossed it doesn't happen again) I would probably go naturally again.

Good luck with your decision, do what you feel is best for you!!!

#12 Missy Shelby

Posted 28 January 2013 - 01:11 PM

So sorry that you are going through this OP, it feels like you are in limbo doesn't it and limbo isn't a nice place to be sad.gif

I have had two mc.  The first one was a very early one, cramping for a day or two with intense cramping for a few hours, heavy bleeding for a few hours and then bleeding for about 5 days, similar to what my period would be like.  Even though emotionally I was a wreck, physically I bounced back pretty quickly.

Just this month I had a missed mc.  I had an us at 8 weeks everything seemed fine, then went for my 12 week us and we discovered that bubs must have stopped growing shortly after that 8 week scan.  I had slight (very slight) spotting on the morning of the us but then nothing more.  

I was given my options and chose to have a d & c.  I kind of just wanted it over and I was very similar in my thinking as  Bwok~Bwok that I was petrified of what I might see come out of me.  I had the d & c approx 24 hrs after I found out what had happened and bleeding still had not commenced.  I still wonder to this day when it would have as I was still having sore boobs and nausea.

The d & c I was under a GA and felt no pain afterwards and my bleeding stopped last week, so in total I bleed for 5 days but only very lightly.

The choice is ultimately up to you OP.  My advice would be to do alot of thinking today and remember the choice that you make is the right choice for you.

xoxoxo

#13 Missy Shelby

Posted 28 January 2013 - 01:13 PM

QUOTE (caroldiem @ 27/01/2013, 10:36 AM) <{POST_SNAPBACK}>
Hi ForeverHopeful13

Firstly sorry for your loss I had a similar thing happen to me two years ago where i went for my scan i was meant to be 8 weeks and 5 days and sac was only measuring 6 weeks with nothing in it (a blighted ovum) so i decided to miscarry naturally, I found it to be fine i passed the sac a few days later and i think i bled for a week or two and all was fine. It's a personal decision but i think it's important to be aware of the risks of having a D&C it is surgery and you can get Ashermans Syndrome there is a sticky at the top of the page called Ashermans Syndrome please read I think it's important woman are informed of all the risks before making the decision. As i said regardless of the risks a D&C might be the right option for you and it's a personal preference but it's good to know you made that decision knowing all the risks involved

Hey caroldiem, for us ladies that have had d & c's are there any warning signs/symptoms that we need to look out for that may suggest Ashermans Syndrome, you seem to be the resident guru so I thought I would pick your brain original.gif

I don't think I have it but just thought it is better to stay informed.

Edited by Missy Shelby, 28 January 2013 - 01:14 PM.


#14 caroldiem

Posted 28 January 2013 - 01:30 PM

Hi Missy Shelby

i would be more then happy to answer your question i have done a lot of research into this and have faced a Ashermans scare myself so i am familiar with it and i am passionate about ensuring all woman are informed before making the decision that is right for them.

The main signs to look out for that may potentially indicate you have Ashermans is a lack of menstrual period accompanied with pain after a D&C. The scarring (adhesions) may cause amenorrhea which causes pain and reduced blood flow during your menstrual cycle. For me i experienced a rapid decrease in my periods only lasted for two days and it was very painful cramping plus pelvic plain after my D&C fortunately for me my cervix was partially blocked by a cluster of nabothian cysts so no scarring in the uterus but i wouldn't have known that if i didn't do the surgery......

Another sign is multiple miscarriages because the egg can't implant due to scarring but to be honest there are so many other medical reasons why that could be happening

For some woman there whole cervix can be blocked by scarring and they will get no menstrual flow for other woman they have minimal scarring and will still receive their period with less menstrual flow. My advice you know your body the best if something seems out of place or not normal i would always get it checked out if any ladies on here need information on the best Ashermans syndrome Gyno here in sydney please message me and i will give u his details by a simple pelvic ultrasound he will be able to diagnose you. Please note this condition is RARE and usually occurs after multiple D&C's hopefully noone here has to be worried about this.

Edited by caroldiem, 28 January 2013 - 01:33 PM.


#15 ms flib

Posted 28 January 2013 - 01:42 PM

There's no good answer to this dilema. You can have complications from either a natural m/c or a d&c.

I've had both without problems. With both it took about 5 weeks to have a period. After the natural m/c, I conceived the following cycle.

I think waiting until Tuesday is a good idea and then you can reassess your options.

