Hello - like others I have found this thread useful and so huge thanks to everyone that has shared their experiences.
Glitter, Eleanor, Positivity, and anyone else who has had this recently, my thoughts are with you. Goulash - hello again, sorry to be joining you here. I hope you have recovered from the ERPC.
I thought I would add mine to help subsequent people. I had medical management yesterday and overall, it was probably the right thing for me and not as bad as I feared.
I had a private scan at 10.5 weeks which showed that growth had stopped a while ago and there was no heartbeat any more. I was very upset but not surprised because an early scan at 8 weeks had shown that growth was a week behind where it should have been, although there had been a heartbeat then. (It was IVF hence the extra scanning)
I got myself down the local EPU that same day to discuss options and decided on medical management for several reasons - mainly, I just wanted it dealt with and over. I didn't want to be in limbo waiting for natural miscarriage, especially seeing as it had probably already been over for a couple of weeks and nothing had happened yet. I would have had to have waited a while for ERPC and didn't want to have to manage it myself at home (or worse, at work) if it happened naturally during that wait. And finally, the nurse who did my 8 week scan at the IVF clinic said that if it came to it, it was probably better to try and avoid surgery (I don't remember this conversation so I'm not sure why she said that, but my husband said this is what they recommended). They gave me the first pill at the EPU that afternoon and booked me in for two days time for the rest of the process.
I then came home and read up on medical management, including this thread, and got a bit scared, but also grateful for the information and advice. I went back to the hospital yesterday morning for the actual miscarriage. It was painful yes but not unbearably so. The pills cause contractions, I can't compare it to labour as I haven't been there, but it is certainly a strange feeling. They gave me codeine which took the edge off. I did get the shakes and chills early on, not sure why, but it wore off.
It was bloody of course but not nearly as bad as I feared, I was expecting a lot worse. It wasn't a huge gush as some people have experienced. I could feel lumps and clots sometimes when I was on the loo, I didn't look as I was already pretty wobbly and fainty. Where I was they give you cardboard inserts that you put in the loo, everything comes out into the insert and you put a lid over it and write on your bed number. The nurse takes it away and checks all the pans until they see you have passed the sac.
They gave me the pills at about 9 am, by 1.30 I'd passed the sac (I didn't realise at the time, it didn't feel different to me from all the other stuff and I'm not one to look), and I was feeling a lot better by about 3 and went home at 4.30, by which time most of the bleeding had stopped. Today I feel OK, maybe the odd twinge, there's still some bleeding but really not very much. I wouldn't want to go for a run or anything but I'm not feeling very weak. I would opt for this again (but bloody hell I hope I never have to) unless I was a fair bit further on in which case I would probably ask for ERPC instead if they could do that without too much waiting.
Where I was you could take in a friend or partner which is probably very useful and positive for some people, although I decided to manage on my own as I thought the nurses would probably be the best ones to look after me. They were very very good, it must be a horrible job but they were excellent and very kind.
My top tips for what they are worth:
The pads they had were OK but after reading this thread I took my own which I preferred. Tesco Maxi Night - they are much longer than the ones provided, cheap enough to buy loads, and did the job.
Sports bottle so you can drink while lying down. Drinking a lot helps with blood pressure and helps replace any fluid you are losing.
Chocolate or favourite sweets of some kind, this is not a day to diet. Get a load of sugar in your bloodstream, helps reduce wobbliness.
Chewing gum - helps to take your mind off the pain a bit perhaps, also might counteract the toothrotting amount of sweets?
A good book and your phone.
I hope this is a little bit reassuring / useful for people considering medical management - everyone is different of course and this is just my experience. And I really, really feel for anyone else who has to go through all this shit, because even if you are 'lucky' enough to have a choice about how to manage it, and whichever option you go for, it is still a shitty, horrible place to be.