What is the first treatment tried for miscarriage?

Bleeding or pain in early pregnancy does not by itself confirm a miscarriage. A transvaginal ultrasound helps assess the pregnancy location, development and whether pregnancy tissue remains in the womb. Blood tests and a repeat scan may be needed when the findings are not yet clear.

Once the diagnosis and clinical situation are understood, the options are usually waiting for the tissue to pass naturally, medicine to help the womb empty, or a procedure to remove remaining tissue. The appropriate choice depends on bleeding, infection, pain, scan findings and personal preference.

Follow the assessment team’s instructions and tell them your blood group, medicines, previous pregnancy history and any change in bleeding or pain. Rest as needed, use sanitary pads so bleeding can be observed, and avoid putting anything into the vagina until a clinician advises that it is safe.

You can read about [Transvaginal Ultrasound](/treatments/diagnostics-and-imaging/transvaginal-ultrasound/), [Medical Management of Miscarriage](/treatments/medical-gynaecology/medical-management-of-miscarriage/) and [Surgical Management of Miscarriage](/treatments/gynaecological-surgery/surgical-management-of-miscarriage/).

Get urgent help for heavy bleeding, faintness, severe or one-sided abdominal pain, shoulder-tip pain, fever, worsening illness or foul-smelling discharge. These symptoms can signal blood loss, infection or a pregnancy outside the womb and need immediate assessment.

Ask what the scan shows, whether another scan or blood test is needed, which management choices are safe for you, and what symptoms should trigger emergency care.