Miscarriage/Pregnancy Loss

Misoprostol How to?

Hi everyone,

I have a d&c scheduled for tomorrow and I've been given Misoprostol to take vaginally tonight before bed.  Question is...how?  I have taken vaginal suppositories but those come with a plunger type thing.  This is just a pill, and a pretty big one.  Thank you for any advice you can give.
Married to DH since 8/15
TTC since 5/15
PCOS, 35+, diagnosed with pre-diabetes
TI for 4 cycles: 1 round of femara; 2 rounds femara/ injectables: all ended in BFN. 
3 IUI Cycles: letrozole/Follistim with HCG Trigger,all resulted in BFN.
FET #1: Baseline appt 4/28/16, Gonal-F/Menopur stims, Centrotide 5/4/16, ER 5/11/16; 6/8/16 ET, BFN
FET #2: Baseline appt 6/22/16, Estrace/PIO shots: 7/12/16 ET, 1st beta 7/21/16: 83 BFP, 2nd beta 7/23/16: 315. 1st U/S: 8/4/16 empty sac.  2nd U/S: 8/10/16 yolk sac appeared, everything stopped growing. Office D&C: 8/11/16, MC.
FET #3: Baseline appt 12/28/16, Estrace/PIO shots: 1/17/17 ET, 1st beta 1/27/17: 146 BFP, 2nd beta 1/29/17: 336, 1st U/S: 2/16/17, 2 healthy twin babies measuring 7w0d.  EDD: 10/5/17
Pregnancy Ticker

Re: Misoprostol How to?

  • First, I'm so sorry for your loss. Second, I had miso inserted vaginally when it wasn't working orally. My OBGYN was instructing a resident how to do it and said that it should be placed between the middle finger and pointer finger almost as if you were crossing them (so the pill sits on top of your pointer finger nail and your middle finger holds it down) and then to put it as far up inside you as you can. Hope this helps! Thoughts are with you that everything goes smoothly tmrw. 
  • Thank you @szwill86 that was very helpful!  I'm sorry for your loss as well.  I appreciate the kind words.
    Married to DH since 8/15
    TTC since 5/15
    PCOS, 35+, diagnosed with pre-diabetes
    TI for 4 cycles: 1 round of femara; 2 rounds femara/ injectables: all ended in BFN. 
    3 IUI Cycles: letrozole/Follistim with HCG Trigger,all resulted in BFN.
    FET #1: Baseline appt 4/28/16, Gonal-F/Menopur stims, Centrotide 5/4/16, ER 5/11/16; 6/8/16 ET, BFN
    FET #2: Baseline appt 6/22/16, Estrace/PIO shots: 7/12/16 ET, 1st beta 7/21/16: 83 BFP, 2nd beta 7/23/16: 315. 1st U/S: 8/4/16 empty sac.  2nd U/S: 8/10/16 yolk sac appeared, everything stopped growing. Office D&C: 8/11/16, MC.
    FET #3: Baseline appt 12/28/16, Estrace/PIO shots: 1/17/17 ET, 1st beta 1/27/17: 146 BFP, 2nd beta 1/29/17: 336, 1st U/S: 2/16/17, 2 healthy twin babies measuring 7w0d.  EDD: 10/5/17
    Pregnancy Ticker
  • Loading the player...
  • I'm so sorry for your loss. 

    I haven't heard of taking miso prior to a d&c? I don't understand why that would be necessary? In any case, I have heard that it goes in best if you slightly wet it and then use a tampon to push it in as far as you can. Hope that helps.


    Me: 36;  DH: 38
    DD: 7; DS1: 4; DS2 due 6-21-17!
    **TW**
    MMC & D&C Aug 2016
  • I am sorry for your loss
  • @JAGinMI my RE's office doesn't generally do D&C's and they send ppl to the hospital for them but she knew I wanted to have them do it even without pain meds or being put to sleep.  She said the Miso would get things started so that tomorrow the D&C would be easier and maybe more comfortable for me.  
    Married to DH since 8/15
    TTC since 5/15
    PCOS, 35+, diagnosed with pre-diabetes
    TI for 4 cycles: 1 round of femara; 2 rounds femara/ injectables: all ended in BFN. 
    3 IUI Cycles: letrozole/Follistim with HCG Trigger,all resulted in BFN.
    FET #1: Baseline appt 4/28/16, Gonal-F/Menopur stims, Centrotide 5/4/16, ER 5/11/16; 6/8/16 ET, BFN
    FET #2: Baseline appt 6/22/16, Estrace/PIO shots: 7/12/16 ET, 1st beta 7/21/16: 83 BFP, 2nd beta 7/23/16: 315. 1st U/S: 8/4/16 empty sac.  2nd U/S: 8/10/16 yolk sac appeared, everything stopped growing. Office D&C: 8/11/16, MC.
    FET #3: Baseline appt 12/28/16, Estrace/PIO shots: 1/17/17 ET, 1st beta 1/27/17: 146 BFP, 2nd beta 1/29/17: 336, 1st U/S: 2/16/17, 2 healthy twin babies measuring 7w0d.  EDD: 10/5/17
    Pregnancy Ticker
  • @emgem819 I see! Well, good luck today! I hope it goes as smooth as possible!


    Me: 36;  DH: 38
    DD: 7; DS1: 4; DS2 due 6-21-17!
    **TW**
    MMC & D&C Aug 2016
  • Sugargirl1019Sugargirl1019 member
    edited August 2016
    @JAGinMI I've heard of it being used! I just commented on another thread that misoprostol softens the cervix, and can make the D&C easier for dilation.

    Me: 27 years old            DH: 27 years old
    Type 1 Diabetes since 2001, MTHFR hetero A1298T
    Dogs: Raider 4 yrs, Dex 4 yrs
    Married in July 2014
    TTC #1 since late Feb 2016
    BFP #1 3/29/16     MMC: 5/5/16
    BFP #2 7/6/16    SCH, D&C 8/4/16
    BFP #3 12/26/16     EDD: 9/6/17
    My Chart / My Diabetes/Pregnancy Blog
    My Type 1/TTC/Pregnancy Podcast: 
    Juicebox Podcast Episode 118
    A1Cs:
    1/12/16 6.7%
    5/25/16 6.0%
    11/2/16 6.1%
    3/22/16 5.8%
    4/27/17 5.4%
    6/13/17 5.3%
               
    "Sugar Fancy Tutu"
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