Gynecological cleaning. Repeated cleaning of the uterus: when it is needed. Period after scraping
Curettage of the uterus is a traumatic procedure for removing the endometrial layer using a loop or other surgical instruments. There is such a procedure for treatment and diagnostics, the first is usually more extensive. But regardless of the type and purpose of the procedure, the recovery period after such an intervention is quite long, and it must be carried out correctly so that there are no consequences and complications. About how rehabilitation takes place after cleaning (curettage) of the uterus, will be described in this material.
Collapse
Period duration
Strictly speaking, such an intervention is not considered a surgical operation, although in fact it is traumatic, and during it an extensive wound surface is formed. For example, after scraping to remove cysts or with endometriosis, almost the entire inner surface of the uterus becomes the wound surface, since the endometrium is removed from the entire surface.
Scraping
Recovery after curettage has a number of normal characteristics. In case of deviation from the norm, it is recommended to immediately consult a doctor. Normally, during this period, there may be:
- Pain in the lower abdomen due to the fact that the uterus contracts after scraping;
- minor bleeding;
- Sensations of pulling, aching pain in the back.
Such symptoms may be present only in the first few days. If it persists after a week, then you need to see a doctor. You also need to act if there is severe bleeding and excessively intense pain, or a temperature appears after cleaning the uterus.
During this period, it is necessary to reduce physical activity, which will have a good effect on well-being. You can not bathe in the bathroom, hygiene must be observed with the help of a shower. In this case, it is better not to use chemicals for intimate hygiene, drugs administered vaginally, tampons and douches. Avoid overheating - do not visit saunas, baths, solariums, the beach, do not swim in open water and pools, carefully observe hygiene.
Preparations
Treatment after curettage of the uterine cavity involves taking medications. They are not aimed at directly promoting the growth of the endometrium, since this is not necessary - this is a natural process that occurs physiologically. Taking medications is carried out in order to improve the condition and well-being of the patient, avoid relapses of the disease, and also prevent the development of serious consequences and complications, for example, infection.
Antispasmodics
Antispasmodics after curettage of the uterus should be administered with caution. This is due to the fact that after this procedure, the uterus contracts, pushing out excess endometrium and rejecting its remnants. This is a normal physiologically determined process in this situation, but it causes quite severe pain in the lower abdomen, which persists in the first days after the intervention.
It can cause quite severe discomfort to the patient, but it is undesirable to remove it with antispasmodics, because if the uterus does not contract, the healing process may be delayed. In severe conditions, No-shpu and other drugs are prescribed.
Diagnostic curettage
Antibiotics
Antibiotics after curettage of the uterine cavity are always prescribed. They are taken in a course of five to ten days, one or two tablets per day, depending on the selected drug. Depending on the condition of the patient, the course may begin on the day of the cleaning or a day or two earlier.
Why are antibiotics prescribed at all? Drinking them is necessary in order to avoid the addition of any concomitant infection. The fact is that with this intervention, not only a wound surface is formed, but local immunity is also greatly reduced. All this in combination significantly increases the likelihood of infection in the uterus. To prevent this, strong broad-spectrum antibiotics are prescribed, such as Tsiprolet, Ceftriaxone, Amoxiclav, etc.
Herbs
How to restore the uterus after curettage? In general, she is able to recover herself, this is a normal process, similar to the restoration of the endometrium after menstruation, when it is almost completely rejected and renewed. The growth of the mucous layer within the cycle and after curettage occurs under the action of the hormone estrogen produced by the ovaries. The more it is, the more actively the endometrium grows.
Estrogen preparations can cause hormonal imbalance, but the use of herbs rich in phytoestrogens (plant analogues of estrogen) is very beneficial. You can drink decoctions and infusions from a boron uterus and a red brush. The upland uterus after scraping is especially indicated, as it contains more phytoestrogens than other herbs.
Anti-inflammatory drugs
Anti-inflammatory drugs are not always prescribed, but in most cases they are still indicated. They are needed for about the same thing that antibiotics are needed for - they prevent the development of an inflammatory process on the wound surface. Such drugs as Nurofen, Ibuprofen are prescribed, which are taken 2-3 tablets per day for a week, starting from the day of the procedure. For the same period, Diclofenac can be administered by injection. In addition to the direct anti-inflammatory action, they are also good pain relievers.
