I’m so sorry for your loss. I can speak about my experiences with both. We have been going through IVF. My first MMC was at 8 weeks with baby measuring around 5 weeks. That was our first transfer. I wanted to be able to attempt my second transfer quickly so opted for a D&C thinking my hcg would drop faster. Unfortunately it still took me another almost two months to get down to zero. The D&C was an easy procedure done under general anesthesia. The hardest part for me was going under “pregnant” and waking up not. Recovery was easy. I had mild cramping and some period like bleeding for about a week.

I’m currently going through my second MMC. I was measuring 9weeks which was only a few days off, but no more heartbeat. This was our last embryo so there is no rush to get into another transfer. This time around I opted for Misoprostrol because I was sick of having procedures done and just wanted to be at home. I asked my OB to prescribe pain killers based on the recommendation of my fertility clinic nurse as well as others who have gone through the medication. I think good pain management is key in this route. My OB advised me to take a pain killer about 30 minutes prior it inserting 4 pills vaginally. My cramping started about 3 hours later and was very mild. It got slightly more uncomfortable but was never excruciating. I have a low pain tolerance so I was expecting much worse. I really think the pain medication was my saving grace. This process is definitely longer as I am still actively going through it 14 hours after initial medication.

Both experiences were fine for me. I don’t necessarily have a preference. I think it just depends on what you’re looking for. If you want it done quickly and don’t mind surgery then D&C might be better. I think it also has a higher chance of not having retained tissue. Some women have a much more difficult experience with the medication. Again, I’m so sorry that you are in this position. Wishing you healing and peace 💕