9 weeks after D&C - no period

[Zehriya]

I was diagnosed with a missed abortion earlier this year.  At first the clinic thought it was an ectopic pregnancy, so they told me I had to go to the hospital.  

The hospital set me up for a D&C on August 21, 2010. It has been nine weeks since the procedure. I have not got my period at all no spotting.. nothing. I have also been suffering from some other odd symptoms.

They scheduled my follow up for Oct 6, 2010. However, I ended up going back to the emergency room at the end of  September (around the 28th). I had suffered though about three days of terrible cramping. I couldn't stand, sit, move. Everything hurt from coughing to simply trying to use the bathroom. The ER doctor gave me a pregnancy test - which came out negative. After that he basically said there wasn't anything he could do for me.

I went to my follow up the next week.  By this time the cramping I was feeling the week before had stopped.  The doctor that day simply felt around my pelvic area to see if anything was sore. She said she didn't see anything out of the ordinary and sent me on my way.

I shrugged off the cramping and figured I would wait to see if my period would come.

This pass week Oct 24-27 I started suffering from the same sharp painful cramps. Yet again there was no sign of bleeding. This time I went to my usual clinic. They gave me a pregnancy test that came out negative, an annual exam, and a sonogram. They said they didn't see any retained material from the D&C or any back up of blood from menstruation. The doctor on site there gave me a prescription for the birth control pill. I am suppose to start it this Sunday in hopes that it helps jump start my period.

The cramping has died down a lot and by tomorrow or Sat it will probably be gone.

Can anyone give me some insight on what might be going on with me?

[Vestall]

Thank you for your advice..I will see how everything will be in a few weeks time...Thanks a lot... xx

[mhv]

The only thing I have to add to that, is that scarring will not show up on a routine ultrasound.  It can only be detected with an Saline Induced Sonohystogram, or a HSG test.  (where they run the dye through your tubes and uterus).  But I do agree with you that it is wayyyyy to early for Vestall to know/think anything is wrong.  But, I will say Vestall, if time goes on, and you really think something is wrong, and your periords don't return,  be your own advocate.  So many times this is overlooked.  

xo

[PetiteWonder]

9 days passed my d&c.....

and I did go to the ER when this occured.. and they did an ultra sound and I was cleared...  Your follow up care should consist minimally of a pelvic exam and HCG testing.. But a full care plan should include an ultrasound. But I understand sometimes they wont do an ultra sound unless they are concerned there is damage, especially in the states when patients have to pay themselves or their insurance companies do.

[PetiteWonder]

Vestall I wouldnt worry if I were you yet.. It was 9 days passed my miscarriage, the day I cramped out and passed all the blood clots.. My bleeding stopped after 4 - 5days then came back after 7days.. and after the day I passed all the clots, it stopped within 2 days... and iddnt return until my period returned.  So what you are going through sounds normal and your cramping has stopped.  If you do not have a follow up appointment with your doctor yet, I would make one for 3-4 weeks post d&c to be safe.  You period should return by 4-8 weeks.. Average seems to be 6 weeks.  If it doesnt return by 8 weeks, I would contact your doctor or if you start to experience any extreme cramping, have a foul smelling discharge, or start passing clots bigger than a golfball (grape size clots are considered normal for the most part). Another big thing to watch for is a fever.. generally if you get an infection, you will get a fever

[Vestall]

I wanted to join here as well...Because I am started a little bit worried as well.. But I think its to early for me to decide that its something wrong...Maybe I need just a little bit support..
I had DandC just 10 days ago..I had a little bit spotting, but no bleeding, just a little bit yesterday and stoped again..I had a little bit of cramping for a couple of first days, not any more...Is this normal? When I should start worried?

[mhv]

Please post what your Doc says.  And please, do not hesitate to email Dr. March!!!  He WILL answer! and he WILL NOT Charge you!!!!!!!!  Kris will tell you he is a Godsend, and a wonderful source of information!!!!  I promise you, you will not be bugging him, or stepping out of bounds in any way!  I promise!!!!  He is a Wonderful man!!!!  Email him!