Does an embryonic arrest require a uterine curettage?

Written by Du Rui Xia
Obstetrics
Updated on April 07, 2025
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After discovering that the embryo has ceased developing, it is necessary to undergo a uterine cleaning treatment. If an embryo arrest is not dealt with promptly, it can cause an infection in the uterine cavity and even lead to abnormalities in the woman's coagulation function, which is very detrimental to health. However, a uterine cleaning is not always necessary.

If the gestational sac is relatively small, medications can be used to induce contractions of the uterus, facilitating the expulsion of the gestational sac from the body. It is advisable to handle the situation promptly after discovering an arrested embryo and to perform thorough prenatal screenings before attempting to conceive again, to prevent the recurrence of such adverse pregnancy conditions.

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Written by Du Rui Xia
Obstetrics
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Can traditional Chinese medicine be used to regulate embryonic arrest?

After experiencing a case of embryonic arrest, it is crucial to actively investigate the cause, and it is not feasible to rely solely on drinking herbal medicine for treatment. The causes of embryonic arrest can include genetic factors, endocrine factors, immunological factors, infectious factors, and abnormal uterine conditions in women that may also impact embryonic development. However, if the cause is not identified, there is still a possibility of another embryonic arrest in the next pregnancy. Therefore, consuming herbal medicine is insufficient for treatment, and it is necessary to go to the hospital for a detailed examination. After determining the cause, treatment can then proceed.

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Written by Zhang Lu
Obstetrics
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How to preserve a pregnancy after embryonic arrest

Embryonic arrest, also known as missed miscarriage, refers to a condition during early pregnancy where if no fetal heartbeat is detected by ultrasound during weeks 8 to 9 of pregnancy, it should be diagnosed as embryonic arrest. Embryonic arrest indicates that the gestational sac has ceased to live, and in such cases, efforts to preserve the pregnancy are pointless as they are meaningless. However, it is important to analyze the reasons behind embryonic arrest to guide future pregnancies. Common causes of embryonic arrest include abnormalities in chromosomes, infections, immunity, and rheumatological markers. When embryonic arrest occurs, tests should be conducted targeting these indicators to clearly identify the abnormal factors, thereby guiding and potentially increasing the success rate of subsequent pregnancies.

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Written by Du Rui Xia
Obstetrics
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Is it necessary to send an embryo for examination if embryonic arrest occurs?

After fetal growth restriction occurs, it is still necessary to send the fetus for examination after dealing with any abnormalities that arise. There are many factors that can cause embryonic arrest, such as maternal factors, abnormal immune function, and the environment of the pregnant woman. More importantly, factors related to the embryo, such as chromosomal abnormalities in the embryo, are the main cause of embryonic arrest. Therefore, after embryonic arrest occurs, it is recommended to go to the hospital for a fetal chromosomal examination to lay a good foundation for the next conception.

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Written by Du Rui Xia
Obstetrics
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How long does it take for a miscarried embryo to be expelled from the body?

After the embryo ceases to develop, some may naturally miscarry. Others may not be expelled naturally and require medical intervention for removal. After the embryo has stopped developing, the timing of expulsion varies from person to person due to different physical constitutions. Most women can naturally miscarry after the embryo stops developing, typically within about ten days when expulsion occurs. However, some embryonic tissue may be larger and adhere to the uterine cavity, preventing expulsion and causing continuous vaginal bleeding. In such cases, a visit to the hospital for an ultrasound is necessary, followed by medical abortion or a dilation and curettage procedure.

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Written by Zhang Lu
Obstetrics
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Is embryonic arrest related to diet?

Embryo arrest, also known as missed miscarriage, refers to the absence of a fetal heartbeat in the early stages of pregnancy due to various factors affecting the gestational sac. Typically, if no fetal heartbeat and embryo are detected during an ultrasound at about 8 to 9 weeks of pregnancy, it can be diagnosed as embryo arrest. Currently, there are many reasons for embryo arrest in clinical practice, but many pregnant women look for causes in their daily life, such as diet and exercise. However, these factors are largely unrelated to embryo arrest. While diet plays a very important role in human health, the growth and development of an embryo are mainly influenced by its own genetic material, endocrine, and coagulation factors, which are generally unrelated to diet. Therefore, when embryo arrest occurs, one should not look for reasons in diet or other daily life factors; instead, it is advisable to undergo targeted medical examinations to determine the specific cause.