To discuss the management options of retained products of conception (RPOC) with increased vascularity where simple dilatation and curettage may lead to life threatening haemorrhage and endanger the life of the patient. We present a series of three cases that had RPOC with hyper vascularity and were managed with different approaches. A brief review of management options is discussed. Out of three cases of RPOC with hyper vascularity, two cases underwent hysterectomy and one case was managed with methotrexate. From our study and review of literature, we conclude that evaluation of vascularity in all cases of RPOC is mandatory prior to Dilatation&Curettage in order to avoid the dreaded complication of massive haemorrhage.

Keywords: Retained products of conception, increased vascularity, Doppler study, management options