What tests are needed after two threatened miscarriages?

Patient's question:

I am seeking help because I have experienced two instances of bleeding due to lower abdominal pain, which led to threatened miscarriage, and both attempts to prevent the miscarriage failed. What could be the reason for this recurring phenomenon? In December 2009, I also experienced a similar situation, and due to the bleeding, the doctor recommended an induced abortion. Should I undergo a comprehensive examination to check for deficiencies in antibodies or something similar? Additionally, if I go for a blood test to check hCG, what is the expectation? If I need to have a D&C, which method is safer, considering my age (30 years old) and my fear of it negatively affecting future pregnancies. Thank you!

Doctor's answer:

I am your health advisor. There are many reasons for threatened miscarriage, and it's often difficult to pinpoint the exact cause. Clearing the palace and miscarriage are quite similar, with only one method involved. You don't need to get a blood hCG test right now, as it's not very meaningful. Since you're already bleeding, the likelihood of saving the child is relatively low.
I suggest that next time, when you are pregnant in the early stages, especially during the first three months, you should rest as much as possible and try to stay at home. Pay attention to your diet and avoid sexual intercourse. Go to the hospital for prenatal check-ups at irregular intervals.

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