D & C, Medication or wait it out? 😭

Question

I’m 8 weeks. Never had an ultrasound. I found out my HCG was low and started to drop 48 hours later. (1,814 to 1,677) My doctors office has been terrible. I have an appointment Monday when I’m guessing I’ll be offered options. I’m supposed to leave for vacation Thursday 😭 I seriously don’t even know what I should do. How can I chance being on vacation and suddenly begin the process? Or won’t I still be bleeding by then if I did one of the other procedures? I’d prefer getting it over ASAP but I’m scared with the D&C. Help?! Advice? This sucks. Also found out my progesterone was low at 4.3. Any experiences with that would be great too! This was my first pregnancy.

Answer

I’m so sorry that you have to make this decision! I had a D&C in the fall after a MMC because I didn’t want to wait it out any further (I found out 4 weeks after development stopped and I only had spotting). 
Recovery was pretty easy and straightforward. Felt like a period for 2 or 3 days after the procedure and that was it.

Answer

UPDATE: We are so CONFUSED but so BLESSED! Prayers PLEASE 🙏🏼
This is my first pregnancy. LMP 4/11. My HCG on 6/4 was 1,814. Low but possibly within range. 2 days later 1,676. I was convinced it was over. This is BAD. They went DOWN. Progesterone 4.3. I went home bawling. My husband and I grieved. We were pretty sure it was over, I was miscarrying our first baby. I’ve had no bleeding. I have had cramping since I tested positive. They ordered another HCG 4 day’s later- 1,827. Wtf?! They should’ve went way up or dropped so what is going on. Well, my doctor was concerned it was ectopic. All signs pointed towards it. I was terrified. Every twinge I swore something was going to rupture. I finally got in for a transvaginal ultrasound to confirm or rule out an ectopic. I explained my situation and was just praying it wasn’t ectopic. The lady said WELL HERE IS THE HEARTBEAT AND ITS DEFINITELY IN THE UTERUS. What?!?!? How is that even possible?!? Dated it 6 weeks 3 days compared to my 8 week 6 days based off LMP and the heart rate is 107. I began taking progesterone right away. PRAYING this baby thrives and we make it to term! Please, please, please all the prayers and thoughts! We are all baffled and I’m still terrified but also relieved. My nurses and doctors are so confused.  Also my first trip to the bathroom after the transvaginal ultrasound I had a small amount of blood and spotting. Haven’t had any since. They didn’t tell me that was a possibility so I was definitely thrown off. 
Here is my little nugget! Does it look okay? I thought you should be able to see the yolk sac? But it had a heart beat so a yolk sac had to be in there somewhere?

Answer

I was in your exact situation where I found out the pregnancy wasn’t viable right before going on vacation, so I didn’t know when the miscarriage was going to start.  It ended up happening naturally 3 weeks later, but I really wish I had done a D&C to avoid the terrible physical pain and also the  uncertainty around the timing.  The emotional psi is enough - no need for the physical pain on top of it.

Answer

I’ve had two miscarriages.  The first it naturally happened, the second my body just didn’t look like it would naturally miscarry so was advised to have a D&C.  D&C was good in the sense it was over quickly and minimal pain.  I only spot bled for 4 days afterwards and cramping stopped within 24 hours.  I chose not to do medical miscarriage as the high chance of it not all passing.  My levels were over 70000 at the time of D&C so waiting was never an option.
Naturally, it was painful both physically and emotionally but it helped me grieve.  I spotted for 12 hours before the heavy bleeding and cramping happened, but then the miscarrying of tissue was over within hours.
In terms of being able to try again, with the natural miscarriage my body went straight back into 30 day cycles and I conceived my son first time trying.  The D&C- it took 21 days after that to get 0 hcg, then a 20 day cycle and now I’m on cycle day 20 without ovulating.  It may be because my levels were high, but it feels my body is failing me.
I’d suggest checking with the Dr how soon you could have a D&C, as you may have to wait a few days to get booked in.  
Otherwise, the Drs leave it to us to decide what’s best for us as we all grieve and cope in our own way.  Hope you get your rainbow baby when you’re ready to try again x

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I’m so sorry for your loss. I chose the D&C because I wanted it “over with” and didn’t want to risk having leftover tissue, therefore causing my levels not to go down. The D&C was not bad physically. I went back to work the next day. My progesterone was low too. I was put on suppositories following ovulation.

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Im so sorry to hear you are going through this. It’s so heartbreaking for your first pregnancy.
I would make sure you get an ultrasound before you start any process. I personally chose the medicated miscarriage because I didn’t want a D&C and like you, I also didn’t want to start the process unexpectedly (at work). I was also about to go on holiday so chose to do it right at the beginning of the holiday so that I had time to recover before going back to work. If you have a D&C or take the pill you will still be bleeding on holiday but it will be like a period by then. 
What kind of holiday do you have planned?

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I would definitely get an ultrasound first just to be sure. I had a miscarriage back in 2017 it started 2 days before I left for vacation. Being on vacation honestly helped me not think about it constantly. It still sucked though. Best of luck

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D&c was the best thing I could have done. I'm so sorry for your loss and know that your baby will come back to you when it's ready ♥️♥️♥️🌈

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I would say go for the d&c. I just found out 10 days ago (at 9 weeks) that the baby stopped growing at 7. I just started a new job and didn’t want to take off for surgery so I did the pills over the weekend. Unlike a lot of people on here, my ultrasound this past Thursday confirmed my miscarriage was complete. However, the pain and discomfort (which also make it impossible to start healing emotionally) only stopped 2 days ago. So if I were you I would get the d&c, get it over with and try your beat to enjoy your vacation. I was pretty immobile for a whole week after taking that pill. Good luck ❤️

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I am so sorry that you have to go through this..... it’s so hard! I personally did the d and c after a blighted ovum at 9 weeks it was hard decision so happy we did it... it got it over with and I started to heal. Got my period back 5.5 weeks after and then got pregnant!! So I pray you have the same luck!

D & C, Medication or wait it out? 😭

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