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TTC After a Loss
**winterbride**
Are you around? I saw your page from yesterday, are you here? How are you doing?
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Re: **winterbride**
Hey! I am here! I actually have a couple of questions for you. How was your experience with cytotec and with having a uterine septum? I have a rare condition called situs inversus which makes my OB think I may have a septum.
I am doing pretty well. I am working today so that I can be off tomorrow and at least half a day on Thursday. I am a little nervous about the cytotec. I am planning on taking it first thing in the morning.
Hey there, I'm glad you're around ... I didn't want to go into the whole story if you might not see it! I saw your post yesterday and was going to respond about my experience with the induced m/c, but I hesitated because my experience seems different from most, and right now I am very conflicted over what the best decision in this type of situation is. I'm struggling with information that I've learned recently, so I'm sorry in advance that this is so long, and negative, but I know that I wanted details when I was going through it, so I'll give you as many as I can remember.
I took misoprostal, which I think is the same thing (maybe a generic form?) as cytotec with my first m/c, before I really didn't know anything about all this stuff. I was terrified by the idea of a d&c, thinking that any surgery could pose a risk to my uterus, therefore inhibit my chances of ever carrying a baby successfully, so I went with the medication. My doctor gave me the medication her self, inserting 4 pills (I don't know the dosage). I began spotting within the hour, before even getting home, which from what I have heard is faster than most. I began passing tissue within two hours, and continued for about 24 hours. I bled fairly heavily, similar to the heavy days of af for about two days, then continued to have spotting/light flow. Four days after I had taken the medication, I spiked a fever. It was the weekend and the dr on call told me I would have to come in for an emergency d&c if my fever spiked above 101.7 ... it got up to exactly 101.7, but then I drank some cold water and dressed coolly, and was able to keep in to around 100. I don't know if that was the smartest thing to do, but I was scared and didn't want surgery. My fever went down my Monday morning, and my dr put me on an antibiotic. I assume that I had an infection from some residual tissue in my uterus, but I obviously can never be sure. They told me if I continued bleeding for more than 3 weeks I would start getting my levels checked. I bled for four weeks, but my levels were going down, so the dr wasn't concerned. My levels decrease very slowly. About two weeks after the bleeding stopped, I was at work and had a rush of bleeding, through my clothing (I wasn't execting it, so no pad) and went to the dr. They did an ultrasound and saw nothing, but explained that I probably had some tissue still remaining that just needed to get out, and I was fine. I bled for another two and a half weeks, but it was fairly light and my hormone levels went down. I got my first af about 9 weeks after taking misoprostal, and I bled or spotted almost that whole time.
I wasn't thrilled with the way things had been handled, the drs were very flip about things and I didn't feel like they took it seriously enough. I switched drs and my new ob has told me that their practice does not use misoprostal because of the risks of infection and it is not approved for this purpose. For my second m/c, I had a d&c without too much thought, even though I was very scared. Since then I have moved over to an RE (due to my other uterine issues) and he said that they do use misoprostal, it is a useful medication when used correctly, but does have some dangerous side affects that need to be monitored, and he believes that I should have had a d&c as soon as I had a fever, and if not then, after 3 weeks of bleeding.
Up until last week I would have (and have) strongly suggested against the medication, even though I know some girls have had good experiences, because, as scary as it was, the d&c was just so much easier emotionally. However, my recent surgery revealed a significant amount of scar tissue from the d&c that could affect implantation. I was shocked when the RE told me that it is an unavoidable risk of d&c, some people just tend to "grow" scar tissue easily! Obviously, I now feel so guilty for my decision to make things easier on myself! So, I don't know what the best thing is ... I'm struggling with the unfairness of our options and the choices I have made. Sorry, I think I am only able to point out the negatives of everything right at the moment because of where I'm at.
I think bottom line, like my RE said, the medication is very helpful. But please make sure you monitor yourself very closely and make sure that you feel the drs are on top of everything. There are many women on here that have had good experiences with this medication, so I'm sure that you will too, but if it doesn't work properly, don't be afraid to move on to the next course of action.
As far as the septum ... I had mine removed with the surgery and the RE feels that it was successful. I am very hopeful that now that everything is resolved, my next BFP will have a positive outcome. It was really one of the easy parts, since I was out for the entire thing. The surgery took about a week to get over, and I now feel almost completely better.
Good luck with everything. I hope I didn't make things more difficult for you, but I know that I wanted all of the details when it was me. I think that the medication is your best option, but go into it knowing what to watch for.