Does a threatened miscarriage require a uterine curettage?

Written by Zhang Lu
Obstetrics
Updated on September 18, 2024
00:00
00:00

Threatened miscarriage, as the name suggests, refers to signs indicating a potential miscarriage. Whether a curettage is necessary in cases of threatened miscarriage mainly depends on the pregnancy outcome. For threatened miscarriage, treatment is chosen based on the patient's wishes. If the patient desires to continue the pregnancy and try to preserve it, medication can be used initially for conservation. However, if a woman experiencing threatened miscarriage does not wish to continue the pregnancy, she can opt for artificial intervention to induce the miscarriage. Miscarriage can be induced through oral medication or through a curettage procedure. Thus, curettage is not necessarily required for a threatened miscarriage, and even if the pregnancy is to be terminated, medication can be used as an alternative. Therefore, there is no inevitable connection between threatened miscarriage and curettage.

Other Voices

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
52sec home-news-image

What are some medications for threatened miscarriage to stabilize the pregnancy?

When threatened miscarriage occurs, it is necessary to use medications to sustain the pregnancy. Commonly used medications include the following types: The first type is progesterone medications, which have the effects of stabilizing the uterus and suppressing the immune system; the second type is estrogen medications, which can promote the proliferation of the endometrium, providing a favorable environment for the implantation and growth of the gestational sac; third, traditional Chinese medicine formulations, which also have the effects of stabilizing the uterus, promoting the development of the gestational sac, and reducing bleeding. In addition, it is necessary to conduct examinations based on the symptoms of threatened miscarriage to determine if there are any abnormalities in coagulation indicators. If the threatened miscarriage is caused by abnormal coagulation indicators, anticoagulant medications can be used for treatment.

doctor image
home-news-image
Written by Du Rui Xia
Obstetrics
37sec home-news-image

Can you eat red dates during a threatened miscarriage?

You can eat red dates during threatened miscarriage. Red dates are beneficial for replenishing qi and blood, and they also provide a large amount of vitamins. However, eating red dates alone cannot solve the problem when a threatened miscarriage occurs. It is crucial to visit a hospital for an examination timely. Treatment should be selected based on the examination results. Additionally, it is important to rest, reduce physical activity, maintain a cheerful spirit, avoid excessive mental stress, avoid getting cold, and abstain from sexual intercourse.

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
54sec home-news-image

Can a threatened miscarriage have a transvaginal ultrasound?

Whether or not to perform a transvaginal ultrasound during a threatened miscarriage mainly depends on the symptoms of the threatened miscarriage. A threatened miscarriage refers to the signs of a potential miscarriage, with common symptoms including vaginal bleeding and severe abdominal pain. If there is significant abdominal pain, a transvaginal ultrasound can be performed to determine the position of the gestational sac, or an abdominal ultrasound can also be done. If there is vaginal bleeding, performing a transvaginal ultrasound in this case may aggravate stimulation to the uterus and can easily lead to vaginal inflammation. In such cases, an abdominal ultrasound is generally recommended. Therefore, a transvaginal ultrasound can be performed if there is only abdominal pain during a threatened miscarriage, but it should not be done if there is concurrent vaginal bleeding.

doctor image
home-news-image
Written by Zhang Yin Xing
Obstetrics
57sec home-news-image

What are the symptoms of threatened miscarriage?

Threatened miscarriage primarily refers to the occurrence of a small amount of vaginal bleeding before 28 weeks of pregnancy, often dark red or blood-stained discharge, with no pregnancy tissue expelled. The amount of bleeding generally does not exceed that of a menstrual period and may be accompanied by intermittent pain in the lower abdomen or the sacral area. During a gynecological examination, the cervix is not dilated, the membranes are intact, and the size of the uterus corresponds to the gestational age. After rest or treatment, the symptoms may alleviate, allowing the pregnancy to continue. If vaginal bleeding increases and lower abdominal pain intensifies, and all or part of the pregnancy tissue is expelled through the vagina, a miscarriage that cannot be avoided is considered. In this case, it is necessary to terminate the pregnancy promptly to avoid endangering the pregnant woman's life due to excessive bleeding.

doctor image
home-news-image
Written by Zhang Lu
Obstetrics
51sec home-news-image

Is a threatened miscarriage the same as a biochemical pregnancy?

Threatened miscarriage and biochemical pregnancy are two important terms used to describe the state of pregnancy in early stages, but they are two completely different physiological states. First, threatened miscarriage refers to a situation where an intrauterine pregnancy has been confirmed and the gestational sac is unstable or affected by external stimuli, showing symptoms such as lower abdominal pain and spotting. These symptoms merely indicate signs of a possible miscarriage, and with timely treatment, it is possible to revert to a normal pregnancy. Second, a biochemical pregnancy is a type of natural miscarriage. It refers to early pregnancy where the HCG levels are relatively low, no clear gestational sac has formed, and upon re-examination, the HCG levels are found to decrease quickly, accompanied only by minimal vaginal bleeding.