What does cleaning mean in gynecology. What is cleaning in gynecology. Preparing for the operation
Probably, many women have found themselves in situations where, after examining and examining, the gynecologist says that it is necessary to do a curettage for one reason or another. In the people, such a procedure is often called cleaning the uterus, which quite accurately reflects its essence.
But not every doctor considers it necessary to explain to patients what exactly this operation is and how it is performed, and therefore many women begin to panic as soon as they see the appointment in the map - curettage of the uterine cavity.
But experiences in most cases are simply not justified.
The female uterus is a pear-shaped muscular organ where the development of the unborn child occurs from the fertilized egg. The inner surface of the uterus has a protective layer in the form of a special mucous membrane, which is called the endometrium.
Every month, certain changes occur in the uterine cavity, which are cyclical in nature. At the beginning of each menstrual cycle, the uterine cavity begins to prepare for the reception of a fertilized egg and the further development of the baby, if this does not happen and pregnancy does not occur, at the end of the cycle, the prepared layers are rejected and the woman begins menstruation.
Curettage involves the removal of the functional layer of the uterine mucosa, which is a protective shell, after which the damaged endometrium is quickly restored. With proper cleaning, the growth layer of the endometrium is not affected and due to this, a quick recovery occurs.
Curettage of the uterine cavity can be carried out in two forms:
- Separate, when at the first stage the cervical canal is cleansed, after which the doctor proceeds to clean the uterus itself. The scraping that is obtained during the procedure is sent to the laboratory for histological examination in order to determine the disease or make a more accurate diagnosis. Today, separate curettage is carried out simultaneously with hysteroscopy, when a special optical device is placed in the uterine cavity, which allows you to fully control the cleaning process. This approach to the procedure allows you to make it safer and more convenient, as well as eliminate some possible consequences.
- When cleaning in the usual way, the operation is carried out blindly, which often leads to complications, since the uterus can be injured in this case, which is excluded during hysteroscopy.
As a rule, cleaning the uterus is prescribed 1-2 days before the onset of menstruation, since in this case the restoration of the damaged endometrium is faster and easier.
Indications for surgery
Scraping is carried out exclusively as prescribed by a doctor for the purpose of diagnosing or eliminating certain diseases.
The indications in this case are:
- Violations of the endometrium, changes in its structure, detected by ultrasound. Curettage with endometrial hyperplasia and its other disorders is usually carried out for the purpose of diagnosis. Endometrial hyperplasia is said to be in cases where its thickness deviates significantly from the norm upwards. In addition, ultrasound can detect various local formations. In these cases, cleaning the uterus is necessary to make an accurate diagnosis and remove the disorder.
- Polyps on the surface of the uterus. As a rule, during the normal operation, the polyps removed along with the endometrial layer do not reappear.
- Menstrual disorders.
- Prolonged and very profuse menstruation.
- Intermenstrual bleeding.
- Not the onset of a planned pregnancy without obvious reasons.
- The presence of bleeding during menopause.
- Pathological processes of the cervix, especially in cases where the doctor suspects that they are malignant.
- Spontaneous. Curettage after a miscarriage is often a necessary measure, since this is the only way to remove all the remnants of the placenta from the uterus, if this did not happen naturally.
- Stopping the development of pregnancy. Unfortunately, not every pregnancy ends in childbirth. In some cases, under the influence of various factors, the development of the fetus stops and it dies. Curettage during a frozen pregnancy is necessary to remove the dead fetus and prevent inflammatory processes.
- The remains of the placenta or ovum after natural childbirth.
- Cleaning the uterus after an abortion.
- The presence of intrauterine adhesions (sinechia).
In addition, the procedure is carried out before many elective operations, for example, before the removal of fibroids in cases where the uterus itself will be preserved.
Complications after surgery
After the curettage, some complications may occur, but they are rare. These include:
- Damage to the cervix, its anguish. Sometimes this consequence is observed after scraping with and the cause of its appearance in most cases is the dismounting of bullet forceps. If the tear is small, no measures are taken, such damage is delayed by itself. A large tear will require one or more stitches.
- Hematometer. After the operation, spasm of the cervix often occurs, which can lead to infection and the onset of the inflammatory process.
- perforation of the uterus. Sometimes during the procedure, with the negligence of the doctor or the inappropriate behavior of the patient (with local anesthesia), the uterus can be pierced by the instruments used. Larger lesions will require additional surgery to close the perforation.
