Miscarriage at 4 wks 4 days!

Jessica 👧👦👧👼
Started spotting yesterday, went to ER and it became like a period. Ran blood test and ultrasound. They didn't see a pregnancy at all in my uterus and my hcg levels were 18 from what the dr said. He wants me to go back tomorrow for a repeat hcg test. But I've been cramping and bleeding more since I left the ER last night. Do I have to have a D&C or can this just pass naturally? I'm devastated and just hurt. Tried 8 almost 9 months to get Pregnant. Got BFPs from 7 test and then this. 😢 The Dr's response was you have the rest of your life to get pregnant again and you already have children so be grateful. I was angry when he said that then my DH said almost the same exact thing! Ughhh! Men just don't understand the toll and heartache we go through in this entire process.