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An update to yesterday's post: Urk! I had a follow-up u/s this morning - they found some left over "products of conception" in my uterus. *sigh*. I have to take the mesoprostol again, but this time orally - blech! Then another u/s next week to make sure it's all out. If not, then it's on to D & C. I expect the pills to finish the job though. I also went for a beta today to see if they're going down. I'll get the results tomorrow. I'll update again in a few days. I hope to get the all-clear by next week.

Just thought I would share my experience in the hopes of helping someone else. It helped me greatly to read all of these experiences before my own medical miscarriage w/ Cytotec. I think sometimes "knowledge is power" and also that this experience, while heartbreaking in every sense, was made slightly easier for me in feeling like I knew what to expect. So hopefully my words will help someone else through this heartbreaking experience. I'm so sorry to anyone reading this, knowing that means you're going through a loss. BACKGROUND: Missed miscarriage diagnosed at 10w,3d. Fetal pole only developed to about 6 weeks, per u/s. This was my 2nd consecutive m/c (my 1st one was 4 months earlier & was a spontaneous/ natural m/c at 5w6d). Was given option of Cytotec vs. D&C for this missed m/c and opted for Cytotec because after 2 consecutive pregnancy losses & no children yet, I didn't want to take even the admittedly very low risk of uterine perf or scarring w/ D&C. Cytotec was my physician's preference for me, a__suming I could endure the physical & especially the emotional duress. DAY 1 9:00 AM-- Took 800 mg of ibuprofen (on a full stomach) 10:00 AM-- Inserted 800 mg of Cytotec v____ally. 5:30 PM-- Nothing happening (no cramping, spotting, or bleeding) but repeated my 800 mg ibuprofen dose in the expectation that something WOULD occur soon. 6:00 PM-- Began to have cramping and took 1 Tylenol-3. 6:30 PM-- Felt a (non-painful) "pop" followed by a "whooshing" sensation in lower abdomen. Trickling of clearish fluid into pad-- a__sume this was my water breaking. 7:10 PM-- Began bleeding. Had minor cramping for next 2 hours or so. Pain was only a 2-3 on scale of 10, no worse than my standard AF cramping. Saturated a pad every 60-75 minutes for next 3 hours. Pa__sed bright red blood & 4-5 large clots of very dark-red/ purplish material that seemed to me to be uterine lining or placenta. Did not pa__s anything that appeared to be fetal tissue. 10:30 PM-- Bleeding decreasing greatly & cramping almost absent. 12:00 AM-- Went to sleep. Woke myself a few times to change pad, but it never needed changing-- almost no bleeding. DAY 2 8:30 AM-- Woke up. Pad still "clean." Minimal blood upon wiping, but no active bleeding. 9:45 AM-- Still no bleeding. Called doctor to confirm that I needed to repeat the Cytotec dose since I did not pa__s anything that looked like tissue & only had heavy bleeding for 3 hours last night. Doctor said yes to repeat Cytotec. If there is no further advancement & pa__sage of fetal tissue after another 24 hours, I may need D&C, or it may be that the clots were truly all that I needed to pa__s. 9:55 AM-- 800 mg ibuprofen (w/ food) 10:35 AM-- Inserted 800 mg Cytotec v____ally. Broke pills in half along score lines this time on suggestion of doctor. 2:00 PM-- Began having intense cramping. Took 2 Tylenol-3s. 2:00 PM to 5:45 PM-- VERY intense cramping. Probably would rate pain as a 7 on scale of 1-10. Bleeding was moderate during this time. 5:45 PM-- While sitting on toilet, pa__sed sac w/ fetus. Knew immediately this is what it was as it felt very different to pa__s than the blood clot-ish material I had previously pa__sed. The fetal tissue was grayish-pinkish & about the size/shape of a breakfast sausage. I had to collect it from the toilet to bring in for testing. This was very hard emotionally, but I know that I wouldn't have felt right about flushing it down the toilet and since we are just renting (& in a major city, without a yard), there would have been no way for us to bury it either. Once the fetal tissue was pa__sed, the pain decreased to pretty much nothing IMMEDIATELY. 5:45 to 6:30 PM-- Heavy bleeding but no pain. Pa__sed 1 more large dark-red/ purple bloody clot like what I had been pa__sing yesterday-- I presume more uterine lining &/or placenta. 6:30 PM-- Bleeding decreased to moderate, no pain. I am writing this at 7:30 PM the same night & feeling physically totally fine. Obviously the emotions & grief process still need to be worked through & DH & I are heartbroken about losing another child we so badly wanted. I will have doctor's appt w/ u/s in 2 days to ensure that I have pa__sed everything. I will update if I did NOT pa__s everything, but my instinct as of now is that I have. I really hope so. So far, based on my experience, I am very glad that I chose Cytotec vs. the D&C. PIECES OF ADVICE: (1)Only do this if you can emotionally deal w/ seeing the fetal tissue. This was the scariest & worst part for me. If you can't, or if you're quite squeamish, this may not be the best option for you. (2)Expect some serious discomfort/ pain leading up to the pa__sing of the tissue. (3) Make sure you monitor your bleeding. My doctor said if you're soaking more than 2 pads in 60 minutes, you need to go to ER. (4) Always Overnight Extra Heavy Flow pads worked great for me w/ no leakage at all, even during heaviest flow & when pa__sing clots. I'm pretty impressed w/ those pads!

