I had my follow up scan yesterday and it turns out that my continuing pregnancy symptoms aren’t all in my mind. The empty pregnancy sac has grown. My body has still to realise that this pregnancy isn’t viable.
Following the scan I met with the doctor and thankfully was able to see a registrar rather than the usual newly qualified doctors. The registrar was pretty helpful and whilst having quite a forthright bedside manner (not much sympathy to be had from her) she was able to discuss the options with me, answer my concerns in a seemingly knowledgable way and help me make a decision as to how to proceed.
As you are no doubt aware from your previous miscarriage experiences, the three main options are (I) ERPC (now called surgical management); (II) medical management; and (III) natural miscarriage (or wait and see). The reg’s preference seemed to be ERPC, they offer it at my local hospital, could do it on Monday and would be able to collect the ‘products’ for testing – although I did question whether there was much to test seeing as how I have an empty sac and no foetal pole but she said they would still test(?)
My concern with the ERPC is that it will be third in a year. After my second my periods didn’t come back as they were before. I bled monthly but only for a few days and they were light. I was initially told this would be hormonal but my period returned straight away after my first ERPC so I wondered why the second would be different and when I questioned further I was told it could be a sign of mild scaring. I have also been told by another doctor that repeat ERPCs can cause damage to the cervix which is also something I’d like to avoid. This is a little frustrating as I’ve previously found ERPC to be a quick, simple and relatively painless way to end a miscarriage and if I felt like the risks were tiny I’d definitely do it again but so far I haven’t managed to find a doctor who has told me that the risk is negligible when talking about having so many in a short space of time. In fact the reg yesterday told me that if i had another she would recommend having a coil fitted for six months to prevent adhesions forming. So that’s option 1.
Option 2. Medical management. My local hospital don’t do this but can make referrals. The reg says that the concern with this is the difficulty in collecting the products. She suggested that if I did choose this option that I say in hospital while the miscarriage happens even though hospital protocol is to send people home. Apparently they will make an exception now I’ve reached the magical ‘three in a row’.
Option 3. Wait…. This does seem like a good option but the concern is that they don’t let you wait forever and despite the fact the the embryo didn’t develop at all, I’m now almost 9 weeks into the pregnancy. My previous pregnancies showed no sign of ending either despite the first one stopping growing at about 8 weeks, I didn’t have the ERPC until 14 weeks. I’m just not sure if I can wait another month or more only to end up needing medical intervention anyway. I’m tired of feeling sick and having other pregnancy symptoms knowing its just my stupid body not realising what’s going on! I also really don’t want to risk having a miscarriage whilst visiting family over Christmas.
So on Monday I’ve got an appointment at another hospital for more scans and to discuss the possibility of a medical management. To be honest I’m quite scared. I’ve read some horror stories about medical management but I’ve also read bad things about uterine scaring causing infertility, further miscarriages and pregnancy problems. I just wish I wasn’t in this position and more than anything I wish it wasn’t so damn close to Christmas when I supposed to be a parties, carol concerts and Christmas lunches. The timing just sucks!
Sorry for the length of this post; I just wanted to get all of my thoughts down. My question for you is, have you been in this situation? What did you choose and how did you feel after? Also do you know how important it is to collect the products for testing if all there is is an empty sac??