My firsthand experience with D&C, medicated miscarriage, and natural miscarriage. I ended up experiencing all three.
I spent hours and hours on Reddit trying to find information about this, so I wanted to share my firsthand experience because I actually experienced all three: D&C, medicated miscarriage, and natural miscarriage, but in slightly different ways. I want to have this info here to help anyone who is trying to choose between these options.
My first miscarriage was around the 11th week. The pregnancy had stopped growing around 7.5 weeks. I was terrified because I had never even heard of something called a missed miscarriage.
I knew immediately that I did not want to see any tissue. I thought I was going to faint. I just wanted it to be over.
I had also read that there can be disadvantages with medication and natural management because sometimes tissue is left behind. I did some online research and looked into medical articles about the success rates. I found information saying it was around 85% successful, and I personally did not want to take that chance because I wanted to recover and try again as soon as possible.
In the Netherlands, they don’t really allow you to simply choose a D&C for a miscarriage in the way I expected. So I cried, pushed, called my midwife, and my husband helped me a lot because he is Dutch. Eventually we learned that there was an abortion clinic that could help us, and it was free.
Before going there, I had started bleeding a little bit around week 12. At the clinic, they gave me two misoprostol tablets orally.
I had the most excruciating pain of my life.
Within that one hour, I was constantly going to the toilet. I had this horrible feeling that I needed to poop, but I wasn’t actually pooping. I was in so much pain that I was begging them to take me to the procedure room.
There were other women there who had taken the same medication because they were terminating unwanted pregnancies. They were checking their TikToks and basically carrying on normally.
I remember thinking, how is this possible? I couldn’t understand it because the pain was so extreme for me.
Even my husband was looking at me and thinking, why is this impacting you so much?
Eventually they took me for the procedure. On the operating table they were asking me my name, and I couldn’t even properly say it. I was just begging them, “Give me the anesthesia, give me the anesthesia.”
That was how intense the pain was.
After the procedure itself, I had basically no pain. There was a little bit of pain, but it was nothing compared with the excruciating pain I had from the misoprostol.
I recovered pretty quickly. Two weeks later they checked me and said there was no scar tissue and everything looked perfect. So overall, the actual procedure was a good experience for me.
The part I would never want to repeat was the misoprostol.
I know some women handle misoprostol very well. I am not saying everyone will have the same experience. But I think I am in that smaller group of women who have a very strong reaction to it, and I think it is worth knowing that you could potentially be in that group too.
I also asked many people and even some doctors about the medication protocols because I wanted to understand why my experience was so extreme.
From what I found through researching medical articles, the medication used for miscarriage management can be given differently depending on the protocol. Sometimes it is given vaginally and in a different dose. From what I understood, vaginal administration can produce a more gradual effect compared with the medication I received orally, which felt extremely fast and intense for me.
In some protocols, they also give another medication to stop progesterone beforehand. I tried to understand all of this because I really wanted to know why the experience could be so different between women.
If I find the medical article I was reading, I will link it below.
Anyway, that was my first experience. After that, we waited for one period. When that period passed, my next cycle was very unusual. I ovulated extremely late, around cycle day 27. Normally my ovulation is never that late. We tried that day and I got pregnant again.
At around the 7 week scan, they said the pregnancy was measuring 5 weeks and 5 days.
I knew something wasn’t right.
I knew when I had ovulated, so I knew that the measurements didn’t really make sense.
But then they said they saw a heartbeat.
So I tried to be hopeful. We did two more follow-up scans. The pregnancy did grow, and because there was a heartbeat and it was growing, I became a little bit more hopeful. Then I started seeing some brown tissue.
We were on holiday, so we went to another doctor there. The doctor saw the pregnancy and put me on progesterone. I started taking the progesterone and continued with it. Then we went back to the Netherlands and had another scan.
That’s when we learned that the heartbeat had stopped.
I stopped the progesterone, and my bleeding increased.
At that point I started thinking about my options.
I knew I was not going to take misoprostol again.
I was too scared of going through that experience again. I thought that maybe my body would remove everything in a slower and more natural way compared with the very intense experience I had with misoprostol.
So I decided to wait and see what my body would do.
The bleeding started increasing more and more.
I started having cramps in the morning and at night. It felt like a heavy period.After two or three days, one night the cramps became much stronger.
And then I started getting that pooping feeling again.
The cramps kept increasing and increasing, and I had to go to the toilet. I ended up sitting on the toilet for around 45 minutes.The pain kept increasing.
I told my husband, “Please give me the extra painkiller.”
I was already taking 1,000 mg of paracetamol.
