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You don't.

A miscarriage is diagnosed when a pregnant woman has bleeding and cramping. Checking the levels of HCG (the pregnancy hormone) and seeing it decline rather than rise is evidence that the bleeding is a miscarriage.

But if the woman has bleeding but never has a pregnancy test then ther eis no way to know if it is a miscarriage.

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14y ago
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Q: How do you know if you misscarried if you dont know your pregnant?
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