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To compare short-term fertility rates after medical and surgical management of early miscarriage. Observational cohort study. Academic tertiary-care medical center. A total of 203 patients were enrolled between June 2017 and May 2018, comprising 106 surgical evacuations and 97 medical evacuations. Either surgical or medical evacuation of the uterine cavity. Conception rates 6 months after miscarriage. Conception rates 6 months after miscarriage among women who had attempted to become pregnant were similar between the medically and surgic