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Hysteroscopic Resection Versus Manual Vacuum Aspiration for Early Pregnancy

A Randomized Control Trial Investigating Hysteroscopic Resection Versus Manual Vacuum Aspiration for Early Pregnancy

Who can join

Ages 18 to 55 · Women

Inclusion Criteria:

* Adult women age 18-55
* Ultrasound Diagnosis of Early Pregnancy Loss
* \< 9 weeks gestational age as determined by ultrasound
* Singleton non-viable pregnancy
* Stated and willingness to comply with all study procedures and availability for the duration of the study
* Provision of signed and dated informed consent form
* Chose a surgical method of management for fetal loss

Exclusion Criteria:

* Pregnancy of Unknown Location
* Current, viable pregnancy
* Prior medical treatment for this early pregnancy loss
* Contraindications to surgical management
* Active infection (i.e. fever, chills, fundal tenderness)
* Pre-existing coagulopathies

About the study

Early pregnancy loss happens when a pregnancy that is not developing properly is found on an ultrasound before 12 weeks and 6 days. This type of loss occurs in about 10% of pregnancies. There are three main ways to treat this: waiting for it to pass naturally, using medication, or having surgery. Surgery is the most effective, working 99% of the time, compared to waiting (80% effective in 8 weeks) and medication (71-84% effective). Currently, surgery involves dilation of the cervix and curettage (removal of pregnancy tissue) with suction provided either from a manual hand-held pump or a machine. For the purposes of this study, a manual vacuum aspirator (or hand-held pump) will be used with ultrasound guidance.

There is also another method called hysteroscopic resection, where the doctor uses a special camera to directly see and remove any pregnancy tissue from your uterus. Patients often want the quickest way to resolve the pregnancy loss, and physicians are unsure which surgical method is the best. It's also unclear if one type of surgery causes less scar tissue inside the uterus, affects the ability to test the tissue for genetic issues, or impacts how soon a patient can start fertility treatments again.

This study aims to find out if hysteroscopic resection provides faster resolution and creates less scar tissue compared to the manual vacuum aspiration.

What is being tested

• Hysteroscopic resection (procedure)
• Manual Vacuum Aspiration (procedure)

Sponsor: University Hospitals Cleveland Medical Center · Participants: 80 · Started: Mar 31, 2025

Contact the study team

• Kylie Phillips · Phone: 216-285-5028

Official record on ClinicalTrials.gov — NCT07088510

Locations in the U.S.

Conditions

• Pathologic Dilatation

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.