- Inflammation of the uterine cavity. The cause of the appearance of inflammatory processes is usually various violations of the requirements of antiseptics, as well as the non-prescription of antibiotics to a woman after surgery. The onset of the inflammatory process is indicated by the appearance of a high temperature after childbirth or a curettage.
- Causing damage to the germ layer of the endometrium during cleaning. Such a consequence is very difficult to eliminate, it is difficult to treat. Often, it is this damage that causes further problems with the onset of pregnancy, since the damaged endometrium cannot be restored.
- Improper procedure, when the reason for the appointment of the operation, for example, any pathological formation in the uterine cavity, was not completely removed or was partially removed. In such a situation, the woman will need to repeat the operation.
To avoid complications, it is necessary to trust the operation only to a qualified doctor who will do everything not only correctly, but also carefully.
Recovery after a scraping
Within a few days after the operation, a spotting discharge may be observed. Their duration can be different and on average ranges from 3 to 9-10 days.
If there is no discharge, but at the same time, pain appeared in the abdomen, this may indicate that due to cervical spasm, a hematometer has formed. In this case, you must immediately consult a doctor. You can confirm the presence of a spasm with an ultrasound.
To avoid the appearance of hematometers after surgery in the first days after it, you can take No-shpu or its Russian analogue, 1 tablet 2 or 3 times a day.
After the operation, the doctor must prescribe antibiotics, which is necessary as a prevention of the occurrence of possible inflammatory processes. It is not worth neglecting such an appointment after cleaning the uterus.
10 days after the scraping, you need to visit a doctor to get the results of the histological examination of the scraping and discuss their details with your doctor.
It is important to remember that pregnancy after a normally performed procedure can occur within 2-3 weeks, so do not mistakenly believe that curettage will become a temporary means of protection.
Complications during childbirth in this case usually do not occur. If within 6-9 months after such an operation the planned pregnancy does not occur, you need to consult a doctor and undergo an examination.
Violation of the ability to conceive after cleaning the uterus appears in rare cases, but such cases have been noted in medical practice.
The recovery period usually lasts about 14-15 days and some restrictions should be observed during this time, for example:
- You should refrain from sexual intercourse.
- Douching is not allowed.
- Do not use vaginal tampons to absorb secretions.
- Do not administer suppositories without a doctor's prescription.
- You should refrain from any physical activity, especially from lifting weights and working in an incline.
- It is important to observe personal hygiene.
- Hypothermia should be avoided.
- You should refuse to visit baths, saunas, solariums, swimming pools and gyms for 3-4 weeks after cleaning.
- You should not take baths during this period, especially hot ones, as well as swim in the sea or in another body of water.
Compliance with all prescriptions in the recovery period allows you to avoid complications. But you should not be afraid of such an operation, since modern equipment and the qualifications of many doctors allow you to get excellent results from such a procedure without harm to health.
Until a few decades ago, curettage often led to problems with conception or complications in childbirth in the future. Today, such operations often help to eliminate the problems of female infertility and allow a woman to experience the joy of motherhood.
Useful video about the scraping procedure
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The situation when a woman is prescribed an operation to clean the uterus is very common. Almost always, it causes fear and unreasonable feelings, because there are a lot of different rumors about this surgical intervention, which is necessary in order to cleanse the uterus from an unwanted pregnancy or from medical pathologies.
The fear of words such as "we will clean the uterus" uttered by the attending physician comes from ignorance of what this procedure is. This operation, which is otherwise called curettage of the uterine cavity and is prescribed for quite a few medical reasons, raises many questions.
Cleaning: what is it?
Gynecological curettage is a minor operation performed under anesthesia, as it causes discomfort and pain. Such intervention is of 2 types: therapeutic and diagnostic.
Medical cleansing is based on medical indicators. It is performed not only for abortion, but also for ectopic pregnancy or miscarriage, endometritis, fibroids, and to remove polyps.
Cleansing, which is aimed at diagnosis, is used when it is necessary to determine exactly the cause of the onset of symptoms indicating that the woman's genitals have begun to function incorrectly. The material obtained after its implementation is sent to the laboratory for research.
You can learn more about curettage of the uterus from this video:
The best time for this procedure
Such operations are usually done before a new menstrual cycle is due to begin. The only exceptions are emergency cases, such as severe bleeding. This is necessary in order not to interfere with the biological rhythm of the woman's body.
