hi and thanks for the query, it would be appropriate to get a proper clinical evaluation. However, its appropriate to do a control ultrasound to know if the uterus contains any tissue in the uterus. if it contains tissue without any heart beat, this could imply the fetal material is not vital. this might require evacuation. in your case, if you are noticing blood already, this could be an indication of a miscarriage. monitoring could be appropriate to know if the is completely evacuated or not. failure could lead to prolonged bleeding or infection. aspiration manually might be necessary for complete evacuation. consult your gynecologist for proper evaluation. thanks and best regards, Luchuo, MD