Take care and all the best.

#16 Missy Shelby

Posted 28 January 2013 - 03:54 PM

QUOTE (caroldiem @ 28/01/2013, 02:30 PM) <{POST_SNAPBACK}>
Hi Missy Shelby

i would be more then happy to answer your question i have done a lot of research into this and have faced a Ashermans scare myself so i am familiar with it and i am passionate about ensuring all woman are informed before making the decision that is right for them.

The main signs to look out for that may potentially indicate you have Ashermans is a lack of menstrual period accompanied with pain after a D&C. The scarring (adhesions) may cause amenorrhea which causes pain and reduced blood flow during your menstrual cycle. For me i experienced a rapid decrease in my periods only lasted for two days and it was very painful cramping plus pelvic plain after my D&C fortunately for me my cervix was partially blocked by a cluster of nabothian cysts so no scarring in the uterus but i wouldn't have known that if i didn't do the surgery......

Another sign is multiple miscarriages because the egg can't implant due to scarring but to be honest there are so many other medical reasons why that could be happening

For some woman there whole cervix can be blocked by scarring and they will get no menstrual flow for other woman they have minimal scarring and will still receive their period with less menstrual flow. My advice you know your body the best if something seems out of place or not normal i would always get it checked out if any ladies on here need information on the best Ashermans syndrome Gyno here in sydney please message me and i will give u his details by a simple pelvic ultrasound he will be able to diagnose you. Please note this condition is RARE and usually occurs after multiple D&C's hopefully noone here has to be worried about this.

Thanks heaps caroldiem for such a thorough response original.gif

#17 ForeverHopeful13

Posted 28 January 2013 - 06:41 PM

Thank you everyone, I really appreciate the support and advise.

I do want to get my docs opinion, but being a long weekend and in a small town, I don't have any option of getting medical advise.

Yesterday, I started cramping, and when I went to the toilet, I saw a tiny clot on the TP but no blood. I spoke with my partner and decided I wanted it over with, so I rang the Health Link line and was recommended to go to the ER.

We got to the ER at 5pm, waited 2 hours, and asked the nurse how long the wait will be. She said if I was lucky another 3-4 hours. I told her I will go home as I will be more comfortable at home if it was happening, and she advised that if I started heavy bleeding or the cramps got worse, to come back in.

I got home, and it took me a while to fall asleep (from cramping and stressing), then I woke up this morning feeling fine. No cramping, bleeding or anything.

Still feel good now. As much as I wanted it over and done with, I am glad I chose to wait in the end. I now want to wait for it to happen naturally. I am seeing my doc tomorrow and I will ask for more blood works to be done.

I kind of feel I am hoping for a miracle. That my HCG levels have increased and they made a mistake. It's a bit of a yoyo ride for me.

With my many MC's previously, I am hoping for a miracle. All factors point towards MC but I am just hoping.

I know I will feel better after speaking to my doc tomorrow, and once again I really appreciate the support and advise given so far original.gif

#18 Fillyjonk

Posted 28 January 2013 - 10:35 PM

*bighug* OP. I hope this rollercoaster ride you are on comes to an end soon. If you want to speed up a "natural" miscarriage, you can ask for a drug called misoprostal. It is not pleasant, but it could save you weeks of waiting.



#19 ForeverHopeful13

Posted 29 January 2013 - 04:02 PM

Thanks, I want to be 100% sure this isn't going to work out on it's own.
I went to see my doc today and I will be getting another blood test tomorrow. I will have the results to see if my levels have further declined.

Still have no cramps or bleeding. I guess it's a waiting game that I am going to have to play.

#20 ForeverHopeful13

Posted 30 January 2013 - 06:35 PM

UPDATE:

Had blood test done this morning, and the HCG level has dropped to 4050. I have a scan booked for next Friday..

Also just realised that if I was 5 weeks when I first had the blood test done, my level was 22700 which according to the chart on the results i got back, was higher than the range for 5 weeks..

Confused. Still no symptoms either.

#21 madmax1

Posted 30 January 2013 - 06:45 PM

I went natural. I lost so much blood I nearly passed out in the shower and had my husband carry me to bed. I saw a doc who just advised bed rest. I bleed for a couple of weeks and conceived on my next cycle with no problems throughout the pregnancy (other than my constant worry at miscarrying again)

I think you are being very sensible by seeking medical advice. I wish you all the best and hope that TTC again is a short journey for you. x


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