Deciding to take "the pill" to quicker MC process - Miscarriage Support | Forums | What to Expect (2024)

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Amgx

Since I began spotting on Friday and confirmed MC via US,

I had no idea what would be the next steps to take since my previous MC 2 years ago passed naturally at what should have been around 7-8wks gestational.

This time around I'm also MC and what should be 8wks gestational I was given the option by my Dr to wait naturally or issue a D&C. Personally I don't like the thought of surgery and the process sounds overwhelming so in the moment I was asked I told doctor I would rather wait for everything to pass naturally.

Today I woke up feeling trapped in my own body as it thinks it's still pregnant but is not and that alone is starting to take a toll on me mentally. While I was doing some research i think the pill may be a better option for me,

but im stuck still waiting to see if that's an option from my dr office.

On another note , I'm still confused on the ultrasound report and honestly am not the happiest about the OBGyn visit I had because she didn't go over the report in detail just said she's sorry I'm miscarrying and what procedure did I want.

I'm including the report here in hopes someone could help clarify anything at all. To what I'm understanding is there was no baby present only an empty sack?

Report mentions a molar pregnancy which I was so scared after googling but my doctor didn't mention anything about that. Someone on another thread mentioned that this may be a Blighted ovum MC

So I'm really confused about what type of MC I'm experiencing.

But If this is the case and only a Sack is present I might not have much left to pass and I'm hoping this means less pain?

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Hope0720faith0618

I don’t know I have a similar situation to you but, I had blood work yesterday and the hcg levels drop I didn’t get a report but the nurse did told me that I could experience pain and passing the blood clots in the next few days. I haven’t went to the Er because it’s not much they going to tell me besides me being there all night! I would have been 9 weeks if I’m right with calculation but I was told that I was miscarriage at 6 wks so I’m clueless until my next appointment which is next week

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Amgx

@Hope0720faith0618,

was baby present during your US?

My follow up isn't until 2 weeks. I keep spotting faintly off & on some days yes and some no, but I did noticed some yellow almost brown discharge earlier when using the restroom not sure if that means anything is close..

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Hope0720faith0618

@Amgx,

no baby was present. Have you try contacting your provider?

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rosepipe

Wow this is so crazy reading your post and relating to almost every detail. I had my 8 week US where the tech couldn’t tell me anything but hinted at some problems. I got the US reviewed the next day and the radiologist stated everything was normal and to come back again in two weeks, even though we couldn’t see much. 3 days later I got a call from my OB office to come in and talk and they sat me down and explained a “blighted ovum” or a “missed miscarriage” it is referred to. They said the radiologist who had reviewed it initially was wrong and that it was not normal. The blighted ovum happens with 50% of miscarriages. Where your body thinks you are still pregnant, but the pregnancy has actually ended and the future fetus has stopped growing.

Ironically I had so much of my own research on this specific topic from the time of my first ultrasound at 6 weeks when the yolk was just appearing but nothing else in the sack.

I ended up going the pill route. They pushed for that which made me uneasy but I felt better than going into surgery. It has been an insanely long process since I took the pills over two months ago and my body is still trying to get back on track as far as my cycle and hormones.

The cramping I experienced with the pills was more aggressive than my normal menstrual cramps and it lasted for 6 hours. I had to do a second round a week later to ensure the rest of my tissue was out. Passing all the important tissue was unnoticeable at that point because the sac was still maybe an inch long.

I did have other tissue come out as well, like a jelly like substance that was the size of a golf ball, but again barely noticed as it passed due to its consistency. I will be switching offices after all of this because of how poorly my situation was handled and how unprepared they left me for the entire duration of my pregnancy and the time after the “ pills”

I hope this helps.

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Amgx

@rosepipe,

Hi again! What determined a second dose was needed? Did you get a US done after the first one? My doctor initially wasn't going to do an US to make sure everything passed through but I requested it and now she's saying there's still some possible tissue showing and asked if I wanted a D&C. Im conflicted..I don't want to do another round of medication because it seems like at this point it's just being pushed or If this is common

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stargazr8680

I have a blighted ovum. had 2 US and both showed empty sac measuring 5w4d when I was supposed to be 7wks. I started brown spotting June 8 and I spotted for about 4 days brown then rust then pink then red. I am now on day 10 and it comes and goes but is very light now, with almost zero cramps anymore. I had cramping and passed clots for about 2 days this past weekend so around a week after I started spotting. Im not sure about your report that is confusing. I got the pills from my OB but I didn't take them since I started actively miscarrying shortly after my follow up.

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Amgx

@stargazr8680,

I'm glad I could be of some help during these difficult times, my 1st MC was all naturally passed so I totally get it!

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bbylovechels

I actually got the pill today and am currently MC as I type this.

So far, have been experiencing heavy bleeding, passing clots, and lower back pain.

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Amgx

@bbylovechels,

did they prescribe oral pills or did your physician have to insert them? I'm seeing online where either you or your physician has to insert them vagin*lly and fewer mention orally

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Deciding to take "the pill" to quicker MC process - Miscarriage Support | Forums | What to Expect (65)

bbylovechels

@Amgx,

doc inserted 4 vagin*lly.

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anmmouse

@Amgx,

I inserted the pills vagin*lly myself at home. My doctor said I could take them orally but that is more likely to cause nausea.

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bbylovechels

so far my experience.

the pain has been 0 to none! (which is really strange) have passed a lot of clots and also a lot of bleeding.

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bbylovechels

@Amgx,

bleeding little to nothing now. i believe i have passed all of it. have not gotten my HCG levels checked. going next week.