These posts helped me so much, I thought I'd share my experience. I was 6w 3d when I found out the pregnancy was not viable. A great ultrasound and handsome sac gave way to rapidly dropping hcg levels. No explanation, so sudden, so heartbreaking and just devastating. My doctor gave me a prescription for Cytotec (Misoprostol) and Percocet for the pain. I went home early from work on Friday to get started. My husband and I knew that there are risks included with taking these pills, so he was aware that we'd have to go to the ER if I began bleeding excessively, developed a fever or had very, very intense pain and side effects (vomiting, etc): 1:30 pm: As directed, I took 3 Cytotec pills v____ally. Insertion was fairly difficult since I was so tense, and upset, but I did my best to relax, used a little lube and within 5 minutes it was over. My husband and I went out for a quick lunch to get my mind off things. 2:30 pm: At home, I began to feel cramps coming and going in waves. I took one Percocet. 3:30 pm: The pain intensified, so I took a second Percocet. 4:30 pm: Continued cramps, not too intense, but uncomfortable. 5:30 pm: Still cramping. 6:30 pm: I went to the bathroom to pee, and there was some pink on the toilet paper. I wiped again, more pink. I wiped again, and there it was... the "tissue" that I was supposed to expel during this process. It was about the size of a small grape - just grey and soft. I just felt so, so relieved that it was now over. The rest of the night I had some very slight cramping. No bleeding, no spotting, no real pain. I never had any diarrhea or vomiting that others experienced. The rest of the weekend (Sat and Sun) I had some very light spotting and some very minor cramps. Monday morning (today) I went back to the doctor for an ultrasound to confirm that all the tissue had been expelled, and indeed it was. The whole ordeal is now official over... although I know in my heart and mind I'll never really get over it and it'll never really be completely over. Even today, I have off-and-on sudden twinges of cramps. I plan to TTC again in 3 months - my Dr advised me to wait for three months. My thoughts are with everyone who has to go through this. I am so sorry for what you have to endure and I wish that we all go on to have easy pregnancies, healthy babies and happy lives filled with good news and good health. You're not alone, and as my doctor promised me - next time around, we have the same chances as anyone else at having a successful pregnancy. Crossing my fingers for everyone and sending you good vibes from the bottom of my heart.

Hello All :) Sadly, I have suffered two miscarriages. The first time I was not very far along and didn't know I was pregnant. The last one was just this past week. I went in for my u/s and the doctor could find no heartbeat. I was 10 weeks along but the baby only measured 7.5 weeks. I am writing this post just to tell women not to be terrified of the Cytotec if you need it after you miscarry. I pa__sed my baby naturally and it hurt more then words can say, physically and emotionally. The pain was awful and the doctor prescribed Tylenol with Codine and Motrin taken together. Two days later, I went in for a second u/s and the doctor prescribed the Cytotec to get rid of the rest of the tissue. I forced her into giving me another prescription for pain because of all the scary stories I read on these boards. The Cytotec caused mild to moderate cramping and bleeding. Nothing like the pain I had before. I ended up taking one pain pill before going to bed just so I could sleep. If you miscarry, the tissue will pa__s one way or another and it's going to hurt. The pain level depends on how far along you are in the pregnancy. Since I pa__sed most of the tissue naturally, in my case the Cytotec didn't cause that much pain. To the posters on here who are blaming the Cytotec for the pain, you would have had it anyway if you pa__sed your pregnancy naturally. To anyone who has not pa__sed anything yet and is taking the Cytotec, ask for pain medication. Hugs and prayers to all of you. A miscarriage is a terrible thing to have to go through.

