Traditional but not well-founded recommendation is to wait 3 months before attempting conception. Having a single spontaneous abortion does not increase the risk of aborting the next pregnancy. Evaluate couple for habitual abortion if the woman has had two or more successive spontaneous abortions. If the patient is a habitual aborter, obtain antiphospholipid antibody titers. Obtain tissue for karyotyping if possible.
Pelvic pain is generally present.
Rebound tenderness may be present. The uterine size is suggestive of early pregnancy, and the cervix is typically tender on motion. Serum progesterone levels may be used to differentiate intrauterine pregnancies from ectopic pregnancies and pregnancies destined to go to spontaneous abortion. Placenta undergoes trophoblastic proliferation and typically resembles a cluster of grapes. Hydatidiform moles are associated with hyperemesis gravidarum and the onset of preeclampsia before the third trimester.