Is it a miscarriage? How should I determine?

Patient's question:

I had my period on March 5th, and on April 12th, I started experiencing a small amount of vaginal bleeding. On April 17th, I had an HCG test and ultrasound at the hospital, which both showed that I wasn't pregnant. By April 29th, the bleeding suddenly increased significantly, and there were blood clots left behind. On April 30th, I went to the hospital for another ultrasound, but the uterus was not found, although the urine test was positive. Am I having a miscarriage?

Doctor's answer:

Based on your situation, it is considered pregnancy. Generally, a result below 50 indicates pregnancy. Your condition may also involve a recurring threatened miscarriage, which is a sign that the gestational sac is not visible inside the uterus. It is recommended to wait and see first, and then have a follow-up ultrasound in one week. If there is any residual tissue, a D&C procedure may be necessary. Maintaining good hygiene in the perineal area is very important. In addition to treatment, it is essential to maintain a positive mood in daily life, as a good mood is very helpful for recovery.

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