The previous posts in this forum helped me greatly in my own miscarriage with cytotec, so like many others I pledged to return and share my experience, which was not that unpleasant. A little background -- I'm 28, my husband is 29, and this was our first pregnancy. I was diagnosed with polycystic ovaries in August, and on my first cycle with provera/clomid (50 mg) I got pregnant. Of course, we were thrilled, but also apprehensive because we knew the statistics. I was diagnosed with a blighted ovum at what should have been 8 weeks pregnant, after the first ultrasound at 6 1/2 weeks showed a too-small gestational sac with minimal growth over the following two weeks and barely rising hCG levels. At this time, I'd started spotting brownish blood only when wiping, and my (wonderful!) OB suggested using cytotec to induce a miscarriage since I was so early and the sac was quite small (~1 cm). She inserted 4 pills v____ally (after wetting them quickly with sterile saline) on a Tuesday at 11:30 am and prescribed 600 mg ibuprofen to be taken every 6 hours for the pain (she said she would get me something stronger if I needed it, but I never did). I went home and settled up on the couch to wait for the cramping. It started around 2pm. I don’t generally cramp much when on my period, so I can’t compare the pain to that – but it was not more than I could handle with the ibuprofen and a heating pad. The worst part was that there was no break from the pain – it was persistent for ~ 9 hrs. I found some relief using a yoga ball and stretching/"gyrating" on it to get some slow movement. I started bleeding red blood around 3pm only when on the toilet and actively “pushing” it out. For the next 8 hrs, I had persistent cramping and bled only when on the toilet (I’d try to go every 30 mins or so). The blood was never liquidy but kind of stringy, and I pa__sed a few clots (none that were very big). I pa__sed another small clot (sac? too small to tell) ~ 11pm and the cramping let up after that. I slept fine that night. That whole day and night I never once filled a pad – honestly, a pantyliner probably would have caught everything that happened when I wasn’t on the toilet. The next morning, I was rather crampy again and spent another day on the couch with the heating pad, still bleeding thick blood but only when I went to the bathroom. This continued throughout the day, and I still never filled a pad. By Thursday the cramping hat let up significantly but would come/go every so often, so I stayed home again but wasn’t bleeding too much. I had a follow-up dr visit on Friday when they did an ultrasound showing something small right at the opening of my cervix about to come out (probably just some blood, not the sac, according to my doc) and she said I should take it easy over the weekend and then it would be over. It’s now been just over a week since I took the cytotec, and I haven’t had any bleeding (even when wiping) for a day, so I think it’s really over. My b___sts are only slightly tender now and I don’t “feel” pregnant any longer. I tend to have really long cycles, and the dr has advised us to wait 2 cycles before trying again (2 calendar months, since I will use provera to induce a period, and then start the clomid after my second period). Overall, I’d say my experience was as positive as it could be, and I’d choose the cytotec if given the very unfortunate citc_mstances again. I think going through this in the comfort of my home and with my husband was much better than a d&c or having the cramping/bleeding happen at work or somewhere else unfortunate. My main tip is to use a heating pad!! It made such a difference for me. I just tucked it inside my pj pants & top of my undies and was attached to the cord for two days except for when I went to the bathroom, and it really helped with the pain. It’s also very important to have someone there with you – or at least very close (my husband was at work, but could make it home in 10 minutes if I needed him) in case the bleeding gets out of hand. I was fortunate not to have that problem. Hopefully none of us have to go through this heartwrenching experience again, but I must say that I’m so glad it’s finally all over. Hugs to everyone who had to make it through this difficult time!

