Natural, Cytotec, or D&C? That is the Question.

The RE’s office called today to tell me officially to stop my meds. The radiologist took a look at the ultrasounds and called it.

I didn’t speak to them. In fact, my cell phone didn’t even ring. They sent it directly as a voicemail. Motherfuckers. Clearly, they weren’t interested in entertaining any questions. They just reiterated that I had three options: miscarry naturally, take Cytotec, or do a D&C.

Option A: Miscarrying naturally sounds the gentlest of the three options, but it could take weeks for my body to initiate this, and weeks for it to fully complete the task.

Option B: Cytotec/Misoprostal freaks me out a bit, as I imagine it’s basically Option A condensed into a violent and short period of time. I’ve read of women opting to bleed it out at the hospital for the access to effective pain killers, you know, the good shit. Getting it done with in a predictable amount of time sounds attractive to me. However, sometimes remnants remain and you end up utilizing Option C anyway.

Option C: D & C is the one most people fear initially. It involves dilating the cervix, and then either scraping or vacuuming out the contents of the uterus. It is often scheduled, and while women often report some moderate pain afterwards, it isn’t usually as painful as Options A and B because you’re under general anesthetic. With this option, you can be sure that all of the remnants are removed, while with the other two options, sometimes large clumps of endometrial tissue and the gestational sac have a difficult time passing through the opening of the cervix, which prolongs the bleeding and cramping (trying to flush it out).

Right now, I’m leaning towards Option B, because I don’t think I can emotionally handle waiting for the inevitable. I also need my HCG to go down as quickly as possible so that we can start trying again with our last embryo. I have heard that this can take WEEKS, even MONTHS, for women with levels as high as mine are right now.

Anyone at around 8 weeks miscarry naturally? How long did it take to begin the process, how long did it last, and how badly did it hurt?

Anyone with HCG around 40,000 know how long it will take to return to <5?

And finally, pain control: what works for the labour-like cramps and contractions?

Thank you for helping me mentally prepare myself.