Is it possible to have a missed miscarriage after not experiencing any early pregnancy symptoms for 52 days?

Patient's question:

I went to the hospital on October 7th for an hCG test. Two days later, on October 9th, the results showed an hCG value of 47,600 and a progesterone level of 70. On the same day, an ultrasound examination revealed a visible 2.9 cm gestational sac, with a fetal pole measuring about 0.5 cm. A heartbeat was observed, indicating an intrauterine viable pregnancy.
From October 2nd to before October 14th, I still had early pregnancy symptoms, but they were not severe—just dizziness, nausea, and fatigue. The nausea wasn't intense, but the smell of food made me a bit uncomfortable. However, after October 14th, the early pregnancy symptoms disappeared, and my chest no longer ached, though it still felt slightly tender when touched.
I want to ask if there is a risk of miscarriage?

Doctor's answer:

Analysis of the condition: It's not necessarily that the absence of early pregnancy symptoms will lead to fetal demise. In fact, early pregnancy symptoms themselves may gradually disappear before 4 months, as the body may not show a significant response to hormones.
Recommendation: It's not necessary to worry excessively. If you're still concerned, you can have an ultrasound performed.

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