This was my first pregnancy and experience with Misoprostol.I was 6 weeks along when I started spotting red and brown blood on and off. It started after a PAP test, so I didn't worry too much. I started to worry when I noticed it did not stop in 2-3 days, as the OB had told me. I had 2 u/s done at 7 1/2 and 8 1/2 weeks confirming the baby and sac stopped growing at 6 weeks. I was told I had chances to miscarry naturally as I spotted every day, with no exception. However, I waited until I was 10 weeks along and it did not happen. I was feeling very sick as I still had the pregnancy symptoms but I was carrying a dead baby instead. The whole story was heartbreaking for my husband and me. At 10 weeks, I decided to take Misoprostol. It took me a while to make the decision as I was afraid there could have been a misdiagnosis and I might kill my baby. But I could not take it any longer either. The OB gave me 2 doses of Misoprostol of 3 x 200 mg each. I inserted the first 3 pills v____ally at 3 pm on a Friday . In about an hour, the contractions started. I took my first dose of Tylenol 3 and an hour later I took 2 Advil pills as the pain was getting worse. I started bleeding 2 hours after. It was mainly thick red blood, but no clots. I bled a lot every time I used the washroom, but just a bit in between. Maybe because I spent most of the time on the sofa. I could do with 3-4 pads. I did not have any diarrhea and I was able to eat. I watched a few movies with my husband - it was good as it distracted me. After 4 hours, I took the second dose of Tylenol 3 and that was enough since the pain was going away. I did not pa__s any tissue in the 1st night. The next day I was OK and started to feel better as my nausea and all the pregnancy symptoms were going away. I stopped bleeding almost completely and I was concerned that I had not pa__sed the sac or any tissue. I inserted the second dose of Misoprostol on Saturday night (at midnight). This time I only took a Tylenol 3 for the pain and no Advil. I went to bed. After 1:30am, I woke up with extremely bad cramping. I realized I had done a mistake by not taking more painkillers. Took the second Tylenol 3, however, it took about 1 hour for the pain to finally go away. I woke my husband up and asked him to bring the heating pad and this was the only thing that kept me alive. The pain was so bad that I thought I’d die. On a scale of 1-10, it was about 8. I have very painful periods, however, this pain was way worse. I was finally able to sleep at 3-4 am and I woke up the next morning with no pain and no bleeding. No tissue pa__sed. I was really concerned it did not work and I had to go through so much pain for nothing. On Sunday, I finally pa__sed a few clots. I tried to walk and stand all day so I can pa__s everything more quickly. I called the doctor and she called me in on Monday morning for an emergency ultrasound. On Monday morning, I was finally able to pa__s the sac. It happened just as I was getting ready to go for the u/s. The tissue looked like chunks of meat. I could not distinguish what was the sac among the tissue. I had no pain when I pa__sed it. I had my u/s the same day and they confirmed I did not require a d&c. I did not have any other bleeding on Monday. I was getting ready for work on Tuesday when I started bleeding again, really badly. I had to call in sick again. After 1 hour, I pa__sed a HUGE clot . I was really stressed, as I did not expect any more blood or tissue. The same night, I pa__sed another chunk of tissue. Then the bleeding stopped and now, 10 days after taking my first dose, I am only spotting very lightly. As a conclusion, my experience with Misoprostol was quite good given the circ_mstances. However, I hope I won’t need to use it again. The pain was really bad, but I think that strong painkillers can help with that. The worst part is that you may see the baby. My pregnancy was not so far along, but I think it’s heartbreaking to see your dead baby. I don’t think I would be able to manage that. But Misoprostol is indeed an alternative to d&c and I think it poses fewer risks. I am sorry for everybody here who had to go through this. I wish you all healthy pregnancies and babies in the future.

Three days ago my husband and I found out we had a missed miscarriage and we were given the options of waiting for the miscarriage to occur naturally, take cytotec to induce the miscarriage or do a D & C. My husband is a physician and encouraged me to take the cytotec because there are small risks with the D& C. A friend of mine took cytotec for her miscarriage and said she wouldn’t do it again because of having to do things all by yourself and because of the pain. The decision was difficult to make but I finally decided to go with the cytotec. I was tempted to look up other women’s experiences with cytotec but decided not to because I was worried it would scare me out of my decision. The next morning my husband and I woke up at 4:00am to insert the tablets. I was so nervous to do it and had second thoughts about going through with it. After I inserted the tablets, I took some pain medication (tylenol with codeine) and went back to sleep. I woke up at 7:45am with mild cramping which soon turned into severe contractions. I took a second dose of pain medication but the cramping increased for the next two hours. It was by far the worst pain I have ever experienced. The contractions came about once ever 30 seconds for about an hour. Fortunately I had more than one pain medication option so on the third round of pain medications (around 10:30) I took a percocet and that made a huge difference. The cramping decreased around 11:00am and was gone around 3:00pm. For the second dose of cytotec on the next day, I took the percocet right away and it made all the difference in the world. I just experienced mild cramps all day. I felt prepared for the bleeding part of the processes but I was completely unprepared for the amount of pain that was involved with this medication. I do, however, think the pain is manageable if you take the appropriate dose of pain medications at the right times. My suggestion is to take the strongest dose of pain medication right away to help with the initial stages of the miscarriage, since as it was explained to me, a large amount of pain on day 1 is the pressure on your cervix before it opens. I would also recommend a heating pad on your stomach to help with the cramps.

