*sensitive* Miscarriage - MVA procedure or surgical management

[Wind_mill]

I was wondering if anyone could share their experiences of either of the above and their experience of recovery afterwards please.

Background: Sadly this is my second missed miscarriage this year. I did medical management in February and it worked first time even though the pain was horrific.

I have tried two lots of medication this time and it’s not worked so looking at which option to have next. I am leaning towards surgery with general anaesthetic but just wondered if anyone could share their experience. Thanks in advance for the support.

This was a fresh medicated IVF cycle and miscarriage confirmed at 8 week scan (following a week of waiting since 7 week scan which showed yolk sac and very small fetal pole). Just wondering if my body has even realised what has happened after all the IVF medication and now this medication too!

[Daisy30Lane]

So so sorry to hear this news! I have had 2 miscarriages, one was ectopic and I had surgical management and the second time I booked in for general anaesthetic, but nature took over the day before I was supposed to go into hospital so I passed the 8 week little baby at home. I don’t think there is a ‘better’ or ‘right way’, It’s so hard i really feel for you! I got told the risks are less to manage/pass naturally, as any surgery although rare can have its complications. It took a few days once I came off all the meds for my body to realise it wasn’t pregnant anymore, as the drugs were obvs supporting the pregnancy ( missed miscarriage) Weirdly I was glad it happened the way it did! … think it was fate, as he is now in a plant in my garden 🪴 💔

[CardiGrey]

I don’t have any experience of medical management, but hopefully someone on here will be able to answer your questions. My pregnancy passed naturally. However, I just wanted to say sorry for your loss xx

[BlueEyedTabby]

Hi there, I'm so so sorry to hear what you've been through. What a horrible situation for you, sending hugs. I wasn't offered MVA procedure. I took the meds which didn't work and opted for surgery under general. Was the easiest/best procedure I've had so far (out of endo surgery, hysteroscopy, egg retrieval). Felt fine afterwards. Full transparency, months later an ultrasound showed adhesions which were likely caused by the d&c, which is why I then had the hysteroscopy. I wasn't warned about the risk of this so was quite frustrating to discover! But I think it's a rare outcome. Xxx

[Someday_Bluesky]

I’m so sorry you’re having to go through this Wind_mill. I had an MVA with my first pregnancy a few years ago when we found no heartbeat at the 7/8 week scan. I didn’t want to wait for medical management and the thought of going under general anaesthesia seemed a little scary to me at the time.

I don’t remember there being any physical recovery needed but the procedure itself was more painful and traumatic than I thought it would be and ended up being incomplete so I needed a second procedure anyway (MyoSure hysteroscopy). I think if I was to be in the unfortunate position to need to manage another miscarriage I would just go for surgical management. Any decision you make is a horrible one though. Thinking of you !

[Purple_Sloth]

Sorry that you're going through this Wind_mill.

I opted to have an MVA for my first missed miscarriage at the start of the year at my local EPU. I found the pain difficult to deal with I was having very strong cramps during the procedure so ended up having a low dose of the pessaries to complete at home. I know the level of cramping isn't typical for everyone that chooses this route and others find it a lot more manageable that I did (I was asked how on earth I've been going through IVF if I struggled with the pain that much but I think it's how hard they were pressing down with the ultrasound to get a good image which added to it). I was happy to be back home by lunchtime though.

I was diagnosed with another missed miscarriage last month and chose to go for the surgical management. I had the surgery 2 weeks ago and have felt back to myself more quickly - which may be because it was completed in one go but I mainly went this route this time more for the pain management. Can be a long day at the hospital but whilst I hope I never have to go through this again (I hope you don't either) I think I'd opt for the surgical management again.

[Mikz359]

I'm so sorry you are going through this. I had a MM and d&c at 12 weeks. For me, I found it less traumatic that the idea of the medicated option, and physical recovery was very quick. A later scan showed I had no scarring from the procedure, but I know that there is a risk, so it is worth taking into consideration. All the best to you xx