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You may have retained products of conception (RPOC) — tissue left behind in your uterus after a vagin*l birth, cesarean section, miscarriage or a terminated pregnancy. It’s important to get these leftover tissues out as soon as possible, so you can feel good again and lower your chances of having trouble with any future pregnancies you may want.
You can count on the dedicated Ob/Gyn specialists at Cleveland Clinic for a quick diagnosis and personalized treatment. We take the time to get to know you and understand your health and fertility goals. Working together, we’ll help you get the care you need.
Why Choose Cleveland Clinic for Retained Products of Conception Care?
Convenient care:
Your time is important. We diagnose and treat you in the same location. When possible, we coordinate your appointments with different providers, so you don’t have to come back for additional visits.
Trusted experts:
Our gynecologists and gynecological surgeons are award-winning experts. They’re recognized for their expertise in minimally invasive procedures like hysteroscopy and laparoscopy. We’re often asked to present at conferences and contribute to medical textbooks. Meet our team.
Virtual visits:
Not all appointments have to happen in person. Sometimes you can meet with your provider from the comfort of home with a virtual visit. All you need is a smartphone, tablet or computer to take advantage of this safe, convenient and easy alternative to an office visit.
National recognition:
Cleveland Clinic is a trusted healthcare leader. We're recognized in the U.S. and throughout the world for our expertise and care.
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Retained Products of Conception Diagnosis at Cleveland Clinic
The diagnosis process starts with a conversation. We want to hear what you’ve been feeling and your experience. Because the symptoms of RPOC are similar to other health issues you might have after a pregnancy, we may use these exams and the latest imaging tests to confirm a diagnosis:
- Human chorionic gonadotropin (HCG) test: This blood test measures how much HCG hormone you have in your blood. You’ll have high levels of HCG with RPOC.
- Transvagin*l ultrasound: Your provider puts an ultrasound probe covered with a plastic sleeve and lubricating gel into your vagin*. This test looks for tissue masses in your uterus.
- Color Doppler ultrasound: This ultrasound provides more detail than a transvagin*l ultrasound by changing the sound waves into different colors to show the direction of blood flow. It can show if extra tissue in your uterus still has a blood supply.
- Saline infusion sonography: This special type of pelvic ultrasound uses sterile fluid (saline) to gently expand your uterus so your provider can get a better look.
- Hysteroscopy: Your provider puts a thin tube with a camera (hysteroscope) into your vagin*. The camera takes pictures and sends them to a monitor. The pictures will show if there’s RPOC in your uterus, if you have an infection or other problems.
Providers Who Treat Retained Products of Conception
Retained Products of Conception Treatment at Cleveland Clinic
Our specialists are experts in treating different conditions that cause abnormal uterine bleeding, including RPOC. When possible, we use minimally invasive techniques so that your uterus stays healthy. And we’ll always talk with you about any plans for future pregnancies to make sure we recommend the right treatment for you. Treatment options include:
- Misoprostol: This medication can be given by mouth or through your vagin*. It’s the same drug that’s used in pregnant women to start labor. It can also be used to trigger your body to force out RPOC.
- Hysteroscopy: Often, if your provider does a hysteroscopy to diagnose RPOC, they may take out the extra tissue at the same time so you can avoid a second surgery. Our experts do thousands of hysteroscopies each year, making us experts in this procedure.
- Dilation and curettage (D&C): This minor surgery removes whatever tissues are left in your uterus. Your provider dilates (opens) your cervix and uses a curette (small surgical tool) or suction to remove extra tissue.
Fertility Preservation
When treating RPOC, we always talk with you first about your wishes for any possible pregnancies. Most people who have RPOC treatment can still get pregnant and have a healthy pregnancy. If we think that treatment may impact your future fertility, we work with Cleveland Clinic’s fertility center experts.
Taking the Next Step
When something doesn’t feel right, chances are it isn’t. If you’ve recently been pregnant and think you might have tissues left inside your uterus, it’s important to see your healthcare provider right away. Our Ob/Gyn specialists can let you know what’s going on and treat you quickly. Along the way, we’ll be by your side — answering your questions and supporting you however we can.