Hi All-- I am so sorry for everybody's loss and am extremely thankful that a forum like this exists so we can all share our stories. I started to spot on Monday night and Tuesday the dr. confirmed that there was no HB, I would have been 10w5d. I am 35 and this was our 1st PG. My dr. gave me the choice of letting nature take its course or taking medication. He was against a d&c because of the scaring and possible damage to the uterine lining. I decided to take the medication but did not start the process until 5 AM on Wednesday. We did not know what to expect and were nervous to start this process at night. My first 2 doses (4 pills, every 6 hours for 2 days) were taken orally and I experienced mild cramps and some back pain about 2 hours after taking the pills. So I took the vicadin my dr. had prescribed. This helped me to sleep. The bleeding with the first 2 doses was light, what one would expect with their period. Then, the next dose was taken v____ally and that is when everything speed up! About an hour after taking the pills I had intense cramps and had lots of bleeding. I knew that I was pa__sing many clots but could not take myself to look in the TB--way too much for me to bear at the time. Yesterday was my last day of the pills and I hope that everything pa__sed. We go back to the doctor on Tuesday for an exam. I am extrememly thankful that I went through this at home and that my husband was here with me. I still have mild cramping and light bleeding. I am glad that we choose to take the medication instead of sugery because with Thanksgiving being this week, this was the quickest way to start moving on emotionally. Right now I am resting up and am extremely nervous to see my 2 pg girlfriends at work on Monday. Hangin in there and will post more after I see the dr. on Tuesday. I hope everybody has a peaceful recovery and takes whatever time they need to grieve.

I too am going through this and have found this information very helpful. Here is my experience: I started to miscarry the day after we saw the heartbeat on Ultrasound. We should have been 8 weeks, but u/s measured 6 weeks. This was our first pregnancy, my husband and I are 42 - admittedly we have left left family planning quite late. I knew from the beginning that there was issues with this pregnancy. My husband took the miscarriage harder than I did. The physical after effects are hard on me, but seem to be even harder on him. I had asked for Misoprostol when I found miscarriage was inevitable, and the heartbeat was no longer. Doctor felt that I should let nature take it's course. I bled for a week, stopped, and then 2 weeks later started bleeding again. An ultrasound showed that there were 'remaining products', and my doctor prescribed Misoprostol instead of a D&C (which I asked for). I was prescribed 2 tablets v____ally every 12 hours repeating 'as required'. I was given 8 tablets, for 48 hours max dosage. I took the first dose last night at 8pm. Slight cramps started a couple hours later, and bleeding began to get heavier. I believe I pa__sed clots, but not sure about the tissue. I took a second dose of 2 tablets at 8am this morning - but the bleeding has slowed, pa__sing only watery bright red blood. My issue is with the 'as required'. I have no idea how many doses I should take. Since the bleeding is slowing down, does this mean that I am done, or does this mean that I need another dose? Everyone on the board seems to be taking 4 tablets twice. I called the pharmacist, but since it's off label, there's not much information on this useage. I'm not in much pain, and I could have worked today. Not sure if I should take the 3rd dose. The other issue is that we are travelling overseas on an extended trip beginning end of next week. Earliest I can do the ultrasound is Monday, results on Wednesday. Hopefully this will take care of the issue, and I won't need a D&C. If anyone has any more information, or has been on the same dosage, it would be greatly appreciated.

So far I have had a positive experience with cytotec and I wanted to share it. I was 6.5 weeks with a blighted ovum when I started the pills. I too had heard horror stories and my doc also kind of freaked me out. So Friday I went and bought a million gigantic pads, got into my sweats, got my heating pad out, made some soup and ordered movies. Took first four 200 mcg pills at 2 pm on Friday. Nothing happened. I felt great and wrapped all my Christmas presents. Saturday morning, a tiny bit of brown spotting, but still feeling great. Went to the groc store, walmart, fed ex, oil change. Came home, wrapped more presents, made a ca__serole. Took second round of four pills at 2 pm Saturday. Nothing happened. I did feel bloated but that was it. Sunday, took last four pills at 2 pm. That night had a tad of cramping, but not even as bad as a period. Monday morning had a few tiny little bits of something, but nothing significant. Trying my hardest to avoid a D & C, I called my doc and told her nothing major was happening and asked if I could do more pills. So now I have taken my fourth dose of four pills of 200 mcg and have one more for tomorrow. Here’s hoping it works. I DO NOT want a D & C. I am thinking that since I was not far along there is not a huge amount of stuff to pa__s. I go Wednesday for a sono to make sure it has all come out. I sure hope so because I am driving home for Christmas on Thursday!! So far, not a bad experience at all.