In addition to it, hysteroscopy is performed, which allows the doctor, upon completion of the procedure, to examine the results of the work using a hysteroscope. This device is also necessary to improve the control over the actions of the doctor during the operation.
Hysteroscopy after surgery
Performing a surgical intervention
The operation begins with the expansion of the cervix with the help of instruments or special medicines. After the cervical canal has increased to a size that allows the curette to pass through, the uterine mucosa located in its cavity is cleaned with a sharp side.
As soon as the procedure is completed, the dilators are removed, and the entire surgical field is treated with an antiseptic solution. Ice must be placed on the stomach, as the vessels stop bleeding precisely under the influence of cold.
When the effect of anesthesia wears off, the woman can begin her normal life with few physical limitations. Hospitalization is not required. But to control the postoperative period, specialist supervision is necessary, because the cervix will be ajar for about a month.
The reasons for which the operation is prescribed, and contraindications for it
Such a surgical intervention in the body of a woman is prescribed and carried out both for the purpose of therapy and diagnosis, and for therapeutic indications, which include the following:
- The presence of polyps in the uterus and its neck;
- Development of myoma nodes;
- Hyperplasia of the endometrium and pathological processes in it;
- Incessant bleeding;
- Suspicion of a malignant tumor;
- miscarriage or missed pregnancy;
- Complications after an abortion or childbirth.
At its core, curettage is the removal of the upper layer of the mucous membrane located in the uterus. But it is not always possible to carry it out. This small operation has a number of contraindications.
Curettage during a frozen pregnancy These can be both infectious and sexual diseases that are in an acute form, and periods of exacerbation of their chronic forms. With such indicators, surgical intervention is possible only in the most urgent cases, which include heavy bleeding after childbirth.
Rules of conduct after cleaning
After the cleaning is done, spotting that lasts up to 10 days, which are spotting, is the norm. Their absence is dangerous, indicating a spasm of the cervical canal in the neck.
It is necessary to fulfill all the instructions of the gynecologist in order to avoid possible consequences. Mandatory for preventive purposes is a short-term use of antibiotics that prevent possible inflammation in the uterine cavity, as well as antispasmodics.
All physical activity should be reduced to a minimum. Bed rest is not necessary, but the woman is required to rest after this surgical intervention. Sports, douching, bathing, taking a bath and lifting weights are completely prohibited.
For the next month after this operation, all sexual contacts should be excluded, since the cervix is in a slightly open state, and the use of vaginal tampons should also be avoided. Genitals should be treated daily with antiseptic solutions.
Consequences of cleaning that may occur
Although this operation belongs to the category of the safest, it can cause certain consequences. The most common include such as:
- Infection and inflammatory processes that occur in the genitals;
- Great loss of blood;
- Violation of the menstrual cycle;
- Perforation of the uterine wall.
If, after the curettage, there are no obligatory spotting, and there is pain in the abdomen, you should immediately contact a gynecologist, since the presence of these signs suggests that the cervix has undergone spasm, and a hematometer is formed in the uterine cavity, in which blood fills it. In the event of an increase in temperature, specialist advice is also necessary.
For more information on cleaning the uterus, you can learn from this video:
Reminder for women who have this operation
Cleaning, which is carried out on a planned, and not an emergency basis, requires the woman to follow several specific rules:
- Be sure to undergo a medical examination in order to identify any contraindications, as well as laboratory tests;
- The crotch area and pubis are completely shaved. This procedure is best done on your own at home;
- A long T-shirt should be worn under the gown, and in some medical institutions, socks are also required;
- Do not forget about comfortable underwear, which is simply necessary after the operation, as well as pads. Vaginal tampons are strictly prohibited;
- You should not eat in the morning on the day of the operation;
- In the postoperative period, the obligatory implementation of the therapy prescribed by the doctor is required;
- Sexual relations are excluded for about a month after the operation.
And do not be afraid of infertility, which allegedly occurs after this operation. If it is carried out by an experienced doctor, there will be no negative consequences in the uterine cavity. Pregnancy can occur as early as the first month and proceed normally, without any pathologies.
Curettage of the uterine cavity is understood as a surgical procedure in which the upper layer of the uterine lining is removed. The operation is carried out with special instruments or vacuum. Often, in order to cleanse, you must first expand the uterine cavity with an instrumental or medication method.
