Some Questions

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Leah261's picture
Joined: 09/14/11
Posts: 1244
Some Questions

I have all of these questions since I've never been through this before and I have no idea where to post them so I figure here is the best place. We're very impatiently waiting to TTC again since my stupid hcg STILL isn't down to where it should be. I guess it could be but I don't get my blood work until Monday so I won't know until then. It was 69 this past Monday so I'm hoping it's back down now. However, I'm STILL bleeding. It hasn't been heavy at all this whole time, but it's been a month since the m/c and I can't believe I'm still bleeding, especially since I had a d&c. Is this normal?

I mean we know I had retained tissue so I suppose it's normal to bleed some. I had almost completely stopped bleeding after passing a few clots with the cytotec and then started having another little gush last night and passed two clots this afternoon which were a decent size. I hope that was the last of it. I am so tired of bleeding. I feel like as long as I'm bleeding there's no chance of O'ing or AF coming any time soon which means every day that I bleed I'm that much further away from being able to try again.

Isn't it true that your cycle can't restart or whatever until your hcg has returned to zero or below 5? My understand is that it has to be back down and then once it is I can expect AF in roughly 4 weeks. Is that right?

I'm still toying with the whole BCP thing. Part of me wants to take it for the guaranteed AF at the end of it and I doubt it would mess me up since I O'd some after come off of it after being on it for a long time. I just don't know though. The doc told me 2 weeks ago to expect AF in 2-4 weeks but that was before we knew I had some retained tissue. So I figured that time frame was out the door as soon as we discovered the retained tissue and the need for cytotec. Does anyone know anything about this? Googling it is just making my head hurt.

FLSunshineMom's picture
Joined: 06/07/06
Posts: 3859

I didn't have a d&c, so I can't speak to that, but with my m/c my bleeding lasted quite awhile. It would taper off to spotting, then just when I thought it had stopped, I'd spot or bleed again, and I think it was about a month for me, too. You can ovulate before your hcg gets down to zero, which I didn't know until the doctor told me, but I would think if you're still bleeding then probably not yet. I don't know for sure, though.

Hope the bleeding stops soon. I know with me it felt like I finally had some sense of closure once the bleeding stopped. *Hugs*

**Tiffany**'s picture
Joined: 11/21/03
Posts: 1230

I have had the same experience as Mary with bleeding, both after a natural m/c and a d&c, that its heavier at first then it tapers down to spotting then starts up again. After my natural m/c I went into the dr 3 days later and they did an u/s to make sure there was nothing left and all they saw was a blood clot medium sized I think. Well I figured I passed that b/c I had heavy bleeding for a solid week and a half then it lightened a little bit day by day and all of the sudden 3 weeks later I feel this big thing plop out of me so I ran into the bathroom and I had passed a huge clot. I wasnt cramping or anything either it surprised the heck outta me. I would say I bled for a month after both m/c, the d&c was lighter definitely though. This time after being induced and giving birth to an almost 14 week baby I have no idea what to really expect. The sheet they gave me at the hospital said to expect bleeding for a week then it should fade to a heavy discharge. My bleeding has been really light, much lighter than after a full term birth, but its still there and its been a week now. I lost a ton of blood during the delivery so I thought maybe it would be gone by now. It seemed to be stopping the other day but it came back again the next. I am with you I just want the bleeding over so I can start ttc again. As far as I know you dont necessarily have to wait 4 weeks for you to O after the bleeding stops. My Mw said to expect AF around 4-5 weeks after my induction. I am supposed to wait two cycles which sucks. But she wants my uterus back to normal and since my m/c was later she thinks 2 months is best. She offered me bcp but I said no I just didnt want to be on them.

jojogun's picture
Joined: 07/17/09
Posts: 561

I was told that HCG has to be at zero for your cycle to start. I had bleeding/spotting/passing clots for over 6 weeks after my first d&c. I was also having my HCG checked every week, it got down to 16 (I think) and I was still bleeding. After they saw the retained tissue & performed the second d&c I spotted a little bit that night & had nothingafter that. AF came exactly 4 weeks after second d&c.
I only had bleeding for about 3 weeks after my natural mc but there were zero complications withthat one. AF came about 7 weeks after I first started bleeding.

AlyssaEimers's picture
Joined: 08/22/06
Posts: 6560

I am not sure about levels, but you can O soon after a D&C. I had a D&C then found out I was pg 4 weeks later, so I must have 0'd two weeks post D&C. I do not necessarily recommend getting pg without waiting a cycle in between mostly because it is good to have a fresh start and because it is hard to know exactly how far along you are. It is possible though.

I do understand the anguish though. Waiting that extra month can be torture. And to the doctors that say wait three months obviously don't understand how impossible that is. My heart breaks for each of you.