Hi. I had a very positive experience with cytotec, and I wanted to share it to hopefully help others in my position. I found this forum helpful and scary, and was expecting my experience to be much worse than it was. First off, let me say that I am physician, although I am not an OB doc. This was my first pregnancy and it was an anembryonic pregnancy (blighted ovum) discovered at 8 weeks. Since I had not started cramping or bleeding, I asked an OB friend of mine what she recommended. She told me that I had three choices. 1. Wait for nature to take its course, but if nature didn't take its course by 28 days, I would need a D&C because of the risk of infection. 2. D&C 3. 600-800 mcg of cytotec v____ally (why other docs are prescribing cytotec for this purpose any other way than intrav____ally or less than 600-800 mcg is amazing to me. They need to read the literature.) My friend told me to expect a lot of bleeding and cramping with the cytotec, but that she had an 85% success rate with her patients who were treated in the above manner. I decided to go the cytotec route, and made an appointment with an OB. (I had been doing all of my own blood work and scans up to this point). When I spoke with the OB, cytotec was not even mentioned as an option. I basically had to ask for it, and in the dose that I wanted. Once I got my prescription filled, I waited for the weekend to take it. By this time (about a week after I discovered my pregnancy was not viable), I had started to bleed lightly and c___p intermittently. Sat night around 9:30 pm: Inserted 4 tablets of cytotec (800 mcg total) intrav____ally as close to the cervix as I could push them. Took 1 percocet. 9:35 pm: Took my dogs for a walk. About 20 minutes into the walk, my cramping became worse to the point that I had to stop to catch my breathe. 10:00 pm: Returned from my walk. Cramping is getting worse, so I took another percocet. 10:30 pm: Sat on the toilet and felt a lot of clots and tissue come out. The tiolet bowl is completely red. Cramping is easing off. Now I am just extremely dizzy from the percocet. 11:00 pm: Sat on the toilet again, and again, lots of clots and tissue. Cramping continues to ease off. That was the worst of it. I went to sleep around midnight. I had some chills, but minimal pain and bleeding. The bleeding has slowly decreased and the cramping is now minimal. (Less than 48 hours later) I will have an US in another day to make sure my endometrial lining is thin, but I expect it to be. If I was in the same position again, I would choose this same method. It is definitely not for everyone. If your doc is not prescribing this intrav____ally ask them why. Side effect (nausea, vomiting and diarrhea) are much less with an intrav____al route. Good luck and God bless.

hi, i am pregnant since 11 nov 09, however last week after doing ultrasound doctor said that there is no fetus and it should be a missed abortion. So i took 3 dosages of v____al cytotec and it started bleeding after 7 hours of the first one, but it wasnt too much. So yesterday i went for a checkup and doctor said it is still there and you have to do this cytotec procedure again and if it doesnt work, we will have to curettage it. now im taking the cytotec pills again but i havnt started bleeding yet after 4 hours of the first dosage. i am so worried because im scared of doing the curettage. Is there any other option or any other pill that i can try?

i am pregnant since 11 nov 09, however last week after doing ultrasound doctor said that there is no fetus and it should be a missed abortion. So i took 3 dosages of v____al cytotec and it started bleeding after 7 hours of the first one, but it wasnt too much. So yesterday i went for a checkup and doctor said it is still there and you have to do this cytotec procedure again and if it doesnt work, we will have to curettage it. now im taking the cytotec pills again but i havnt started bleeding yet after 4 hours of the first dosage. i am so worried because im scared of doing the curettage. Is there any other option or any other pill that i can try?

