How is threatened miscarriage treated?

Patient's question:

Medical Description: I had my period on July 15th, and then again on July 31st. The bleeding was intermittent and did not stop. On August 10th, I went to the hospital for a check-up. The doctor said it was threatened miscarriage, and my HCG hormone levels were low. The doctor advised not to attempt to carry the pregnancy. They told me to wait for 5 days and then have an ultrasound. If it was confirmed not to be an ectopic pregnancy, it would be possible to perform a D&C (dilation and curettage)! In 2008, I also experienced threatened miscarriage. At that time, I underwent a painless, minimally invasive surgical abortion using hysteroscopic technology. I felt no pain afterward. What should I do this time? Should I have a D&C or a painless, minimally invasive surgical abortion? I’m worried that after the D&C, I might still experience pain for a few days, and the damage might be greater. I’d like to ask the doctor, which option is more suitable, safer, and leads to a quicker recovery?
History of Treatment and Effectiveness: In 2008, I also experienced threatened miscarriage, and at that time, I used

Doctor's answer:

The causes of threatened miscarriage are very complex and mainly include two aspects:
First, related to the embryo, such as abnormal development of the fertilized egg, which is the main cause of early miscarriage. It can also be due to abnormal placental development, resulting from incomplete development of the trophoblast or poor decidual development, leading to miscarriage.
Second, related to maternal factors, such as endocrine disorders, insufficient progesterone, hypothyroidism, and other factors. It can also be caused by systemic diseases in pregnant women, such as pneumonia, influenza, anemia, heart failure, nephritis, hypertension, and some toxic diseases, as well as radiation.
To ensure sufficient kidney qi and vibrant qi and blood, in addition to paying attention to nutrition, you can consciously consume foods that tonify the kidneys and strengthen the spleen, such as Euryale ferox seeds, chicken breast, and seaweed.
Pay attention to personal hygiene: Pregnant women should bathe frequently and change their underwear regularly, but should avoid tub baths or swimming. When bathing, be careful not to catch a cold. Pay special attention to vaginal hygiene—clean the external genital area with clean warm water every night to prevent bacterial infections.
Wishing you good health!

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