Will the hCG of missed miscarriage return to normal?

Patient's question:

I am a 27-year-old female. Thank you for your help. Please take a look.
Incomplete miscarriage, discharged with hCG 1008. After Dilation and Curettage (D&C), 11 days later a follow-up ultrasound showed mixed echoes measuring 0.33.9 cm in the uterine cavity, with hCG 55.26. Then, 22 days after D&C, a follow-up ultrasound revealed slightly stronger echo areas of approximately 3.10.7 cm in the uterine cavity, with hCG 8.77. The doctor said to wait and see for another week. If hCG becomes negative, further D&C may still be needed to clear any remaining tissue in the cavity.

Doctor's answer:

This method is correct because in the case of incomplete miscarriage, even if hCG returns to normal, if there are still remnants in the uterine cavity, it proves that the pregnancy has lost its viability. However, since it is adhered to the uterine muscle wall relatively densely, it is still necessary to undergo a uterine curettage. It is recommended to pay attention to nutrition and rest, maintain a positive mood at all times, ensure sufficient deep sleep, and maintain a regular lifestyle, which is beneficial for physical and mental health.

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