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What are the treatment options for RPOC: D&C or wait?

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Patient's Query

Hi doctor,

My wife had a miscarriage in the seventeenth week of pregnancy. The doctor gave her tablets, and the fetus was expelled out naturally. After a week, TVS showed 8 mm RPOC, and after three weeks, TVS showed 3x1x2 cm RPOC. Now she does not have any bleeding or pain. Whether she should go for a D&C to remove it or wait for the next period, assuming it will automatically expel out? Kindly suggest. Relevant reports are attached.

Thanks.

Answered by Dr. Monica Mathur

Education:

MBBS

Professional Bio:

Dr. Monica Mathur is a dedicated obstetrician and gynecologist specializing in women’s reproductive health, prenatal and postnatal care, high-risk pregnancy management, and minimally invasive gynecological procedures. She is also experienced in managing menstrual disorders, infertility evaluations, and menopausal health. Dr. Mathur is known for her patient-centered approach and commitment to providing compassionate, evidence-based care to women at all stages of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have gone through the reports attached. (attachments removed to protect patient's identity)

According to the ultrasound reports, RPOC (retained products of conception) is 12 mm. If it is left behind, it can lead to bleeding or cramping or even can cause infection. I would suggest going for a D&C (dilation and curettage).

Regards.

Thank you

Patient's Query

Hello doctor,

Thank for the reply.

According to reports, the endometrial thickness is 12 mm, and actual RPOC is 2.3x0.8x1.2 cm in the fundus and mid corpus region. For past one week, I am not bleeding. My WBC count is normal, and hCG levels are also normal. What should I do?

Thanks.

Answered by Dr. Monica Mathur

Education:

MBBS

Professional Bio:

Dr. Monica Mathur is a dedicated obstetrician and gynecologist specializing in women’s reproductive health, prenatal and postnatal care, high-risk pregnancy management, and minimally invasive gynecological procedures. She is also experienced in managing menstrual disorders, infertility evaluations, and menopausal health. Dr. Mathur is known for her patient-centered approach and commitment to providing compassionate, evidence-based care to women at all stages of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

The RPOC is 2.3 cm. It is a good sign that you are not having any bleeding and WBC (white blood cells) count is also normal. But even then, in such cases, D&C is advised to the patient. I would suggest you follow the treatment or advice given by your operating gynecologist who has done the abortion. Her decision should be considered as she is more conversant.

Regards.

Thank you

Medically reviewed by Dr. Sneha Kannan
Published At December 6, 2021
Reviewed At March 3, 2026

Education:

MBBS

Professional Bio:

Dr. Monica Mathur is a dedicated obstetrician and gynecologist specializing in women’s reproductive health, prenatal and postnatal care, high-risk pregnancy management, and minimally invasive gynecological procedures. She is also experienced in managing menstrual disorders, infertility evaluations, and menopausal health. Dr. Mathur is known for her patient-centered approach and commitment to providing compassionate, evidence-based care to women at all stages of life.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Monica Mathur is a dedicated obstetrician and gynecologist specializing in women’s reproductive health, prenatal and postnatal care, high-risk pregnancy management, and minimally invasive gynecological procedures. She is also experienced in managing menstrual disorders, infertility evaluations, and menopausal health. Dr. Mathur is known for her patient-centered approach and commitment to providing compassionate, evidence-based care to women at all stages of life.

This doctor is not available for online consultations on the platform anymore.

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