Experiences of medical management?

[K0013]

Hi ladies, just after a bit of advice please. I had medical management one week today and passed the sac on that day. What were people’s experiences after medical management, did you continue to bleed and pass clots for long? I am still passing small clots on and off just now and sometimes getting cramps. I should also say I was about 8 weeks but sac was measuring around 6.
Thanks as always for your support xx

Hi! Sorry for your loss. I had medical management on Monday evening just gone. Passed the sac yesterday morning. It’s my understanding that bleeding can continue for at least a couple of weeks or more. I’ve been told to do the pregnancy test in 3 weeks so I really wouldn’t worry until those 3 weeks are up. If you get a +ve test that’s when you can assume there’s products left inside. I had a mmc 3 yrs ago and then I waited for a natural miscarriage. After the actual mc (I haemorrhaged) I bled very little but after 2 weeks out of nowhere passed a reasonable sized clot of old blood. That was then it until I had my first period which only lasted 3 days and was very light despite what I’d read about first periods after mc being heavy!! Lastly, if you’re concerned just give the EPU unit where you had your treatment a ring - I’m sure they’ll be happy to advice you xx

Hi Lumpy76, I am so sorry for your loss. Thank you for replying. You are right I should wait for the 3 weeks to be up, but I will phone the EPU if I have anymore concerns. Take care of yourself, sending you big hugs xx

Thanks! I’ve found this board a great comfort in the past couple of days...just knowing I’m not alone going through mmc and treatment for it. Last time I basically did it all alone and had just moved area so didn’t even know anyone local at all.

Yes this board really does help, it can be a lonely time going through a mc xx

I'd also say don't worry if you bleed longer than three weeks. I continued to spot/bleed straight into my first period 5 weeks after medical management. I don't know for certain but I think this was due to some of the sac remaining (I passed some small bits of grey tissue during that first period). I got really hung up on what was "supposed" to happen and it scared the crap out of me that I didn't conform to the "normal" but it did sort itself in the end.

Sadly I'm experiencing it again now. X

I’m so sorry for your loss. I had a mc 2 weeks ago. I asked the EPU to scan me after one week to check everything had been passed. Call them and ask them, there is a small risk of infection if products are left inside so tell them you’re worried about that if they’re funny about scanning you. It definitely put my mind at rest. Xx

I should say though, my scan confirmed no retained material but I’m still bleeding a bit so it’s very normal xx

Thanks for replying catlike. I’m so sorry for your loss. My bleeding has pretty much stopped just now, I think I’ll do a PT in the next couple of days and see what that shows x

Good idea. Although don't forget that the hormones can stay in your blood for a few weeks so don't be alarmed if it's still positive in a few days. Hopefully it'll go negative soon after. Ironic isn't it, that we spend so much time desperately wishing for a positive pregnancy test and now all we want is a negative one :-( xx

Hi all, I’m so sorry everyone is going through this. I’m about 10 days past my mc though didn’t have the medical management as it happened before I could get to the hospital. My EPU have been brilliant with me and answered the many questions I’ve had. I asked for a follow up scan to check everything was gone, again they were brilliant with me and could even tell me that I’m either ovulating now or about to. It was a relief that they told me everything looked like it was working. I’m not sure why but since the mc ive been worried there was more to come as I didn’t see anything that looked like what I thought it would (scan said baby was 8+5) but then again I was so distressed that I just closed my eyes and flushed the toilet. Anyway, what I’m trying to say is that the follow on scan has helped me feel much better x

Hello ladies,

I started medical management yesterday afternoon. Cramps started but stoped about 5hrs after.

I have been bleeding already for 14 days tomorrow. However it's not worked for me yet. Has anyone found that it MM has not worked for them.

I have to call EPU tomorrow as they said I may need another set of pills.

