Blighted Ovum Miscarriage

Eventually, when you have a blighted ovum diagnosed, it will lead to a miscarriage (whether that be naturally or medically induced) as there is no chance of a healthy baby developing. Unfortunately, for some women, this may not happen for some time, for others it may happen quite quickly. It does depend on when you get diagnosed and the circumstances around it – for example if you have gone to hospital to have a scan because you have had extensive spotting or bleeding with some cramps then the miscarriage may happen sooner rather than later because it may already have started.


However, if you just go in at an early stage for a routine scan or for some minor cramps and spotting then you may have to wait a while for a miscarriage to happen naturally. As the body still thinks you are pregnant it may take some time for it to realize that there is no fetus or embryo contained in the gestational sac. In any case, at the 12 week stage, when the body catches up and the placenta starts to take over, the body will start to realize then that there is no embryo (although it is still possible that you may not miscarry naturally at this stage so doctors may recommend a D&C).


A blighted ovum miscarriage can take place earlier than this though and each situation is different. Once you have been diagnosed with a blighted ovum your doctor will monitor you and most of the time it will be up to you to decide whether you wait for a natural miscarriage or opt for medical intervention, although some doctors will try and get you to go down one particular route and many will want you to have a D&C straight away. If you are feeling pressured into one course of action then make sure that you take enough time to come to terms with the decision of how you want to manage your blighted ovum miscarriage.

There are 3 options for blighted ovum miscarriage:

  1. Wait for it to happen naturally in which case you won’t really know when it will happen but your body should be able to do this.
  2. Induce miscarriage with drugs. There are specific drugs that can be given to speed up the process of the miscarriage.
  3. Have a D&C – an operation to remove the lining of the uterus most often done under general anesthetic. You can find more information here. This gives you a quick resolution although obviously mentally it will take a while to heal.
Unfortunately, even if you wait for a natural miscarriage, in some cases a D&C may be required to clean out any left over tissue if it does not disperse by itself. However, many ladies opt to wait for a natural miscarriage and this is the end of their story and no further medical intervention is required. This is more likely to be the case the earlier the miscarriage is diagnosed. It can come to a point though where the mental stress of waiting is worse that the physical pain of a miscarriage.

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