If a temperature appears after scraping, then this may indicate the beginning of the inflammatory process. Therefore, you must immediately consult a doctor.
intimate life
You can have sex within a week after the procedure, but it is better to coordinate this with your doctor. In addition, if during intercourse the patient feels pain, then you should immediately contact a specialist. It is important to carefully observe hygiene and use barrier methods of contraception to prevent various infections from entering the uterine cavity.
Sport
You can go in for sports as usual about a month after the intervention. At the same time, you can return to light loads, such as gymnastics or aerobics, earlier - after about a couple of weeks. The time to start playing sports should be discussed with a specialist, since a lot depends on the individual characteristics of the body and the speed of healing.
Example of daily routine
For a quick recovery, it is important to properly balance the modes of work and rest. Ideally, you need to sleep at least 8 hours a day, work no more than 8 hours, and rest at least 8 hours. At the same time, if the work is associated with physical exertion, then you need to take sick leave for at least a few days after the procedure. If the work is not hard physically, then, usually, you can return to it the very next day. But this must be agreed with the doctor.
Diet Example
You need to eat natural healthy foods, avoiding fried, fatty and smoked foods. An example diet might look like this:
- Breakfast - yogurt or cottage cheese, egg, whole grain bread, weak coffee;
- Second breakfast - fruit;
- Lunch - vegetable or low-fat meat soup, a side dish of cereals and white low-fat fish, tea;
- Snack - fruit fat, kefir, or yogurt;
- Dinner - vegetable side dish and chicken breast, rosehip broth.
It is advisable to include in the diet foods rich in phytoestrogens - corn, soy, yams.
Pregnancy
Pregnancy after curettage is possible, and often even more likely, if the pathological endometrium was removed during it. Usually, menstruation begins around the third week after the procedure, since during this time the mucous layer of the uterus has time to recover. At the same time, the menstrual cycle is completely normalized and becomes regular after about 4 months. In general, it is possible to plan conception as early as six months after the procedure, but before starting attempts, it is better to consult a doctor.
Intervention progress
Conclusion
Curettage is a traumatic, but necessary procedure. It should not be avoided if it has been prescribed by a doctor, as this can have unpleasant health consequences. Provided that the recovery period is carried out correctly, complications after curettage are extremely unlikely, and this procedure affects health only on the good side.
Often, in order to maintain health and reproductive function, a woman undergoes an operation called diagnostic curettage of the uterus. What is the procedure? How long does the scraping take? In our article we will answer all these questions?
Just want to focus on the fact that this operation is painful. It does not last long, so it is carried out under short-term intravenous anesthesia. Tissue samples obtained during the procedure must be sent for histological examination. Hence the name of the procedure: "Diagnostic curettage of the uterus." It is necessary in order to identify the real cause of the disease. This is especially important if there is a suspicion of an oncological neoplasm that has arisen in the muscle of the uterus or its inner mucous layer - the endometrium. The results of the research help doctors initially prescribe the right treatment or adjust existing medical procedures.
Indications for diagnostic curettage
There are a number of pathologies that are rightfully considered indications for gynecological cleaning or curettage. Among these, we can safely name the following:
The presence of benign neoplasms in the uterus (polyposis formations);The presence of malignant tumors on the cervix, on the endometrium and on the body of the uterus itself;
Presence of heavy and irregular menstruation;
The presence of meager monthly discharge;
The presence of uterine bleeding in the intermenstrual period;
Violation of the menstrual cycle;
endometriosis;
Inflammatory processes in the uterus;
Tuberculosis of the pelvic organs;
Infertility;
Strong incessant pain during menstruation;
Regular pulling pains in the lower abdomen and back.
Here it is worth paying attention to the fact that if necessary, for example, if there is a suspicion of oncology of the cervix, then doctors conduct a separate diagnostic curettage of the uterus. In this case, the inner layer of the cervix is first scraped, and then the cavity of the uterus itself. In both cases, all the material obtained during curettage is sent for histological examination. This is necessary in order to take urgent appropriate measures in the presence of oncology, or to exclude the presence of suspicion in the absence of oncology.
How long does the scraping take? The procedure lasts approximately 15-20 minutes.
How to prepare for a diagnostic curettage?
