Missed Miscarriage and Surgical Management

[KHMum123]

Heartbreakingly, after a long time of trying and getting pregnant on the 12th cycle, we have gone through a missed miscarriage. Our 12 week scan showed the baby hadnt grown since 8.5 weeks.

I have been a wreck ever since. We opted for surgical management, more so because I didn't want any more pain on top of an already painful situation. If had of had more time to decide I probably would've gone medical management.

I am now panicking about so much- scarring, if we will get pregnant again, if we will miscarry again.

Everything feels unfair right now.

Are there any success stories out there following surgical management?

With my first miscarriage I went for the natural option, but the second time didn't want to go through an the bleeding, pain and uncertainty again, so had MVA surgical management. I then went on to have a successful pregnancy, getting pregnant 7 months later.

@Mountainview8 thankyou for your response and congratulations on your successful pregnancy. Did you wait abit before trying again?

I can't remember how long they recommend no sex for after the surgery, maybe 2 weeks. We started again when we could.

Pregnancy 1 - spontaneous miscarriage didn't complete, medical management didn't complete, had surgical under GA.

Pregnancy 2 - MMC, had MVA under local anaesthetic.

Pregnancy 3 - he's a healthy happy toddler. Didn't take any longer to get pregnant than P1 or P2

Every time I waited until I'd had a period before trying again. I felt reassured that I knew everything was working as normal, no dating anxiety. After MC2 I didn't feel emotionally ready to try immediately. And I was in my early 40s so not like I didn't care about timing.

I'm so sorry for your loss. I lost my first pregnancy after a long time trying so understand how you feel.

I've had 4 missed miscarriages and had surgical management for all of them. I had scans and tests after the 4th, no scarring or any issues from the surgeries, and all my miscarriages were due to genetic issues. Currently pregnant for the 5th time (currently further along than I've ever been before) so hopefully may be a good news story!

My friend had a D&C after a miscarriage and they removed too much womb lining. She said to me she’s so angry and always wishes it was more well known that extra surgery isn’t great for women where possible.

Very sorry for your loss - it's such a horrendous thing to go through. I have had four missed miscarriages and two spontaneous miscarriages - the last one (an MMC) was just three weeks ago. I also have a healthy five-year-old son (from my second pregnancy), and had a natural miscarriage with natural management a year before that. Never had surgery for any of my losses: four were natural and two with tablets.

@Moosey898 I don't know how people go through this multiple times - you are so strong.

Have you done anything different with this pregnancy? Progesterone for example? X

@Moosey898 I don't know how people go through this multiple times - you are so strong.

Have you done anything different with this pregnancy? Progesterone for example? X

@Squishymallows yes so true - I found when the 3 options were given to me they knew very little but we had to make a decision quickly - the panic has come afterwards!

Nothing at all - I had loads of tests after my third miscarriage and they all came back clear. I was diagnosed with a chromosome abnormality that they suspect caused my first 2 losses, the next 2 were just unlucky (had testing done on the pregnancy remains).

I've literally only taken folic acid and vitamin d during the pregnancy, nothing fancy.

I guess it's one of those things that you have to keep going to get the outcome if that makes sense! This is our last try before we would move to IVF with pre genetic testing.

Have you had your surgery yet?x

@Moosey898 I had my surgery last Thursday yeah - not that any of this is pleasant but I got lucky in the sense I could have the surgery done quickly after finding out- I've heard some people have to wait which sounds traumatic.

I'm struggling with the what ifs for the future now, really spiralling with it x

@KHMum123 it's so hard, I totally understand how you're feeling. Have to try to remember the odds are still in your favour - after one loss you're at no greater risk of another. My first pregnancy took me the longest to conceive too - 2.5 years compared to 9 months, 6 months, 9 months and 3 months for my subsequent pregnancies. So fingers crossed your conception is quicker when you choose to try again xx

It’ll be fine. I lost mine at 10.5 weeks and had surgical management at 12 weeks. It was physically very straightforward. I barely needed a pad after. I got pregnant with my second daughter the very next cycle and all fine

I had surgical management for retained placenta following a loss yesterday so I can't help you with the getting pregnant afterwards but I did discuss the risk of scarring with a doctor. She explained that the statistics on scarring are outdated and based on when they used metal instruments and aimed to completely clear the womb. They now use different instruments and remove only what is absolutely necessary so the risks are lower especially if you only have one procedure.