Trying as soon as possible - which option should I take?

[kmini]

Just wanted some advice please.

I had severe cramping - almost like early childbirth at 5 weeks - originally they said I had kidney stones in ER - but the next day I was told after precautionary ultrasound- that it's unlikely the baby was there. Despite knowing I was 5 wks (my dates, previous period, neg preg test) they think I was much further along. They said the sac was 2.5 cm which I think is greater than 8 wks.

I've had a decent amount of bleeding, breast are no longer sore and none of my normal pregnancy symptoms. I know it's no longer there.

I have another ultrasound today. I know I'll be offered various options to ensure there is nothing there (natural, pill etc).

I am 40 and a half and keen to try again as soon as possible before it's too late. Assuming there is something residual there, what's the options to maximise earliest return of the body to normal?

Any advice appreciated

Hi @kmini hope you are ok. How did today go?

I had an MVA as it was done and dusted on the day. They said to wait a cycle to try again but this is purely for dating purposes so you don't really have to (unless you have a medical need)!

For me the tablets just seemed unreliable and quite a drawn out process, and a lot of people seem to need an MVA / D&C anyway as they often have retained products.

@adventurer2020 thank you for your reply. The ultrasound and blood tests all confirmed that wasnt anything there. Think I feel more relieved than anything.

Thank you you again- hope you are doing ok too?

I had the surgical option for the same reason - much less likely there’ll be retained tissue and that you’ll need to go back. Even so, from what I’ve read there’s a lot of variation whatever method you use - some women get a negative pregnancy test and can go back to trying to conceive within 2 weeks, others take 8-10 weeks. I think it just depends on hormones but it seemed logical to me that it might be quicker with the surgical procedure as all the tissue is removed at once so pregnancy hormone generation should stop more quickly.

I had failed medical management after a miscarriage at 8 weeks. The placenta didn't come away, the bleeding was horrific and I ended up having a d&c anyway. If I am ever in the same position I will go straight to d&c as it would have been so much quicker just to do that in the first place.

Thank you for your replies. Hope you are both doing ok?

I had failed medical management for a mmc at 11 weeks. I had an emergency erpc and ovulated about 12 days later. Hope this helps.

I had my surgical management a week ago nearly and continue to recommend it! It was pretty uncomfortable when they injected the local anaesthetic (general isn’t allowed right now at my hospital due to Covid) and for the first 2-3 minutes but the rest of the procedure was ok. But since then I’ve had barely any bleeding (super light, stopped within 48 hours) or cramps. Hormones really kicked in 3-4 days later and I’ve been pretty moody and weepy but hopefully that indicates it’s worked. I took Tuesday-Friday off work but physically I would have been able to work from home from the next day, so it’s up to you. Have you decided what you’ll do yet?