First of all, we draw your attention to the fact that diagnostic curettage of the uterus is not prescribed without a set of preliminary research procedures. This includes the collection of all necessary analyzes:
general blood analysis,General urine analysis,
Smears from the cervix and vagina,
Blood test for AIDS,
Blood test for Wassermann reaction (syphilis),
Blood for hepatitis B and C.
In addition, the doctor will definitely prescribe an ultrasound examination of the pelvic organs, and, in particular, the uterus. It will not do without a gynecological examination. Actually, these are all preliminary analyzes and studies that take place before diagnostic curettage of the uterus.
At a preliminary consultation before the operation, the doctor will definitely tell you that you should not use vaginal suppositories on the eve of the curettage, that you should not eat breakfast and drink plenty of water on the day of cleaning. In addition, on the day of cleansing, you must do a cleansing enema.
It has already been said above that the procedure is painful, but with the use of modern painkillers and anesthesia, the patient does not feel any discomfort, she just sleeps. The whole procedure takes no more than fifteen minutes, and after its completion, the patient is transported to the ward, where she awakens from anesthesia. Within a few hours after the end of the anesthesia, the patient is allowed to go home. But beforehand, she is given recommendations on what needs to be done in order to avoid postoperative complications. Their strict observance reduces the risk of various postoperative problems at times.
Recovery period rules
One of the main factors of postoperative recovery is strict observance of all the rules of personal hygiene and doctor's prescriptions. A conniving attitude towards one's health during the recovery period can provoke complications and contribute to infection of the pelvic organs. The main rule of the recovery period is not to expose yourself to hypothermia or overheating. Do not swim in open water, do not visit the solarium, sauna, gyms. In other words, for a few days it is worth limiting physical and thermal stress. And the first two to three days after the procedure, you generally need to adhere to bed rest.
Possible complications after diagnostic cleaning
In fairness, it should be said that under certain conditions, after a diagnostic curettage of the uterus, some complications may well develop. This largely depends on how the patient spent the recovery period, and on how experienced the doctor performed the procedure. Among the main, most common complications are the following:
An increase in temperature to 37.5 degrees and above;Constant unrelenting pain in the lower abdomen and back;
Scanty, quickly stopped discharge;
The unpleasant smell of rotten meat, which is acquired by discharge;
Sense of anxiety;
Tears of the cervix.
In the most severe cases, after the procedure, such a terrible diagnosis as infertility can be made. But this rarely happens, especially if you turn to experienced professionals.
If you want to conduct a thorough and comprehensive examination, it would be most correct if you contact our diagnostic and treatment center for help. We have everything you need to quickly restore your health and improve your mood. Our center employs competent professionals, true experts in their field. Under their guidance, you can solve any health problems!
Cleaning of the uterus is performed for diagnostic and therapeutic purposes. During it, the inner layer of the endometrium, located in the uterine cavity, is removed with special gynecological instruments or an installation with a vacuum system.
Other names for the procedure: gynecological curettage or curettage.
Currently, curettage is done under general anesthesia, with the exception of vacuum cleaning of the uterus, it is performed under local anesthesia, as it is less painful. A dilator is introduced into the cervical area, then a curette spoon or a hysteroscope - the last combination allows you to perform the procedure with the highest quality, evaluate its quality in detail and more accurately describe the clinical picture of the disease.
How is the cleaning done
Any cleaning of the uterus - during bleeding, during examination or after childbirth is performed only in a hospital.
The upper layer of the mucous membrane of the uterus, called the functional layer, is removed - the one that is naturally rejected during menstruation. The basal layer is not affected. Intravenous anesthesia is neglected only when the uterus is cleaned after childbirth - due to bleeding or placental lobules left in the uterine cavity. At this time, the cervix is sufficiently dilated so as not to cause pain in the woman.
In other cases, anesthesia is performed even before the introduction of the dilator. Then several probes are introduced into the cavity in turn - they expand the neck to the required size. Direct scraping is carried out with a spoon on a long handle, called a curette. The exfoliated endometrium is sent to a laboratory for examination. If during the diagnostic curettage a hysteroscope is inserted into the uterine cavity, the procedure takes from 40 minutes to an hour; Blind cleaning takes 15-20 minutes.
