Those who took the misoprostal - a question... Might be TMI

ImJessesGirl

Yesterday, my doctor inserted three tablets of the misoprostal vaginally. It started working pretty immediately... like before I got home I was in a lot of pain. I didn't start bleeding until 5 hours afterwards though. Currently, I am almost 24 hours post application of the drug and I still have not passed any clots. I am experiencing very dark, thick blood though. Should I give it more time or go ahead and call my doctor assuming I'll need another dose?

ImJessesGirl

yes, she prescribed me Dilauded and I took that to manage pain yesterday... sorry I left that out! Right now, I guess I am concerned because I have no more cramps and I still haven't passed any clots.

mflowers929

I would probably call about another dose. My doc gave me enough for 4 doses of 2 pills each, and even though I had cramping and blood after the first dose, I had to take an additional 2 doses in order to finally pass everything. Just a warning, the pain you feel just before you pass the sac will likely be the most intense pain you've ever had unless you've given birth. 20 minutes before I passed it, I was sobbing uncontrollably in pain anf trying to convince MH to call me an ambulance

MrsKush1014

I don't have any experience with Misoprostal, but there is an Advice and Experience sticky on the Miscarriage and Pregnancy Loss board that would have a lot of good information.  {{hugs}} 

CallaLily30

I took this drug with my first mmc.  I did start bleeding within a few hours of taking it vaginally but I did not pass clots until much later than my dr thought.  I took them at around noon on Saturday and I didn't pass the sac until Tuesday morning and the placenta until Thursday evening.  I think my experience was outside the norm but I just wanted to pass it along. 

ImJessesGirl

Ok thanks!!! @CallaLily30 Did you have to have a second dose?

Feegan

I was given two doses (of three pills each) that I inserted on a Monday and then a Tuesday when ultrasound follow up on Tuesday still showed "products of conception." In my case, the two doses alone did not do the job and I ended up needing to get a D&C on that Friday because four long days had gone by and there was still POC showing up during ultrasound follow up. A month after the D&C a hysteroscopy showed 'retained tissue' from the D&C. My case was definitely not the norm, but I can't stress enough to make sure that your doctor is going to do a follow up ultrasound to ensure that the miso worked. Good luck and so sorry for your loss.

CallaLily30

ImJessesGirl said:

Ok thanks!!! @CallaLily30 Did you have to have a second dose?

I only took one dose of 4 pills.

BackstreetPixie

I had a similar situation. (with cytotec)  The first dose gave me cramps but never passed anything. I waited a day, Then was going to call the doc (they called me first) and told them nothing was happening so then they told me to come get a second dose. The second dose worked about 3 hours later.  

Sorry you are going through this. ::hugs:; I know it is hard. 

ImJessesGirl

My doctor told me to call when I felt that it was over to get an ultrasound. I just am afraid that the fibroids are preventing any tissue from coming out.

mpiemont

No advice but sending some love & hugs. I hope you're through with the worst of it and on the road to healing soon!

ImJessesGirl

Ok, so just in case anyone else reads this in the future and is wondering....

I just spoke with a nurse and she told me that the thick, dark red (almost black) blood is a clot, not fresh blood. I was thinking a clot had to be, well, like a chunk (sorry if that's TMI or gross). She said that if the blood is bright red or fresh, then that's a concern because you're not passing anything. The darker it is, that's the tissue you're passing.

rslh10

I agree with @mflowers929‌ about the pain. I had MTX shot, but the pain I had before I passed the sac was so intense and I have a crazy pain tolerance. I had super bad rectal pressure with my mc. I called the dr and they said it was normal. I know I'm not speaking directly about what you have but I was just chiming In about the pain. If I was you, I would call. You'll know when you pass it. Good luck, love!

ImJessesGirl

That's the kind of pain I felt yesterday. Even on pain medication, it was pretty horrendous. I was not expecting pain like that. And then it got worse, lol.

katib77

Not everyone is the same. I had intense pain the few hours after taking four vaginally but then the pain subsided. Many hours later I passed the sac itself and it felt different. Not painful like the cramps that preceded it (i was on the bathroom floor naked moaning and writhing in pain). My passing the sac was like 16 hours after the pills. Nine hours after the worst pain passed, and several hours the bleeding went to just spotting.

rubysi

I am sorry you are going through this. It took about 8 hrs for everything to pass. I took my misoprostal orally. As for the pain I had an extreme reaction to all medication involved and was not able to keep anythjng down. I am glad you got some clarification from the nurse. Hugs.