Medical or MVA - MMC, retroverted uterus

[CustardCream31]

Would appreciate guidance/experiences. Just don't know what to do.

Confirmed MMC yesterday. Supposed to be 9 weeks, measured behind for several weeks but saw heartbeat twice during scans. Still measured at around 6 weeks yesterday with no heartbeat present anymore.

Initial decision was the D&C/MVA just to get it over and done with asap next Thursday. But then worried about risks of scarring and it going wrong due to retroverted uterus. But this option seems to suggest your body goes back to "normal" quicker?

Then decided medical management to start this Monday. The thought of this does worry me after reading horror stories of huge blood loss and ending up in hospital and surgery anyway. Plus seeing it can take 3/4 weeks for bleeding to stop and delays trying again for even longer.

I don't think I want expectant management due to the unknown waiting time and just feeling awful about passed away baby still inside me...

To add insult to injury, due to go on a European weekend break next Saturday which we will have to cancel no matter what decision. Don't think I feel comfortable doing expectant management and still going, as knowing my luck it will happen out there (2hr plane trip away).

Please share any thoughts/guidance on your experiences with retroverted uterus/MVA, or medically managed at home at 6 weeks size.

Heartbroken beyond words.
Thank you.

Also, had a subchorionic hematoma bleed at around 5-6 weeks since LMP. Not sure if that makes it more risky with either decision? Forgot to ask hospital yesterday... had no further bleeding since so assumed it went away as it wasn't mentioned again on follow up scans. Plus have old scarring from EMCS approx 8 years ago. This makes me worry it would be made worse by the MVA.

Hi @CustardCream31 I'm so sorry you're going through this. I understand your worries about scarring. Similar to you I was diagnosed with a MMC in July I should have been nearly 10 weeks..heartbeat had stopped at 7 weeks. It was my first pregnancy and I immediately knew I wanted the surgical option. I also have a retroverted uterus and didn't even consider whether that would make a difference. I think if you can I'd ask about risks especially if you have existing scarring. I asked and the doctor was very dismissive saying it wouldn't happen with one procedure and is only likely after multiple. I had SMM on 23 July but only got my period back in mid-October so I was very scared I had scarring. Luckily tests have now come back normal. This is quite unusual though and most women do get the cycle back in 4-6 weeks after the surgery. I also think the risk of scarring is lower with MVA compared to D+C. If I have another MMC I'd probably go medical management so hopefully my cycle returns more quickly. But it's a very personal decision. Wishing you all the best whatever you decide.

Thanks so much for taking the time to reply with your experience. I'm so sorry for your loss 😔

I think I'm leaning more towards trying medical... I've woken to some sharp cramps, so I'm guessing my body is getting ready.

Just feel so so sad and scared.

Hi @CustardCream31 I am in a similar situation to you as I found out on Saturday I have had an MMC. I have had previous uterine surgery and a retroverted uterus. I’m just wondering how things worked out for you? Ideally I’d like an MVA but my NHS clinic can’t book me in until January so I’m exploring the private route of having a SMM under general. Thanks for any experiences you can share.

Morning,
So sorry to hear of your MMC.... it's awful.
I ended up doing medical, which has seemed to go ok. Wasn't as bad as I was expecting (still not nice).
Best of luck with whichever route you decide to go down. Go easy on yourself.