I too want to tell of my positive experience with Cytotec in hopes of helping some of you. I went in to my first ultrasound thinking I was just over 7 weeks, and was told I was 5w5d and it was too early to see a fetus and I must have ovulated later than I thought, which I thought was strange but I let it go. My next ultrasound was 12 days later, and the sac measured 6w1d, still no fetal pole. My doctor said it looked like a blighted ovum and expected me to begin miscarrying in two weeks. I was incredibly sad, although I was not too suprised, as I had suspected this might be the case. I had not felt pregnant at all since I had found out, and even found myself wishing for nausea, food aversions, something so I would know it was real, but I had nothing at all except mildly sore b___sts. My doctor gave me the option of waiting for a natural miscarriage, Cytotec, or a D&C (which was her last choice). I chose to wait it out naturally. She asked me to come back in one week no matter if the miscarriage had happened or not just to check on me. Nothing had happened, but I came in and had another ultrasound, which looked exactly like the last one. I still chose to wait. That night, I started spotting brown, and this continued for two weeks. It was never red, and I had only a few twinges of very light cramping. At the end of this two weeks these symptoms actually lightened up and sometimes almost went away. I went in to see my doctor again, and she did one last ultrasound, which still showed an empty sac, and I requested the Cytotec as I was getting really tired of waiting around for this to happen. From my own calculations, I should have now been 12 weeks! The day (yesterday) went as follows: 2:00 - my doctor inserted 4 pills v____ally 2:15 - I stopped at the grocery store to get ice cream and at the pharmacy to drop off my prescriptions of Motrin and Darvocet. I started feeling cramps... I was surprised at how fast they came on. 2:30 - I arrived at home and the cramps were becoming excruciatingly painful, I couldn't really even stand up straight and I was a little bit light-headed. I dry heaved in the toilet. My prescriptions were supposed to be ready at 3:00, but I called and asked if they could put a rush on it. They could, so I forced myself to get back into the car and got through the drive-through and back home, luckily feeling just a bit better on my drive. I felt nauseas and brought a bucket with me in the car but thankfully didn't need it. 3:00 - Cramps were unbearable, and I also had to go to the bathroom really bad. I guess the Cytotec had somehow affected my digestive system, and as soon as I went (it was normal, not diarrhea) I felt immediately better and my cramps subsided to almost nothing. I took a Motrin. It was now that I saw my first sign of red blood. I bled for the next few hours, but it really was quite minimal (at least compared to what I had expected to be) and happened mostly when I would sit down at the toilet. I got the chills and finally warmed up after about an hour. Other than that, I now felt pretty good. 6:00 - Cramps started to come back and gradually built up to moderately painful, but not enough that I needed more pain medication. A heating pad on my abdomen (and a bowl of ice cream) helped. 6:45 - I went to the bathroom, and right after I sat down I felt something kind of big and round and then it just kind of "popped" out into the toilet. I thought for a second of trying to retrieve it to see if it was the sac, but decided to let it go. As soon as this happened, my cramps subsided to pretty much nothing and my bleeding was very minimal for the rest of the evening. I felt fine. This was it for me. Pretty painless, except for the first hour, and that didn't last long. I did not even take the Darvocet. I went in today for a follow-up appointment, my doctor did an ultrasound, and sure enough I had pa__sed the sac. She seemed surprised (but pleased) at how easy it was for me. I thought it would be much worse, but it wasn't, and I am glad I chose to do it. I have not really pa__sed much tissue though so I expect this to happen over the next couple of weeks. Thank you to all for sharing your stories, as they really helped me before and through the process. Good luck to all of you!

