@EPSpartyof3 Hi, I too am so sorry for your loss. I had a missed miscarriage and been through medical management myself.
Firstly, all options should have been discussed with you. Some are more or less suitable in particular circumstances. I wanted to have an op but the wait was 2 weeks, so effectively I was forced to decide to go ahead with medical management. It was not my preference as I knew going through it and "seeing" everything would traumatise me when I was coping fine(-ish) at the time. But here we are, in reality, I had no choice.
I will be completely honest with you, because this is the only thing a woman facing this deserves - it's very hard. You are given 4 pills called misoprostol, in my case I was told to insert all of them using a pessary, but some hospitals recommend you take 2 orally and 2 intravaginally. Clinical guidance varies.
I was told by the EPAU that "it would be like a heavy period". It certainly wasn't for me. It was early labour, lasted 8 hours, I was up all night with contractions I didn't expect and didn't know how to deal with them, so I was frantically googling things whenever I could breathe to find out from mums who had been through labour how I could help myself. I taught myself there and then how to breathe and push so that it helps me.
I also had a severe reaction to misoprostol which happens to more than 1 in 10 women, namely I was violently sick throughout the entire team. This meant I had to go through the process without the painkillers and with hardly any water, as I could not hold anything down. The EPAU had no understanding at all and provided no support when my husband was panicked thinking I was going to die. He called them in the middle of the night and they said to use a hot water bottle. We didn't bother with calling them again.
When I passed the sac, however, I knew it happened and felt immediately better, to the point I was standing up and eating about 10 mins later. It was pretty amazing.
The recovery was also very good physically.
I had reflexology after the miscarriage and I'd recommend to everyone as it helped me pass some leftover lining naturally. It may well come out on its own, it does vary between women. That's just my experience.
So, to sum up: for me, it was not what I wanted which was traumatic in itself, no one told me what to do which scared me even more, and no one told me how bad it can get, which was unfair. It can be bad, for me it was early labour with awful side effects. Not much blood overall, but the pain was horrific with no relief.
But. If you read through Mumsnet here, you will see multiple positive experiences, with lots of ladies saying to them it happened gradually like a heavy period indeed. Who didn't have any side effects. Some who bled heavily for a few hours and passed the sac but actually didn't feel so much in pain. You will also see that in about 20% of the cases, not everything is passed naturally, meaning you may have to either take it again, have the op, or try something alternative like me, to help your body deal with it and heal.
Equally whilst D&C seems to be a much quicker and more pleasant (?!) option, there are ladies on herd with difficult stories as it also has side effects - it's a surgery, which bears certain risks (reaction to anaesthetic, scarring of the lining which may cause issues with future pregnancies etc., some say your period returns later on comparison with MMC with misoprostol). It's very hard to tell how you are going to react and what's best for you.
The decision by all means should be yours, but it sounds to me you may have some discussions to have with the doctors first maybe to be absolutely informed.
Whatever you decide, it will be fine. You will go through this. There is a thunder buddy on here for every possible scenario of every possible miscarriage option and trust me, it's doable, even if you're now feeling it may not be.
I am awfully sorry for your loss and I wish you lots of strength to make the best decision for yourself and for the future. It will be bright, and the sun will shine again, I promise ❤️ xxx