“…3 Therefore, the residual uterine cavity is often narrowed after RT, and some patients also suffer from abnormal menstruation. 4 Although dilatation and curettage (D&C) has been performed for early-pregnancy miscarriage after RT, 5 there is concern about damaging the cervical cerclage or the possibility of developing endometritis. Bernardini et al reported that three out of three RT patients with early miscarriage did not need D&C. 5 Moreover, Plante et al reported that among eight patients with early miscarriage, five patients did not need D&C, one needed misoprostol and D&C, and one was treated using misoprostol alone; since one other patient did not abort spontaneously using misoprostol and developed endometritis and placental tissue retention, she needed to undergo D&C and take antibiotics.…”