Is a D&C necessary after a natural miscarriage at one and a half months of pregnancy?

Patient's question:

I had a natural miscarriage when I was more than one month pregnant. It might be because the fetus itself did not develop well. Is it necessary to have a uterine clearance in this case?

Doctor's answer:

In the case you mentioned, it depends on how much residual tissue remains in the uterine cavity after a natural miscarriage. Therefore, it is essential to visit the hospital promptly for a color Doppler ultrasound. If there is residual tissue in the uterine cavity but it is small in volume, you can persist in taking a few days of blood-stopping medication orally. If the residual tissue is large in volume, a uterine clearance procedure will be necessary. If this is your first recurrence of a natural miscarriage, it should not be a major issue. However, if you have experienced two or three consecutive miscarriages, it indicates habitual abortion, and you will need to undergo a comprehensive and thorough examination at the hospital.

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