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coffeeandflowers

That is an odd report I would ask for clarification. I had a blighted ovum in March and a molar pregnancy was never mentioned. I took the pill for my lighter ovum and it was not painful at all but I did bleed more than I expected and passed some rather large clots. But again, it was not painful.

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FAQs

What week is the highest risk of miscarriage? ›

Most miscarriages - 8 out of 10 (80 percent) - happen in the first trimester before the 12th week of pregnancy. Miscarriage in the second trimester (between 13 and 19 weeks) happens in 1 to 5 in 100 (1 to 5 percent) pregnancies. Pregnancy loss that happens after 20 weeks is called stillbirth.

Does the gestational sac come out during a miscarriage? ›

Often, the pregnancy tissue (the baby, pregnancy sac and placenta) will pass naturally. When it starts, you will notice spotting and cramping and then start bleeding more heavily. The cramps will usually become stronger as you pass the pregnancy tissue.

How long does it take to pass a miscarriage? ›

Most women pass the tissue within 2 weeks of a miscarriage diagnosis, but it can take longer. If it takes too long, your ob-gyn may recommend medication to start the process. (Once the process starts and cramping and bleeding begin, most of the tissue passes within a few hours.

How long did it take for you to miscarry naturally? ›

No treatment (expectant management)

If it is an incomplete miscarriage (where some but not all pregnancy tissue has passed) it will often happen within days, but for a missed miscarriage (where the fetus or embryo has stopped growing but no tissue has passed) it might take as long as three to four weeks.

What week do most early miscarriages occur? ›

Most miscarriages happen during the first trimester of pregnancy, which is about the first 13 weeks. The symptoms can include: Bleeding from the vagin* with or without pain, including light bleeding called spotting.

What is the easiest week to miscarry? ›

The first 0 to 13 weeks of pregnancy are considered the first trimester. Roughly 80 percent of miscarriages occur during this time. The remaining 20 percent of miscarriages happen between weeks 13 and 20.

What are the odds of miscarriage after seeing gestational sac? ›

Larger gestational sac size on postconception days 33–36 was correlated with a higher ongoing pregnancy rate. When gestational sac size was found to be >12 mm, the ongoing pregnancy rate was 91.9%. However, if gestational sac was smaller (<8 mm), we found an extremely high miscarriage rate of 85.3% (Table 1, Fig.

When will miscarriage start with blighted ovum? ›

Because a blighted ovum still makes pregnancy hormones, it may still show up as a positive pregnancy test. A blighted ovum will eventually cause a miscarriage, usually at 7 to 12 weeks of pregnancy. Your body realises that the pregnancy is not developing properly and starts to shed blood and tissue from your uterus.

What comes out first during a miscarriage? ›

vagin*l bleeding

It may be very heavy at first and you will pass large clots and pregnancy tissue. It will go on for 1-4 weeks after you have passed your baby's body, depending on how many weeks pregnant you were. It should get lighter and may become brown.

How do you know when a miscarriage is starting? ›

In an early miscarriage, with time, most women will pass the pregnancy completely. The main issue is time – there is no way to predict exactly when this will occur. You will typically have heavy bleeding and severe abdominal cramping when the pregnancy does pass.

Does a 6 weeks miscarriage need D&C? ›

This depends upon your individual situation—in fact, half of women who have experienced a miscarriage do not need a D&C procedure for miscarriage. In general, if the pregnancy ended before 10 weeks, women can safely miscarry without a D&C.

Do you dilate during a miscarriage? ›

Your pregnancy care provider may monitor you more closely for the rest of your pregnancy. Inevitable miscarriage: You're bleeding, cramping and your cervix has started to open (dilate). You may leak amniotic fluid.

Is it better to have a D&C or natural miscarriage? ›

Generally, if it is a fairly early loss, waiting for the pregnancy to miscarry naturally will be the most common course of action. For later first trimester losses or if a missed miscarriage has occurred, a D&C is usually recommended.

What are the symptoms of carrying a dead fetus? ›

The most common symptom of stillbirth is when you stop feeling your baby moving and kicking. Others include cramps, pain or bleeding from the vagin*. Call your health care provider right away or go to the emergency room if you have any of these conditions.

How long should I take off work after a miscarriage? ›

You can take as long as you need, as long as you have a note from a doctor – and you can afford to. If you do not qualify for Statutory Sick Pay, you may be able to claim Employment Support Allowance instead. More and more workplaces are recognising the importance of support after miscarriage.

Why do most miscarriages happen at 7 weeks? ›

Common First Trimester Miscarriages

Most miscarriages happen between 6 and 8 weeks gestation. We know that most of these occur due to a major genetic abnormality in the fetus. The sperm and the egg (which are known as gametes) each contain half the genetic material necessary for a complete person.

What are the most critical weeks of pregnancy? ›

In general, major birth defects of the body and internal organs are more likely to happen between 3 to 12 embryonic/fetal weeks. This is the same as 5 to 14 gestational weeks (weeks since the first day of your last period). This is also referred to as the first trimester.

Why is week 10 of pregnancy the worst? ›

Your nausea and vomiting may be worse than ever: Morning sickness peaks around 9 or 10 weeks of pregnancy for many women. That's when levels of the pregnancy hormone human chorionic gonadotropin (hCG) are highest (morning sickness is thought to be linked to rises in hCG and estrogen).

When can I stop worrying about a miscarriage? ›

“Once a fetus's heart rate is established (around six to eight weeks), the risk of a miscarriage goes down significantly.” And as long as you're not bleeding or cramping, you'll typically have your first ultrasound around 12 to 14 weeks. It's normal to be worried about other symptoms too.

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