When will I actually miscarry?

[Tulips410]

I had my follow-up ultrasound just yesterday 9/15. **sigh** I can't believe I will be having another miscarriage, my 3rd.  They said I'm about 6w4d pregnant.  When I was 5w pregnant, a gestational sac was found and a yolk sac was starting to form.  Now, the gestational sac has almost doubled and there is no growth to the yolk sac and it looks abnormal.  They were expecting to see a fetal pole, but it's not there.  The yolk sac is supposed to grow proportionally with the gestational sac, but it's not.  In fact, it looks like it is about to be reabsorbed and disappear.  WHAT??!!  An empty sac???  I've been having nausea all day on a daily basis and had an episode of vomiting last week and it's not a viable pregnancy?!  My stomach is still growing, my breasts still hurt and the constant nausea is draining me and the gestational sac is empty?!  What the heck?!!  My body has not caught on yet that it's not a viable pregnancy and I'm just wondering when will I actually miscarry.  When will it all end?  How much longer with the nausea!  Has anyone taken anti-nausea pills with favorable results?  I'm physically drained, mentally in shock and emotionally numb.  

Has anyone used misoprostol (sp?) to help speed up the miscarriage?

Thanks for letting me vent here.  I figured if there is anyone, it would you guys who'd understand.  Thanks for reading.

[Maddiesmom0801]

I am so sorry to hear this is going on in your life.  As mentioned by the other ladies, every woman's body is different so it varies how your body will respond to medications given to you. With my 1st miscarriage the nausea was what confirmed the pregnancy for me and caused me to buy my first of 20,000 pregnancy tests.  HPT was +, but when I was tested by my MD two days later, it was a BFN. I was so confused.  I told her my symptoms of feeling flushed, horrible cramping that I have never experienced because I don't get menstrual cramps and nausea accompanied by vomiting. Now as a L&D nurse, I know the cramping feeling was not so normal.  At that time I was a nurse on the Telemetry/Step down ICU dept with patients on ventilators, infections and heart conditions.  

Anyway, I really want to be of help to you.  I am going to ask several questions so I can get a better understanding of your history. How far along were you with your miscarriages?  Were they always very early miscarriages like 4-10 wks? How are your progesterone levels in your pregnancies?  Were they above 25 or at least between 10-25?  
I ask all these probing questions because the reason for my miscarriages were low progesterone levels.  My progesterone levels were never above 4.3.  This is extremely low.  Progesterone is what sustains the pregnancy until the placenta takes over at 12 wks. I requested Prometrium from my MD.  I mentioned it to her because I refused to go through another trial and error miscarriage knowing the progesterone levels were always low. I began taking 200 mg of Prometrium orally twice a day in January 2008 because my 2nd and last miscarriage was December 15, 2007.  What I would do is use the OPK and when I detected my LH surge I would begin taking Prometrium 3 days after I saw the "smiley face" on the Clear Blue Easy digital OPK.  (The smiley face means that your Luteinizing Hormone surge is detected and you will ovulate within 48-72 hours.)  The reason you begin taking the Prometrium 3 days after the LH surge is because if you take it before this will prevent ovulation.  So, 3 days after the surge you are to start taking the medication and continue taking it until AF shows up.  If AF comes you stop taking it because you know you are not pregnant but if AF does not come continue taking the med because you have been successful.  You take it until you are 12 wks pregnant. I started this in January 08 and got a BFP on 3/9/08.  That was the greatest day of our lives.  But we had another obstacle way different to overcome, but that is another story.  To make a long story short that pregnancy ended at 24 wks and 3 days pregnant due to a cord accident...something that cannot be prevented.  
I gave this same advice to my sister in law because she had a miscarriage at around 7-8 wks. and she got a BFP and it still prego due to Prometrium.  Her due date is March 2009.  I pray this information helps you.  I will pray that you heal quickly and are one step closer to that BFP that remains for 9 months.
-Maddiesmom0801

[boogie21]

i am 35yrs old and its my second miscarriage . mine was recently on 9-5-08 and i was 5 months preg and fetus stoped growing at 14 weeks and i too had grown from my stomach and had terrible nausea, i went in to hoptal to get induced to have it naturally and i feel normal now, dr said that i felt so bad due to baby making my body feel toxic, im so sorry for ur lost... i know u must want to try again but  i carryed 3 weeks w fetus dead and it didnt happen so thats why dr induced. hope my situation will help u some,,,

[amelia09]

I'm so sorry for your loss, I also found out 9/15 that my pregnancy was not viable, this is my fourth miscarriage.

Like adgal, I walked right out of the clinic on Monday, I was too distraught to discuss options  She is right... you do not have to decide right this minute.  

My first m/c, I found out at 11-12 weeks that the embryo had stopped around 7-8 weeks.  I never had any m/c symptoms.  I had a D&C 'cause it had already been 4 weeks and nothing happening.  The last 2 I also had a D&C, probably 1-2 weeks after I was diagnosed with a non-viable pregnancy.  Although the D&C's weren't comfortable, I did not have any pain afterwards and only minor bleeding.

If you are having such strong symptoms, yes, your hormone levels are likely still high and may take a while to drop so your body can get back to normal.  If you are in emotional stress and cannot fathom waiting weeks (or more?) to m/c naturally, you may want to talk to doc about D&C.

I actually have yet to talk to my doc, I am actually concerned about a 4th D&C.  But my past history is that my body doesn't reject it, waiting weeks or more may distress me further and keep me from moving on.

Again, really sorry about this, I do feel your pain and right now.  Please take care.

[prevatt77]

Again, so sorry for your loss.  It sounds to me that your having a blighted ovum.  I took misoprostol with my first miscarriage and it worked fine, it passed within 8 hours.  My doctor told me to place the pills into my vagina and it would happen.  I felt nothing, I was 8 weeks pregnant.  I went to the bath room and felt/heard it drop out.  But, it's whatever works best for you.

Good luck to you!
Debbie

[adgal]

Sweet lady, I am so sorry you are experiencing this again.  I understand the pain and the difficulty in accepting.  One of mine was diagnosed only through ultrasound without symptoms, and its hard to accept.

First thing is, you do not have to make any decisions right now.   The first time this happened to me, I actually walked right out of the hospital.  I needed time to deal with it before I made any decision at all.  It is fully within your right to request a second ultrasound. Also, having them draw blood for HCG 48-72 hours apart is also ok.  It does sound like a loss, but I know when I had them do this it really helped remove all doubt from my mind.  I didn't want to be left wondering or worrying about misdiagnosis, etc.  When I had the 2 ultrasounds with no change, and saw the HCG drop, it helped a lot in making my decision.

The symptoms are still there because it takes quite some time for the hormone levels (which cause the symptoms) to get back to normal.  This is probably the hardest part emotionally, I know.  You still feel pregnant and it wrecks havoc on your emotions.

I used cypotec (sp?) the first time, and wound up with a D&C anyway.  It works for many, it just didn't for me.  I had D&C's first and third time as I needed the closure.  You need to take the time to figure out what makes sense for you.  It doesn't really matter what the Dr., thinks (unless its etopic or a life threatening situation), you need to decide whats best for you.

I used tylenol with codeine and gravol after the 2 D&C's, and they helped a lot.  If you are choosing to miscarry naturally, every woman is different as to how long it takes.  I wish there was a cut and dry time frame, but it depends on how long your body takes to recognize the loss..I believe it averages from 2 to 3 weeks.  (or shorter)

My heart is breaking for you right now.  I do know how painful a time this is.  And please, vent anytime, it helps to get those emotions out.  I am thinking of you and sending you a big hug.  All my good wishes and support to you.  Amanda