MC to follow - which option?

[LemonRabbit]

Hi,
I had a scan last week at 7weeks - no heartbeat/no baby - Empty sac.
2nd scan on Friday to confirm and then options. It’s IVF so dates are very precise, hence why I’m so annoyed having to wait a week. It’s policy.
As far as I know, my options are...

1. Natural miscarriage
2. Misopristol tablets
3. D&C (often now called MVA?)

Which is “best”? My current thoughts are:

1. Apparently this “blighted ovum” is the type that could go on for weeks, so not sure how likely a natural MC is. I don’t know if sac keeps growing? I’m still getting nausea as if I’m pregnant I want it over.
2. misopristol - This kind of is my preferred option, but read a thread about how ppl on here are doubled over in pain vomiting.
3. D&C. Not sure if this will be offered with Covid. It would get it over (tempting!) but I already feel a total lack of autonomy and I don’t know if I want to give my body over to this invasive procedure and also worried about scarring/damaging future pregnancy chances.

Any personal experiences you ladies wouldn’t mind sharing with me?
I am sorry for your losses. I’ve not had mine physically yet, just emotionally, so in a terrible state of limbo. Bit worried about what will happen next.

@Janefx40 oh no ☹️ it’s so rubbish anyway, and then we have all these hormones making us feel even worse! Hope you’re ok now. I still feel so sick. Don’t think that’s going away in a hurry.
Take care xx

@Janefx40
I’m sorry this is happening to you too.
Waiting for a miscarriage (and knowing it’s a matter of when rather than if) is awful. It’s such a state of limbo.
I’ve not been feeling so sick recently. Boobs are less sore, but still a bit sensitive. No bleeding at all so far. I’ve had a couple of small cramps, but honestly if I didn’t know about non-viability, I wouldn’t even be worried at the moment.

I hate the unpredictability of it all too. I want it to be over, so I can have a bit of ‘normal life’ then get on to another FET cycle in a few months time.

I start a new job tomorrow. I’m trying to get my head together for that. I’m so scared this is all going to kick off at work, but I can’t be off because something might happen.

@BeHereNowx32
@Janefx40
I’m thinking of you both too. At the moment I’m going down the natural route. As I said earlier, I might try and get it going with misoprostal. If I didn’t work full time, I’d stick with natural I think and hope it completes.

Hi ladies,
Just a wee update. I took misoprostal yesterday afternoon. Nothing happened for 4 hours and then I had 3 terrible hours of cramping, bleeding and vomited too.
I’ve felt pretty drained ever since.
I’m a little worried I’ve not “passed the sac” as blood that came out was all thin. Very few clots. I am still bleeding so hoping that might come out soon. Knowing my luck, it won’t be complete and will end up needing an MVA. I don’t have anything particularly against that procedure, just I went through some suffering yesterday in order to avoid it, rather than wanting another miscarriage procedure. I’ll need to wait and see.

@LemonRabbit thanks for the update. Sorry to hear about the pain and sickness. I hope that things come clearer for you soon and you don't have to have the MVA. What is the next step? Do you have to report back to the hospital?

X

@Janefx40
I phoned in this morning, as I’m concerned about not having any clots. The midwife I saw doesn’t work today, so I might phone in again tomorrow to see if there’s anything else they can offer to check rather than a 3ww.
I’m possibly being a bit impatient...you do keep bleeding after misoprostal for a week or two. I just feel like the main event was yesterday and didn’t lose what I thought I would.
I’m supposed to do a HPT in 3w and phone back if it’s positive.
How are you getting on?

It must be hard to wait 3 weeks. I'm nervous about the fact they're not offering surgery although I suppose given I am an IVFer I should be nervous about damaging my lining.

I'm ok. At this point the bean is still growing. It's growing at a reasonable rate but just very gradually starting to lag behind. We also have a very small gestational sac and large yolk sac not to mention my horrendous hcg so we still have everything pointing to miscarriage. I've realised how sad I will be when that heartbeat is gone even if I am expecting it so am trying not to wish the time away and "enjoy being pregnant" as much as I can and allow this bean the time it needs to do its thing. I'm much calmer since I started to see it like this.

The Dr today kindly put it that if it is still growing at 9 weeks we could start to think about a more positive outcome. From what I've read most miscarriages with the indicators I'm showing happen by 9 weeks so that is a bit watershed for us. Of course I hope for a miracle but accept that it is unlikely and of course we do want the baby to be healthy too so no point it continuing if everything is pointing to a chromosome problem.

X

@Janefx40
Well it maybe depends on where you are, but if I’d really wanted it they would have done surgery. Although that was my preferred option for a while, because I have an empty sac that stopped growing around 6w then it’s not that big and, like you as an IVFer, even if odds are small I don’t really want to take a chance on compromising fertility any further.

It sounds like you’re doing well considering the uncertainty. It must be tough. Fingers crossed you do have a little miracle in there and make it over that 9w hurdle.

I think it’s natural to feel that way about the heartbeat too. I had an empty sac, yet still burst into tears yesterday when I had the tablets as ending it all seemed so final.
Good luck to you xxx

I had a natural miscarriage at 10 weeks but the baby had stopped growing at around 7. I opted for natural miscarriage and I wish I hadn't. It was very painful and heavy for at least 5 days and I'm still bleeding and having to go back and forth to the EPU for scans.

If I had the choice again I would go for medical managed.

I should say though I had multiple pregnancies with only one growing embryo. So it was three sacs so perhaps that's why it was so heavy and painful.

I hope you're okay

@FrankieChips so sorry you went through all of that. It sounds horrendous. Hope things settle down for you soon

@LemonRabbit how are things with you now? Hope you're ok x