Good point catlike and yes it is ironic, I felt that way whilst I was waiting for the mc to happen naturally, just willing myself to start bleeding, it’s horrible 😞
Hi Nicola, I’m so sorry for your loss. A follow up scan certainly seems like the best reassurance, I’m glad you have received good support through this. xx

Hi funnybunnyfluff, how are you today? Has anything happened overnight? I think the pills took about 5 hours to kick in for me and I passed the after about 7 hours. I’m so sorry that you are going through this xx

Morning,

Nothing happened over night. Booked in for 1pm today for another dose if that doesn't work then surgery.

Wish maybe I had taken that choice at the beginning. Just scared of surgery and I was hope natural mc would have happened.

I’m so sorry, sending you big hugs. I was the same waited over two weeks for it to happen naturally as didn’t want to go down the other routes but waiting is torture. Hopefully the second dose will work. We are here if you need us xx

Hi K0013,

I'm sorry that you are having to go through this, I found my MMC the hardest out of all 4 miscarriages.

I had the medical management and seemed to pass everything (I thought) not long after taking the second tablets. 48 hours later I woke up with contractions, it was agony. I've never had a baby, and naively imagined contraction to be just like period pains. Imagine period pains x 1000! I rushed to the toilet and had a huge gush of blood,clots and tissue, it filled the toilet! The pain went and I thought that was it. Another 48 hours later the same happened again. I was terrified, there was so much blood. I called the EPU and they said this is quite normal and mentioned something about a placental husk.

After this the bleeding tapered off within about 2 days and my period arrived with about 5 weeks later - with PMS so bad I thought I was pregnant again.

Everyone is different and I know all my miscarriages have been varied. If you are concerned please call the EPU, I've always found them to be lovely, sympathetic and reassuring.

Hugs

Hi positive pineapple, thanks for your reply and I am so sorry for your losses. It sounds like it was a really traumatic experience for you, sending you big hugs as well. I did a PT this morning and it was very faint so I think it is going in the right direction xx

Hi just found this thread and want to say I’m so sorry for your loss and to everyone else here. I’ve p 3 losses myself so I totally understand. I delivered my baby boy Charlie last month (he had an encephalocele so wasn’t going to survive) at 14 weeks and wow it’s so hard. Basically going through birth without bringing a baby home, it’s horrible. Hope everyone here is doing okay now. I know myself it takes so long to recover from this. Good luck to you all for TTC in the future x

@Funnybunnyfluff I’m so sorry you’re going through that. I hope it’s all over for you very soon. I had a MMC last year and I let it happen naturally (although I wanted medication they made me wait) eventually after 2 and a half weeks of ridiculously heavy bleeding and unbearable pain I finally passed the sac! So I understand. I hope you don’t end up having to go down the surgery route but at least if you do then it will all be over. I got to a point where I would have done anything to make the pain stop. Sending hugs and healing thoughts to everyone here 💕

Also want to add - when you all decide to start trying again there’s a brilliant thread called TTC after pregnancy loss filled with the most amazing women. Their support has helped me so much this year! So I might see you all there soon ❤️

Hi Hayley, thank you for sharing your experiences and I am so so sorry for the loss of your baby boy Charlie and that you have been through this previously.
Thanks for letting us know about the thread, hopefully soon we can add our support there. Take care of yourself, sending you big hugs xx

Ladies I'm so sorry to hear about all your terribly difficult experiences @Fluffybunnyfluff are you taking the misoprostol vaginally? I took orally the first time and it didn't work, so they advised me to use as pessary the second time. Use a tampon with an applicator after you've inserted the tablets, so you can push them as far up towards cervix as you can. Inspect the tampon closely as you pull it out to make sure no tablets are stuck to it. If it doesn't work then make sure they scan you before doing a D&C and also ask to have a consultant do the surgery - you want someone experienced. Ask if they can do under ultrasound guidance - so they can actually see the bits they need to remove, rather than just blind. I've done a lot of research on this! Happy to chat further if you like xxx

argh sorry got your name wrong @Funnybunnyfluff !