What to expect - medical management

I should be 10+1 but found out today that I’ve had a missed miscarriage at 6 weeks. I have opted for medical management as it’s already been 4 weeks since it technically happened and I wanted some control due to having a toddler at home. I took the first pill at the hospital this afternoon and will be taking the other 4 on Sunday. Would anyone mind sharing their experiences (good or bad) with medical management so I can know what I can possible expect. I am quite anxious about the pain. Thank you ❤️
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Hello, I’m so sorry you’re going through this. I went through medical management about 2 weeks ago. Found out at 12 wk scan that baby had stopped growing at 6 weeks so didn’t feel waiting was going to be much good. Personally I found it to be ok. Not anywhere as bad as I pictured. Pain was fine (but I don’t typically get period cramps). I read a lot of horror stories and it’s good to feel prepared but sometimes it does more bad than good. The nurse explained to me that everyone reacts differently so it’s difficult for them to prepare you for what to expect. I started bleeding on the day of the first pill in the evening. On the next set of pills, I had some cramping starting from about 30 mins and didn’t feel the urge go to the toilet until about 1h30 (if you’re doing the pessaries I was told to stay lying down for at least 1hr). I tried to sleep for as much of it as I could and listened to calm music similar to my birthplan with my son which worked really well for me.

The most intense part was between 4-6 hours. The bleeding definitely caught me off guard. They explain it as a heavy period which I found grossly inaccurate as there were actual gushes of blood at one point sorry if TMI. Make sure you have childcare for the day you do the second pills as it’s just not possible to be juggling both. I felt ok the following day, quite tender but mobile. I would advise to rest for a couple of days after if you can as I think I tried to get back to normality and seeing my son etc but may have been a bit too soon. Feel free to message if you want to talk. 🤍

Thank you so much for your reply. It’s really nice to hear a first hand experience as obviously all the nurses can say is every body reacts differently. I am so sorry for your loss. My boyfriend is off work now for the week for Christmas so luckily he is here for childcare. I feel guilty I probably won’t be able to be present for my daughter, as if she’s with me she always wants me to carry her around which even after the first pill is difficult as I feel quite dizzy and nauseous. Thank you for detail about blood loss. I was more anxious about the pain but it’s useful to be mentally prepared for that too! I assume the most intense blood loss was when passing the pregnancy tissue?

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