Currently, gynecological cleaning is done both for diagnostic and therapeutic purposes. Since general anesthesia is used for the procedure, sometimes hysteroscopy is performed along with it, during which the uterine cavity is examined and, if necessary, curettage of its other sections is performed.
Many women are interested in the cases in which curettage is performed, how long it lasts and how the recovery period goes. Let's consider these questions in more detail.
Types of scraping and indications for its implementation
There are two types of curettage: diagnostic and therapeutic. Diagnostic cleaning of the uterus is done if some diseases of the reproductive system are suspected. It is prescribed in the presence of the following symptoms:
With this type of curettage, only samples of the uterine lining are taken, which are then sent to the laboratory for histological examination. Such an analysis helps the doctor to make the correct diagnosis for the patient.
Therapeutic curettage of the uterine cavity is carried out in the presence of certain diseases. They belong to:
Features of preparation, anesthesia
Cleansing is often done 4-5 days before your period. This avoids large blood losses and shortens the recovery period.
Since curettage is a surgical intervention, some tests must be passed before it is carried out. These include a complete blood count, clotting time, vaginal swab, HIV, hepatitis, and syphilis.
Preparation for the operation includes some other activities. 14-15 days before the procedure, you need to stop taking any medications. If it is impossible to completely refuse, you should consult a doctor who will evaluate all the risks from using a particular drug. After all, there are drugs that can reduce blood clotting, increasing the likelihood of bleeding during surgery.
Preparation for scraping the day before it includes:
- refusal of sexual intercourse;
- conducting intimate hygiene without the use of special means;
- complete refusal of drugs;
- refusal to eat 12 hours before surgery;
- conducting an enema;
- consultation of an anesthesiologist and a doctor who will carry out curettage of the uterus.
How long the operation will last depends on the size of the pathological area. Often, its duration does not exceed 20 minutes. The surgery is done under general anesthesia.
Anesthesia is carried out only by an anesthesiologist. With increased excitability of the patient, several hours before surgery, sedatives are administered intravenously.
Since the operation does not last long, and there is practically no chance of getting the contents of the stomach into the respiratory tract, anesthesia is done while maintaining natural breathing. The patient breathes on his own. She is wearing an oxygen mask. Such anesthesia is called intravenous.
Intravenous anesthesia has a strong sedative effect, causing sound sleep and relieving pain. In Russia, general anesthesia is performed using ketamine, sodium thiopental, propofol. Ketamine is used less and less because it is an old drug that can cause hallucinations. Such anesthesia will cause significant discomfort to the patient. The best choice for today is anesthesia with propofol. The drug has a mild effect, causes light sleep and has virtually no side effects.
Methodology, postoperative period
A speculum is inserted into the vagina to locate the cervix. Then the neck is fixed with special forceps. This is done to keep the uterus still throughout the procedure.
Using a special probe, the doctor passes through the cervical canal, enters the uterine cavity and measures its length. After determining this parameter, the uterine cavity is expanded. For this purpose, special expanders with different thicknesses are used. The doctor alternately inserts each of them into the cervical canal. Such expansion is continued until the diameter of the canal reaches the size into which the curette, a tool for scraping, can freely pass.
Then the upper layer of the lining of the uterus is scraped off. Use the smallest curette. It looks like a spoon with a long handle and one sharp edge. This is the part that cleans up. A sample of the mucous membrane is placed in a special container and sent to the laboratory for histological analysis. With severe bleeding during surgery, a clamp is applied to the bleeding vessel.
In addition to instrumental scraping, vacuum cleaning is carried out. In this case, the mucous membrane of the uterus is sucked in with a special syringe. Vacuum cleansing is less traumatic and can sometimes be done under local anesthesia. Such curettage is often performed after a miscarriage.
After surgery, the woman remains in the hospital. How much time she has to spend in the hospital depends on the complexity of the operation and is determined by the attending physician. Usually a woman goes home after 1-3 days.
In the recovery period, you need to closely monitor body temperature and vaginal discharge. Spotting spotting is considered normal. How long they last depends on the characteristics of the woman's body. The discharge is considered normal for no more than 10 days.
If there is no discharge, but there is pain in the lower abdomen, you should immediately inform your doctor. Similar signs indicate a hematometer - the accumulation of blood in the uterine cavity during its blockage. The cause of this condition is a spasm of the cervical canal.
To prevent the development of hematomas, in the first days after the operation, no-shpu should be taken.