I was so relieved to find this forum. In some ways it scared me to read it in the beginning because everyone's experience seems unique and I did not know what to expect, but as I was going through this I found it comforting to read these stories and so I am back to post my own experience. On March 19, I went to my doctor at 8 weeks, 4 days, and was diagnosed with a blighted ovum. I had not had any bleeding or spotting. My husband I were devastated. My doctor gave me three options: 1) wait and have a natural miscarriage, 2) schedule a d&c, or 3) induce the m/c with misoprostol. Because it was a Friday, I would have had to wait until the following week for the d&c, and I generally opt for less invasive when given the choice, so I chose the misoprostol (cytotec). At 5 PM on the 19th, my husband inserted the 4 pills v____ally. Emotionally, I did not feel I could handle doing it, and I wanted the pills to be up as far as they could be so they would work the best. By 7 PM, I had some mild bleeding and cramping. In anticipation of bad cramping, I took one vicodin. I went to bed at 10 PM and had cramping and bleeding through the night. I did get up and change my pad a few times, and I slept on a towel which did get some blood on it. The cramps felt like bad period cramps. Saturday morning March 20, I took another vicodin because I was still having cramps and I was scared they would get worse, but at that time, they did not. The vicodin made me very nauseated though, and took hours to wear off. I was still having bleeding on Saturday, and in the late afternoon I had some clots come out. These were not like period clots which, in my experience, slip out on their own. I had to wipe these away and they were dark. I had heavier bleeding on and off for the rest of Saturday and on Sunday things slowed down and felt more like a regular period with some more familiar-looking, period-like clots. On Sunday the 21st I was thinking that this had not been too bad, but I didn't realize that I wasn't done yet. The paperwork my doctor gave me on the misoprostol did say that some women experience a second bout of heavy bleeding and cramping if it wasn't complete the first time, and that is what happened to me. On Monday afternoon at 1 PM (almost 3 days since inserting the medication) I started having cramps but didn't think much of it. They gradually grew stronger and more frequent. By 5 PM, I was getting a little scared and the cramps felt more like what I would imagine contractions are like. They were 1-2 minutes apart. I could feel them starting and getting stronger and more painful, and then they would ease off. I was in a lot of pain, and I was very glad my husband was home from work at 5 PM. Because the vicodin had made me nauseated, I tried to avoid taking more. I should have taken it right away. My husband helped me up and down from the couch to the toilet where a lot of blood would come out and I would have diarrhea. I was doubled over in pain when the contractions came. The pain got worse and at 8:45 I did take a Vicodin which fully kicked in by 9:45. It still hurt, but was much more manageable. Like other posts here suggest, I too urge you to take the pain medication right away. I got in bed at 10:30 and was awake with the contractions until 1 AM (but they were manageable after the Vicodin). I had expected to pa__s something large on Monday evening or Tuesday morning due to the bad contractions, but I did not. I went back to work on Wednesday March 24 and I felt some pressure and went to the restroom around 11:30 AM. I heard a noise and I looked in the toilet and I had pa__sed the sac. I was very upset. I had not wanted that to happen at work; I had wanted it to happen at home. I knew there was no embryo in it (blighted ovum) but I still felt very emotional and sad and it felt horrible to flush it down the toilet at work. I continued to have some heavy bleeding on and off. On Friday March 26th I went back to my doctor for a follow up u/s. I was terrified I would have to have a d&c on top of what I went through with the misoprostol, but my doctor said I did not need a d&c. She said I'd continue to have bleeding for a few days but then it would all be over. She told me to wait 3 cycles before trying again. I guess my experience shows that the m/c might not happen all at one time, and that you could pa__s the sac days after having pain/cramps/contractions. Those were the biggest surprises for me. Like other people suggested, you should have someone with you to take care of you. I could not have handled the pain - physical or emotional - without my husband's a__sistance. I was so scared to even try getting pregnant - I don't like things going on with my body, and it felt like a leap of faith to try to conceive. When we conceived right away, it felt to me like it was meant to be. Now I'm having trouble thinking about trying to conceive again - I'm not sure I want to. I think I need to take time to grieve and heal from this loss. I have been feeling very sad, and I think it's going to be a long while before (and if) we try again. My heart goes out to anyone going through this. It is so difficult, but you can do it. Just know that your experience will be its own and not exactly like anyone else's.

This forum helped get me through the worse night of my life. I am not one to speak about my feelings, but as you all helped me I would like an opportunity to pay it forward to someone else facing this awful decision... I was not given the option of a D&C when my 11 week ultrasound showed no heartbeat and no growth since the 9 week mark. My previous ultrasound at 8w4d showed normal growth but a heart rate of 199. The doctor seemed more concerned about the baby having future heart issues than in the pregnancy ending, so was naturally concerned, but NOT expecting the news I got. Your dreams and hopes seem to crash around you don't they. I took the pills on Friday night about 10pm. I was told to expect something much like 'a heavy period'. I don't usually go to internet forums, but was nervous and scared and found this site. Thank goodness. The stories here prepared me for what was to come, which was NOTHING like a heavy period. I got the chills so bad the bed rattled. I bit my lip twice because I couldn't control my jaw. This lasted 2 hours. Then the cramps started. By 4:30 they became more like contractions - every minute a wave would pa__s over. I had taken some pills left over from a kidney stone, and it helped a bit, but it hurt. I'd had very little bleeding at this point. About 5 I got up to go to the washroom because I thought I would throw up. A HUGE pain hit, and there was a pop ( I swear I heard a sound) and a gush of fluid. Then I felt this pressure and had to sort of push. Out came the gestational sac, a large clot, and the 'tissue'. It was on the toilet paper. It was about the size of a jelly bean. NOT the gray, formless tissue they said to expect. This looked like exactly what it was. I wish I hadn't had to see that. Those tiny hands had 10 fingers... Doctors SHOULD ABSOLUTELY prepare us for that. About a half hour later I had more cramps and a very large clot followed. About the size of an orange. Cramps continue after 2 days and bleeding is very minimal. Will likely call the doctor tomorrow (Monday) to make sure everything is ok. It was one emotional, painful night, and I am so impressed with how brave the women are who went before and had the guts to post, and so sorry for the women who will go after. I would have been completely unprepared for what occurred had it not been for this site. Best wishes to all...may our futures include those 10 tiny fingers gripping ours at last.