Saturday, September 13, 2014

Tilted Uterus and Miscarrying? You Might Want to Skip the Medicated Miscarriage and Here's Why

I like to stay on top of recent first trimester research.  I keep hoping that one day somebody will listen and do a study on the tilted uterus during the first trimester.  We already know on The Misdiagnosed Miscarriage what they'll find.  Women who have a tilted uterus often look one to two weeks behind during the first trimester and are too often misdiagnosed with a miscarriage as a result.

So, it was with some interest I took a look at this study:

Efficacy of misoprostol in relation to uterine position in the treatment of early pregnancy failure

Turns out there may be another problem if you have a tilted uterus.  A medicated miscarriage (where you are given drugs to help along the miscarriage) does not work well with women who have a retroverted uterus. 

I believe this.

Over the years I have had too many women share their 'horror' stories with Misoprostol (Cytotec).  Other women have said, "Aww, it wasn't too bad."   Well, we know that roughly 1/3 of women have a tilted uterus.  We also know that research really indicates that after 8 weeks, a woman with a medicated miscarriage is much more likely to end up with complications.  That rules out a lot of women who should even consider a medicated miscarriage.

I wrote more on this topic here:

Tilted Uterus? If You Are Miscarrying, You May Want to Skip The Medicated Miscarriage.

May want to skip a medicated miscarriage if you:

  • are eight weeks or more along
  • have had any prior uterine surgery including c-section
  • are anemic
  • have a tilted uterus
  • have any sort of stomach or intestinal disease
  • have had five or more births
If your doctor is recommending a medicated miscarriage, please find out if you have a tilted uterus first. 

As always, (((hugs))) to you if you are going through a miscarriage scare right now


  1. Hi, I just wanted to reach out as I am currently terrified. At 5 plus 2
    weeks I started spotting brown blood after having sex.I went to my Dr he felt my tummy etc and said all was soft and that was good we scheduled a early scan for me at hospital 4 days later. At hospital they found empty sac and nothing in it , though they said hcg was good. They brought me back for scan 5 days later . Scan showed sac had grown by half a cm but still nothing inside. Both Dr and nurse commented on my uterus being tilted, nurse had got Dr to help with positioning the wand etc. The didn't take anymore blood tests and They said I will misscarry soon, that was ago. Still nothing other than a wipe of brown blood when I go to the toilet. No cramps or pain. I've an appointment in one week where they will discuss what to do if I haven't miscarried naturally . Am I being completely out of my mind by finding this difficult to believe? Surely the brown blood means something is wrong even though I'm finding this hard to accept ?

    1. I am so sorry you have been going through this scare. A number of things can cause bleeding during pregnancy. It's just so early and hard to tell if this is miscarriage related or not (((hugs)))

  2. * that was a week ago