Evaluating conservative management for retained products of conception and enhanced myometrial vascularity
Official title: A Prospective Study Evaluating the Impact of Conservative Management on Retained Products of Conception and EMV
Run by Fu Xing Hospital, Capital Medical University · NCT06862089 · Data updated 2026-11-12
This study is testing if gentle treatments for people with leftover pregnancy tissue after a miscarriage can help them recover naturally over two menstrual cycles.
Quick facts
| Study type | Observational |
|---|---|
| Sex | Women only |
| Enrollment | 120 (estimated) |
| Sponsor | Fu Xing Hospital, Capital Medical University Academic / other |
| Locations | 1 site (Beijing) |
| Status | Recruiting |
| Started | October 23, 2024 |
| Main results expected | October 31, 2026 |
| Study ends | December 30, 2026 |
| Registry record updated | June 15, 2025 |
| Trial ID | NCT06862089 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include individuals with a recent history of miscarriage or delivery who are willing to undergo conservative management.
✕Probably not a fit
Patients experiencing heavy vaginal bleeding or those with active infections or severe organ dysfunction may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study aims to assess the therapeutic effects of conservative management on individuals with retained products of conception (RPOC) and enhanced myometrial vascularity (EMV). Participants who have recently experienced a miscarriage or delivery will receive conservative treatments such as mifepristone or expectant management. The study will evaluate the efficacy of these treatments in achieving natural resolution of RPOC over two menstrual cycles. The primary focus is to determine if combining conservative management with EMV can lead to improved outcomes.
Why it matters
Potential benefit: If successful, this approach could provide a non-invasive treatment option for patients experiencing retained products of conception.
How similar studies have gone: While there is limited information on similar studies, the approach of conservative management for RPOC is gaining interest, though its efficacy remains to be fully established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Recent history of miscarriage or delivery (within the past 8 weeks) * Strong willingness to undergo conservative management * Hemodynamically stable * Signed informed consent form Exclusion Criteria: * Heavy vaginal bleeding (requiring immediate surgical intervention) * Active pelvic or systemic infection (e.g., fever \>38°C, elevated CRP/WBC) * Severe dysfunction of vital organs (heart, liver, or kidney) * Known drug allergies or contraindications to proposed medications (e.g., misoprostol intolerance) * Suspected ectopic pregnancy or gestational trophoblastic disease (confirmed by ultrasound or β-hCG levels) * Placenta accreta spectrum disorders diagnosed during current pregnancy * History of uterine artery embolization
Where it's running
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Hysteroscopy Center, Fuxing Hospital, Capital Medical University
Beijing, China Recruiting
Study contacts
- Study coordinator: Rui Huang
- Email: blueberry0801@foxmail.com
- Phone: +86 18610317613
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Drug-assisted expectant care versus surgery for retained products of conception
This project tests whether trying drug-assisted expectant management and waiting for the right time for surgery in people with retained products of conception reduces intrauterine scarring and better preserves fertility compared with immediate curettage.
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Operative hysteroscopy in the operating room versus the outpatient clinic
This will test whether operative hysteroscopy done in an outpatient clinic works as well as when it's done in the operating room for women treated for fibroids, polyps, or retained products of conception.
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Letrozole before misoprostol to help pass a missed or anembryonic miscarriage
This will test whether taking letrozole before misoprostol helps people with a missed or anembryonic miscarriage pass the pregnancy more effectively.
-
Intracervical vasopressin to help hysteroscopic removal of retained pregnancy tissue.
This test checks whether injecting vasopressin into the cervix during hysteroscopic removal helps women 18–51 have complete removal of retained pregnancy tissue.
-
Walk With Me for Perinatal Grief
A mobile app-based program (Along With Me) with or without a Peer Guide is tested to see if it lowers posttraumatic stress and suicidal thoughts in bereaved parents after pregnancy or early infant loss.
-
Optimizing management of precancerous cervical lesions in women with HPV
This study is testing how to better manage cervical lesions in women with high-risk HPV by looking at how these lesions change over two years.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.