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Confusion with a missed miscarriage

knottieaeb9f22ceb7a1790knottieaeb9f22ceb7a1790 member
in Miscarriage/Pregnancy Loss
My partner and I have been discussing when to start trying to conceive. I currently have an IUD and have since 2019. I had some recent issues with heavy menstrual building (very heavy especially as I usually do not have a period at all) and a series of internal ultrasounds revealed a uterine polyp or fibroid, as well as thickened endometrial lining. I was scheduled for a hysteroscopy, polypectomy, and d&c, which I had last week. They replaced my IUD for the time being as well while we still figure out our timing for starting a family. My provider called me several days ago to let me know that when the polyp was biopsied, “pregnancy tissue consistent with a missed abortion (miscarriage)” was found. So I had been pregnant despite my IUD at some point, and my doctor isn’t able to estimate when it happened. I feel so confused right now. I scheduled an appointment to talk more with my doctor about this, but it isn’t for several more weeks. A big part of the confusion is literally not understanding this from a biology standpoint, but I also feel so confused about my emotions. I can’t wrap my head around what it means for me and for my plans to have a baby moving forward. Has anyone experienced this before? Can anyone share any knowledge about the clinical/medical meaning of this, or share their experience of handling a missed miscarriage?
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Re: Confusion with a missed miscarriage

  • pathwhitpathwhit member
    Your recent bleeding may have been the miscarriage, which is considered “missed” because you did not know you were pregnant and presumably you did not see a gestational sac or fetal tissue pass when you were bleeding. The general thought in medicine is that a lot of women probably have missed abortions and never have any clue- they just think they’re having a heavy period and it may not even be late.
    It is rare, but possible, to become pregnant with an IUD. Now, it is possible that the IUD was what ultimately led to the miscarriage (it may have gotten in the way during implantation); however, it is also possible that the miscarriage was due to any of the many other reasons that people miscarry and the IUD had absolutely nothing to do with it. Many people who get pregnant with IUDs carry to term. This particular situation with the IUD really should not have any effect on your ability to get pregnant in the future. I hope this helps.
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  • froggerbluefroggerblue member
    I'm a bit confused about the response you got.

    A missed miscarriage is called that way because the embryo was dead in utero but your body never evacuated it by itself. This is actually common. 

    Also, your IUD didn't cause the dead of the embryo. People who get pregnant with an IUD can give birth successfully. It happened two times to my friend. The embryo was probably non-viable because of chromosomal abnormalities. It's the most frequent cause for miscarriages. And 1/4 pregnancies end in early miscarriage. Just know you did nothing wrong.

    From my knowledge, but I'm not a medical professional, the procedures you named shouldn't have had an impact on your chances of getting pregnant in the future.

    I hope your doctor was able to alleviate your fears and answer all your questions.

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