mrssmith-so sorry you're having to go through this. Your story is pretty similar to mine.
You may remember that we had IVF in May and got a BFP. However, at the 7 wk scan, we were told that it wasn't looking as far on as I should be and to expect the worst. As is protocol, we also had to go back the following wk for a further scan which showed a very weak/slow heartbeat and a small for dates baby.
I had had no bleeding or pain. They gave us three options:
ERPC-evacuation of the uterus under general anaesthetic
Medical management-tablets followed by pessaries 48hrs later in hospital to induce the m/c
Conservative management-wait and see approach with me coming in wkly for r/v and scans
I opted for the wait and see approach as I'd had a natural m/c before, and I wanted to avoid a procedure and also wanted to be at home when it happened. The first bad news scan was at 7 weeks, I spotted for 10 days at 9.5 weeks, and finally miscarried at just over 11 wks. I think that's as long as they would have left nature to take it's course, as I'd been booked in for medical management the following weekend if things hadn't progressed.
It's really up to you. Some people opt for ERPC so that it's over quicker. The medical management means you will have to stay in hospital for ~8hrs after the pessaries but they can give you strong pain-killers to help with the cramps. If you wait for it to happen naturally, it can drag things out, but I knew it was the best option for me. It was sore, and I had very heavy bleeding but the worst of it only lasted ~48hrs. I then bled like a period for another couple of weeks or so.
I have since started up my CB fertility Monitor again, and got a peak 15/16 days after the m/c started, so hopefully things are getting back on track.
I wish you all the best, and whatever you decide to do will be the best way for you. It is an awful thing to go through, made even worse after having to go though IVF/ICSI. If you have any questions, let me know.
xxx