Leah261's picture
Joined: 09/14/11
Posts: 1244

I'm thinking of asking my doc's office tomorrow if there's anything they can do to see if I O'd. I had O like pains on Friday...not sure if that's what it was though because I also passed two more clots on Friday. After that though bleeding slowed down severely. Then DH and I DTD for the first time since all of this Sat night and the bleeding stopped and hasn't started back. The cramping has been gone too. Oddly I've been so in the mood which I never am unless I'm O'ing. Not like this anyway. My BBs have also been sore too like they are during the 2WW. So part of me wonders if I O but another part of me thinks it could just all be coincidence because my body has been through so much. I'm still debating the pill and REALLY don't want to take it if I O'd. I wonder if a progesterone test would be accurate enough right now so they would know if I O'd or not or if I would have to have an ultrasound to see? I have no clue. I'm so confused. Hopefully I get some answers tomorrow.

**Tiffany**'s picture
Joined: 11/21/03
Posts: 1230

I wish I had words of wisdom Leah. I think it's certainly possible that you O'd. But it could just be hormones out of whack too I guess. I'm not sure about the prog. test Ive only had one done i think it was cd 20??

Joined: 12/07/10
Posts: 2421

I think it's very possible to have O'd. I had a D&C with my last loss and I spotted/bled everyday until AF showed full force. I O'd exactly 3weeks after the d&c and AF showed 14 days later.

Leah261's picture
Joined: 09/14/11
Posts: 1244

Thanks for all the support ladies! I got some good news today finally. My hcg is down to 29. They think all the tissue is out and that my levels are just going down slowly. They seem to be dropping by about 2/3 every 5-7 days. So the doc is happy with that. I went ahead and started on BCP today. That way I'm guaranteed AF and in about 3 weeks. So we'll be back to TTC then. I'm so relieved and the doc says he thinks everything is just fine and that this is perfectly safe. I just went in his office for blood work but he saw me in the lab and came by to talk to me about everything when I didn't even have an appt. He's such a great doctor. I can't believe we'll be back to TTC in as little as 3 weeks. I feel like I might actually be able to handle this which is really saying something after all I've been through I guess. Smile

**Tiffany**'s picture
Joined: 11/21/03
Posts: 1230

Thats great Leah! 3 weeks isnt long at all! I'm happy your hcg is going down nicely. They arent even checking mine but I'm positive nothing was left behind after thast awful experience. My bleeding is considerably slowed as well it is just rust red/brown spotting. However my Mw wants me to wait until I've had 2 periods to ttc which would be late June sometime. Im going to talk to her when I
go in for my follow up mid May and see if there's a possibility I can start after one period.

Leah261's picture
Joined: 09/14/11
Posts: 1244

I don't blame you. It's so hard to wait. I was so tempted to ask them today if I could have O'd but I figured there was no point since it'd be too late to try anyway and I'd rather have a predictable AF and just be done with it and have things regulated. My bleeding has been brown like that since maybe 4 days after the d&c so we knew it was all old stuff but all the same it gets annoying bleeding ALL the time like that. It's good that you can't have anything left behind. It's just so miserable when an already awful experience is prolonged like that. I hope they'll say it's okay for you to TTC sooner. I feel like I can't begin to really heal properly until we can look to the future more. So I feel better about the future today. Being able to see the light at the end of the tunnel really helps. How are you feeling otherwise? I've had about 3 good days in a row now where I could laugh and not cry or be angry, but it's been a month already for me. I hope you're feeling better and on the mend sweetie!

**Tiffany**'s picture
Joined: 11/21/03
Posts: 1230

I'm doing better. Still have sad moments everyday but I'm not going to my room and crying as much. it seems that something happens to remind me of being pregnant and happier and I just want that back. It's not even that I want to be pg again, though I do, but I just want this to have never happened and still have my baby growing inside of me. That is impossible I know but childishly I feel cheated by what happened. It's just another stage of my grief process I suppose. I am definitely feeling more stable and "with it". Life will go on and I will get preggo again and have a full term baby that is what I keep telling myself anyway.

Joined: 12/07/10
Posts: 2421

"Leah261" wrote:

Thanks for all the support ladies! I got some good news today finally. My hcg is down to 29. They think all the tissue is out and that my levels are just going down slowly. They seem to be dropping by about 2/3 every 5-7 days. So the doc is happy with that. I went ahead and started on BCP today. That way I'm guaranteed AF and in about 3 weeks. So we'll be back to TTC then. I'm so relieved and the doc says he thinks everything is just fine and that this is perfectly safe. I just went in his office for blood work but he saw me in the lab and came by to talk to me about everything when I didn't even have an appt. He's such a great doctor. I can't believe we'll be back to TTC in as little as 3 weeks. I feel like I might actually be able to handle this which is really saying something after all I've been through I guess. Smile

I'm so glad you had a great appointment and that your levels are almost to zero. It does sound like you have an amazing doctor. I wish you the best of luck on your ttc journey and hope that you get a sticky bfp soon! Smile