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Is D&C The Right Treatment For Retained Products Of Conception?

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Posted on Mon, 30 May 2016
Question: I was 10 weeks pregnant and had a missed miscarriage at 8 weeks. I took misoprostol yesterday to start the process. It started to work after 2 hours and after 14 hours of heavy bleeding and passing clots and tissue I was told today that the sac has passed but shows Heterogeneous thickening of the endometrium measuring up to 2.6 cm and is suspicious for retained products of conception and that I should proceed to have a D&C tomorrow. Can't I just wait to see if everything improves with time? Is the D&C a must?
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Answered by Dr. Deepti Verma (14 minutes later)
Brief Answer:
No need of D&C urgently

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
Ultrasound to check for the retained products of conception should be done at least14 days after taking misoprostol.
Since you have taken misoprostol yesterday, the abortion process is still in process, and hence the endometrial lining will be thick.
I will suggest you to wait for a week and then repeat the ultrasound.
If still the endometrial lining is more than2.5 cm, then you should go for D&C.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Deepti Verma

OBGYN, Maternal and Fetal Medicine

Practicing since :2009

Answered : 5064 Questions

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Is D&C The Right Treatment For Retained Products Of Conception?

Brief Answer: No need of D&C urgently Detailed Answer: Hi dear, I have gone through your question and understand your concerns. Ultrasound to check for the retained products of conception should be done at least14 days after taking misoprostol. Since you have taken misoprostol yesterday, the abortion process is still in process, and hence the endometrial lining will be thick. I will suggest you to wait for a week and then repeat the ultrasound. If still the endometrial lining is more than2.5 cm, then you should go for D&C. Hope you found the answer helpful. Regards Dr Deepti Verma OBGYN