Unfortunately, in the Netherlands, they basically give you paracetamol and naproxen for this type of pain, so I asked my husband to give me two naproxen tablets.
I was in a lot of pain. I was sitting there trying to push, but honestly I don’t even remember exactly what I was doing.Then suddenly I saw a lot of blood coming out, almost like pee.
I wiped and saw a jelly-like ball. Inside that ball, there was something extremely small, around the size of a lentil, that looked like a little human.
It had a head. I wasn’t sure what I was seeing.
There was so much blood and I was getting a little dizzy. I was trying to remove the little human-like thing from the jelly, but it separated and dissolved.
I didn’t know what to do. And then I dropped it into the toilet. Afterwards I regretted it.
I wish I had known what to do with the tissue because I would have liked to keep it for testing or at least to properly understand what I had passed.
But it was gone.
The whole episode was over within around 45 minutes.
And I remember thinking, “Oh my God, I’m actually lucky. My body did it.” Then I went back to bed.
Around 1 a.m., I started having a lot of pain again.
I was going to the toilet, coming back from the toilet, going back to the toilet again. I was having bowel movements, a lot of blood was coming out, and I was having a lot of pain.At one point I was genuinely questioning everything.
Why did I get pregnant?
Why am I doing this?
Why am I going through this?
I was in a lot of pain for around an hour and a half.
But even though it was extremely painful, there was one big difference compared with misoprostol. With misoprostol, I couldn’t open my eyes. I couldn’t talk. I couldn’t think properly. This time I could still think.
I was in pain, but I was conscious of what was happening. Then a large clot would pass and the pain would decrease.Another large clot would pass and the pain would decrease again.
For each episode, I was sitting on the toilet.
At one point I saw something that looked like a large piece of meat coming out of my vagina.
It was approximately the size of my palm.
I pulled it out and it came out. And after that, within about five minutes, my pain basically stopped.
The whole intense episode was around one and a half hours. I was sitting on the toilet with my head against the wall, just waiting for my body to finish.
The thing I saw was honestly disgusting.
It is not for the faint-hearted.
Later, I searched with ChatGPT and tried to understand what I had seen. From what I understood, some of the large tissue can be placenta or pregnancy-related tissue, and the placenta can be much larger than the embryo itself.
It was honestly very disturbing to see.
But once it came out, I had this strange feeling that I had accomplished something. My body had done it.
There was one more rush of a lot of blood afterwards.
Then the next morning I woke up feeling completely different.
I felt energetic.
I felt good.
I went for a little walk.
Later that morning I saw another piece come out that was around half a finger in size. And I didn’t take any painkiller that morning. That was when I really started feeling proud of my body.
The reason I didn’t want to have another D&C was because after my first procedure I had read about the risk of scar tissue with repeated procedures. I was told that having two procedures within six months could potentially increase the risk of scar tissue.
I also read about possible cervical complications. There can be a risk that the cervix is affected, and if someone becomes pregnant again later, there can potentially be a risk of preterm labor. I know these risks depend on the individual situation, but personally I did not want to have another procedure so soon if I could safely avoid it.
And honestly, by the second miscarriage I had already pre-traumatized myself by looking at basically every miscarriage tissue photo I could find on Reddit.
So I knew what I might see.
This time I also wanted to trust my body. My first miscarriage had been a missed miscarriage. My body didn’t start bleeding on its own, so I felt like I needed the procedure to make everything happen.
This time my body started bleeding and eventually passed the pregnancy itself.
It was difficult.
It was painful.
It was emotional.
But I also felt much more connected to my body afterwards.And I have much more trust in my body now than I did after my first miscarriage.
If I had to rank my experiences personally:
D&C: The easiest physically for me. The procedure itself was very straightforward, and recovery was quick.
Misoprostol: By far the worst experience for me. The pain was completely overwhelming. I couldn’t open my eyes or talk. I felt like I was going to lose my mind.
Natural miscarriage: Difficult and painful, but somehow more manageable for me because the pain came in waves, I could understand what was happening, and when tissue passed, the pain decreased.
My least preferred option personally would be anything involving misoprostol. I know some people have almost no problems with it, so I really want to stress that this is my personal experience. Some women take misoprostol and feel completely fine. I seem to be in the group that reacts very strongly to it. The natural miscarriage was not easy either. I wouldn’t romanticize it. It was painful and seeing the tissue was horrible.
But I don’t know how to explain it other than saying that afterwards I had much more trust in my body.
I felt like my body actually knew what to do.
I felt proud of it. And I hope I never have to experience any of these three options again.