Hi there, I had medical management starting on Thursday last week, I was just under 8 weeks and had one sac which appeared empty and another possible smaller one which had some cells in (could have been twins but will never know now

)
In answer to your questions, I presume the same treatment is used for everyone? I had an oral tablet which I had to have given by the nurse, just called in to the EPAU and took it, then 36 hours later I had to go into hospital where they inserted 4 small pessaries to start my contractions, 6 hours later I had the same drug but in oral tablet form (2 tablets)
I stayed in hospital for 4 and a half hours as I was scared what the pain and bleeding would be like and the hospital is a long way from my house - but I could have gone home after the pessaries if I had wanted to and they would have given me the oral tablets to take with me.
I felt better at home as although I had a private room with its own bathroom I just wanted to be in my own home. The bleeding was quite bad, with lots of clots which was quiet upsetting, they check each one to see if you have passed the sac and I didn't so I am hoping it has broken down and come out since?! The pains were very similar to labour pains, I didn't have any painkillers for a few hours and when I did they didn't work but once I got home I used a wheat bag heated in the microwave and that was quite good, the pains lasted for the duration of the drugs - 12 hours in total but were not unbearable. I have read some peoples accounts of their experience and they have only had short periods of contractions though so am thinking I was just unlucky!!
I have to wait 3 weeks for my hormone levels to get back to normal and take a pg test, if it is negative then it was successful and everything is gone but if positive it means there is some tissue left and I will prob need a D & C
Hope that helps you to decide xx