The doctor also prescribes antibiotics. They are needed to prevent infection and inflammation. The labia and vagina should be washed with antiseptics once a day during the entire recovery period.
There are cases when, after curettage, uterine bleeding occurs. In this case, there is a release of copious amounts of blood from the vagina. It poses a threat to life and requires an immediate stop. If the bleeding is not severe, oxytocin injections are given. Severe bleeding may require surgical arrest.
Hygiene must be especially carefully observed if scraping was carried out due to a miscarriage. It is as a result of such cleaning that inflammatory processes often develop. There are cases when, after a miscarriage, a woman becomes infertile, and the reason for this is banal inflammation.
Curettage of the uterine cavity is a surgical procedure in which the top layer of the uterine lining is removed. For anesthesia, only general anesthesia is used. Cleaning is often carried out after a miscarriage, as well as in some diseases of the reproductive system. This is a fairly simple surgical intervention, however, in order to avoid complications, the postoperative period should be under the strict supervision of a physician.
Content
Cleaning or curettage of the uterine cavity is a minor surgical intervention. This operation is carried out for a number of medical indications or for the purpose of diagnosis, in terms of the complexity of its implementation it can be compared with a medical abortion.
Undoubtedly, the need for curettage of the uterine cavity can scare every woman. Nevertheless, modern methods of carrying out the procedure are completely painless and the likelihood of complications with them is minimal. With a favorable outcome, the patient goes home on her own within a few hours. And regular monitoring by your gynecologist will not allow the development of any complications.
Indications
In order to understand in what cases uterine cleaning is prescribed, its type should be determined. In total, there are two types of curettage - diagnostic and therapeutic.
Therapeutic cleaning is prescribed in the following situations:
- with surgical hemostasis (abundant and prolonged bleeding);
- upon detection of placental remains in the uterus after childbirth;
- as a result of accumulation and stagnation of blood clots in the uterine cavity;
- with endometrial hyperplasia and polyps, medical cleaning is often prescribed;
- abortion for medical reasons, for example, in case of fetal pathology or miscarriage;
- after a miscarriage;
- in case of detection of fetal remains as a result of a poorly performed abortion;
- with adhesions and various adhesions in the uterine cavity.
Diagnostic cleaning of the uterine cavity is carried out in the following cases:
- with difficulties with the onset of pregnancy;
- female infertility;
- with too long and heavy menstruation;
- with suspicion of malignant tumors in the uterine cavity;
- with irregular menstruation, constant spotting, intermenstrual bleeding;
- detection of changes in the endometrium on ultrasound also becomes an indication for diagnostic curettage;
- uterine myoma.
There are two main goals curettage: obtaining the material necessary for research (diagnostic cleaning) or removing pathological formations (therapeutic cleaning).
How is it carried out
After conducting all the necessary examinations and collecting tests, the gynecologist determines the need for the procedure.
The cleaning itself takes place mainly under general (less often local) anesthesia, while the patient does not experience any unpleasant or painful sensations.
At the beginning of the procedure, the specialist maximizes the cervix with the help of gynecological instruments. After reaching the required opening, with the help of a spoon-shaped curette, the doctor scrapes the uterine walls.
Tissues that have been excised from the uterine cavity are collected for further microscopic examination.
Alternative to the procedure
Despite the fact that it is the most effective method of dealing with many diseases and pathologies, the operation may carry a certain risk to a woman's health. Therefore, today most doctors turn to this method only in extreme cases, preferring to replace it with alternative methods.
Undoubtedly, with such pathological conditions in gynecology as spontaneous abortion, curettage is the only acceptable method of treatment. And, for example, in case of bleeding, it is much safer and cheaper to biopsy the endometrium, instead of complex and expensive cleaning.
It is carried out directly in the gynecologist's chair, the intervention to which the patient is subjected is minimal. Anesthesia is also not required during the procedure, which will undoubtedly have a more positive effect on health.
In the case of ineffective alternative methods, it is necessary to carry out gynecological cleaning of the uterus.
It should be remembered that not a single method: alternative or curettage of the uterus, saves the patient from the possible occurrence of complications. In the event of which, you should immediately consult a doctor.
Complications
After the operation, it is quite rare, but there may be a number of complications.
- Perforation (rupture of the uterus). During surgery, medical instruments can damage the walls of the uterus. Particularly large injuries require suturing.
- Hematometer. Accumulation of blood clots as a result of cervical spasm can lead to infection. This condition requires additional treatment.
