Intrauterine tissue 15-50mm
Offer all options of miscarriage
Intrauterine tissue >50mm
As long as no heavy bleeding, can offer all options
If bleeding - surgical management
Infected tissue
Surgical evacuation under antibiotic cover
USS RPOC likely absent
Proliferation or secretory endometrium
<10mm AP dimension
Any echogenic material has posterior enhancement (whiter deep to it=clot)
No specific vessel leading to endometrium on Doppler