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Miscarriage/pregnancy loss

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Empty Gestational Sac & Medical Management

3 replies

TwinklyPearl · 23/10/2026 12:07

Hey, I’ve found out I’ve recently had another mmc. 2nd one this year. First one baby was almost 10 weeks when it had stopped growing. Went home to discuss best route out but that afternoon cramps started and in no time I was loosing too much blood, fainting constantly couldn’t stand up as clots were literally running out of me. Ended up in triage where about 10 midwives rushed in and had to manually remove the rest. Hemoglobin dropped rapidly which almost resulted in blood transfusion. I got out that night & rescanned a week later & built myself back up.

this time I went at 7 weeks for early scan due to bleed, no baby no yolk sac no fetal pole in sac, I knew it was bad news. So rescanned 2 weeks later to find gestational sac had grown a few mm but still empty. I have kids at home already so I decided medical management would be best. Yesterday I went to EPU and was given mifepristone and send home with Misoprostol where I have to take 4 under the tongue tomorrow afternoon followed by another 2 under the tongue 3 hours later. Also given painkillers and anti sickness tablets to take before the first 4 tablets.

im terrified tbh but any stories on how your medical misscarriage planned out? My empty sac was measuring around 6/7 weeks. I will add that I started spotting brown blood the day before the first tablet and it’s been very sporadic. Was hoping first tablet would’ve done something by now if my body was already gearing up for it.

OP posts:
Edenmum2 · 23/10/2026 13:02

Sorry to not give a positive story but mine was awful, it took weeks and multiple doses to fully clear. I’ve had multiple mmc’s too and after that one have always gone for the surgery. I do know people who had it much simpler though so it may very well. Be straightforward for you. Have you got a supportive partner? I’m so sorry for your loss x

TwinklyPearl · 23/10/2026 16:12

Edenmum2 · 23/10/2026 13:02

Sorry to not give a positive story but mine was awful, it took weeks and multiple doses to fully clear. I’ve had multiple mmc’s too and after that one have always gone for the surgery. I do know people who had it much simpler though so it may very well. Be straightforward for you. Have you got a supportive partner? I’m so sorry for your loss x

So sorry for your losses 😢. I also had a d&c years ago which was straight forward but was basically told it was such a long waiting list and was only offered local anesthetic MVA which I didn’t feel comfortable doing as also only on one day a week. I’m just hoping it doesn’t end up like last time. I do have a very supportive partner and they told him to take me up at any point he’s concerned about me x

OP posts:
Lauren912 · Yesterday 11:34

I'm so sorry for your loss OP, sending lots of love ❤️ I've had 2 mmc, the first I went with expected management which ended in being rushed to A&E as I was losing too much blood. The worst was over within 6 hours though and once I'd passed the sac, the bleeding calmed down to that of a normal period with no more palm sized clots.

The second and most recent in August I opted for medical management. This was because my brother was getting married in 3 weeks and I didn't want it to happen on the day. I also just wanted it over with so I coukd start the process of healing emotionally.
I opted to go into hospital for the medical management, purely due to what had happened last time with the blood loss and because I knew they could give me morphine for the pain (codeine didn't touch the sides with the first mmc).

I know I read a lot of bad experiences with the medical management route but mine went as well as it could considering. To begin with the nurses gave me 4 tablets vaginally (light bleeding and cramping started within 1 hour). However, they continued to give me rounds of two tablets every 3 hours for the remainder of the day and night to ensure the majority of the tissue was passed. Originally they thought I had passed the sac at around 4 hours but I continued to pass tissue, so they wanted to be sure. From what I remember, the bleeding ramped up after about 2-3 hours, I was given the first pessaries at around 2:30pm and they let me go home at 6:30am the following morning.

I would say the pain was more intense this time around (the doctor had pre-warned me this can happen with medical management as the medication forces your uterus to continue contracting), but I was glad to be in the hospital so they could administer stronger pain medication than codeine when it wasn't enough.

Again, I'm so sorry this is happening to you. It's a really sucky time and I hope it all goes as well and quickly as it can for you today xx

Edit just to add: if you feel like the pain is getting too much or things aren't going as they should, call the EPU clinic and ask to come in. The nurses at my clinic were so lovely and caring, and myself and my partner couldn't fault them. They really made sure I didn't have to be in more pain than I needed to be. I only say this because from what I've read online, I believe a lot of women going through this suffer at home in more pain / fear of what is going on than they need should be

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