- Inflammation of the uterine cavity. It is believed that insufficient compliance with sanitary standards leads to this complication. The main symptom of inflammation is elevated body temperature after the procedure. The condition is relieved by taking antibiotics.
- Damage to the endometrial layer. A rather dangerous complication that is difficult to treat. Often, the endometrium damaged as a result of curettage cannot be restored.
- Tears of the cervix. The cause of the tear is often the jumped off gynecological forceps. Especially large tears are sutured, small ones are tightened on their own within a few weeks after the operation.
- Bad cleaning. The formations that needed to be removed were not completely scraped off or reappeared. This condition, unfortunately, requires repeated cleaning.
When choosing a specialist who will carry out the operation, you should pay attention to his experience and qualifications. As a rule, competently and accurately performed cleaning by a qualified professional avoids most complications.
signs
If the following symptoms appear after a gynecological procedure, you should immediately consult a doctor. Signs of complications include:
- severe abdominal pain that is difficult to relieve with painkillers;
- nausea and dizziness;
- bleeding;
- weakness, fainting;
- unpleasant, putrid or too profuse discharge.
For quick recovery, as well as as a prevention of inflammation, after gynecological cleaning, antibiotics are prescribed. In order to prevent uterine bleeding, a course of Oxytocin in the form of injections may be prescribed.
Within two weeks after surgery, basic precautions should be observed: avoid heavy physical exertion, the use of tampons, douching and sex.
In this article, we will talk about the well-known medical and diagnostic gynecological procedure - curettage or cleaning of the uterus. We will tell you how the uterus is cleaned, what may be the indications for this procedure, are there any complications after cleaning the uterus, and how to restore the uterus after cleaning.
Cleaning the uterine cavity
Curettage or cleaning of the uterus has been one of the most popular diagnostic methods in gynecology for decades. Curettage can be diagnostic - in order to obtain scrapings - materials for laboratory research, or therapeutic. To date, diagnostic treatment is rarely prescribed. It is increasingly being replaced by safer hysteroscopy, but therapeutic curettage is as popular today as it was in previous years.
Reasons for prescribing a uterine cleansing may include:
- development of myoma nodes;
- pathological processes in the endometrium;
- suspicion of a malignant neoplasm;
- bleeding. In recent years, cleaning the uterus with bleeding is prescribed less and less, but a few years ago this method was quite popular;
- polyps;
- treatment of complications after childbirth or abortion;
- preparation for surgery to remove fibroids.
In fact, curettage is the removal of the upper, functional layer of the uterine mucosa.
If curettage of the uterus is carried out in a planned, and not an emergency, procedure is done before the onset of menstruation. This is done in order to minimize the negative impact of mechanical damage to the uterine mucosa, because menstruation is a process of rejection of the upper layer of the mucosa, which means it is a process akin to curettage.
To improve control over the operation, gynecologists use a hysteroscope, which is inserted into the uterine cavity during the operation.
Cleaning the uterus: consequences
The complexity of this procedure is not only the need for careful and accurate conduct, because the slightest negligence or rudeness can damage the walls of the uterus and lead to undesirable consequences, in particular, perforation of the walls of the uterus. The point is that the uterine cavity is quite difficult to scrape out completely. Some areas remain practically inaccessible for manipulation, and it is in such areas that the development of various kinds of pathological processes is most often observed.
A few days after the procedure, a woman may experience slight bleeding (spotting). They can last up to 10 days. If there is no discharge, but abdominal pain is observed, you should immediately consult a doctor. Perhaps the cervix is spasmodic and formed there - blood has accumulated in the uterine cavity.
There is also the possibility of developing inflammation, myomatous nodes, the development of uterine adhesions or exacerbation of chronic diseases.
If you notice an increase in temperature and pain after cleaning the uterus, consult your doctor.
What to do after cleaning the uterus?
As a prevention of cervical spasm, drotaverine (no-shpa) is prescribed, 1 tablet 2-3 times a day. Also, after the operation, a course of antibiotics is prescribed (not too long). This is done to prevent inflammation of the uterine cavity.
The patient is also shown rest, if possible, it is desirable to reduce physical activity to a minimum.
In general, scraping is a fairly safe procedure, the effectiveness of which has been proven over the years. But, as in the case of any other medical procedures, the most important thing is to choose a highly qualified and accurate specialist for its implementation.