Cleaning the uterus with endometriosis or suspicion of an oncological process is carried out in two stages - first, the cervical canal is scraped, and then the uterine cavity. All received materials are examined as separate samples.
To clarify the diagnosis, curettage is prescribed in such cases:
- with the appearance and increase of myomatous nodes;
- before operations to remove fibroids;
- to track pathological changes in the endometrium;
- with suspicion of malignant processes.
For therapeutic purposes, the procedure is carried out with such diagnoses:
- to remove polyps;
- elimination of endometrial hyperplasia;
- with the appearance of post-abortion or postpartum complications;
- with profuse bleeding.
If the procedure is carried out in a planned manner, then they try to appoint it before the menstruation should go. Only in this case it is possible to reduce the negative consequences of surgical intervention.
vacuum method
There are 2 types of vacuum cleaning: machine and manual. More often used manually - it is safer.
The procedure is carried out according to the following algorithm:
- The expansion of the cervix is carried out in the same way as with conventional curettage, only local anesthesia is often performed, the patient does not fall asleep;
- After determining the length of the uterus with a special probe, an aspiration tube is inserted into it, attached to a syringe - with a manual method, or an electric aspirator - with a mechanical method;
- When the catheter is rotated, material is collected for diagnosis or the uterine cavity is cleaned.
Indications for vacuum cleaning:
- termination of pregnancy before the term of 5 weeks;
- with spontaneous abortion to remove parts of the fetal egg;
- correction of the error after a conventional abortion - this reduces the risk of damage to the basal layer of the endometrium;
- removal of placental tissues after delivery;
- accumulation of fluid or blood in the uterine cavity with a hematometer;
- uterine bleeding.
You can not use the method when a woman has myomatous nodes, inflammatory diseases of the gynecological organs of infectious etiology, with endometriosis and ectopic pregnancy, if the woman had an abortion or caesarean section less than 8 months ago.
Despite the fact that the vacuum method is considered the most humane, and less injurious to the reproductive organs, the complications from it are similar to the adverse effects that occur after conventional curettage.
These include:
- inflammatory processes;
- perforation of the body and cervix;
- hormonal disruptions;
- secondary infertility.
If a woman has the opportunity to choose a method of scraping, then vacuum is usually preferred. A very important indicator is the answer to the question: “After cleaning the uterus, how many days does it bleed?”. After the procedure, performed with a vacuum, spotting continues from 5 days to a week.
After normal scraping - at least 2 weeks.
The nuances of diagnostic curettage
Since diagnostic curettage is essentially an operative intervention, preparation for it is carried out in exactly the same way as for a conventional operation.
- The patient gives general urine and blood tests;
- makes fluorography;
- the smear results and CITO-diagnostics materials must be indicated in the direction;
- specific - blood for biochemistry, coagulation, group, HIV and syphilis;
- an ultrasound examination is mandatory;
- Might need a cardiogram...
Other tests and studies are at the discretion of the doctor. Surgery is prescribed 2-3 days before the menstrual cycle. Before the operation, you can not eat and drink - already 8 hours before.
Women are warned in advance: within a month after scraping, sexual rest is necessary. When deciding on an operation, women try to find out how long after it the menstruation will begin? After the vacuum method - if there is no hormonal failure, menstruation begins no later than 30 days later.
It is impossible to say when menstruation will come after a manual diagnostic curettage - it depends on the individual reaction of the body to the transferred procedure.
As soon as the bleeding begins, you need to analyze how the menstruation goes. The following are considered abnormal:
- scanty bleeding;
- profuse bleeding.
Abundant is considered menstruation, when the pads have to be changed every 3 hours, or even earlier. Scanty periods of dark color signal the onset of the inflammatory process.
All these signs are a good reason to see a doctor.
The second menstruation should pass without complications and the menstrual cycle is finally restored by 3-4 months after curettage.
In the same way, it is impossible to clearly answer when, after cleaning the uterus, you can become pregnant. It all depends on the reason for the diagnostic curettage.
In case of spontaneous abortion, it is necessary to conduct a thorough examination of the causes that caused such a phenomenon and carry out treatment. It is not rational to become pregnant earlier than after 8-12 months - this can lead to habitual miscarriage.
Diagnostic curettage was carried out to remove the fetal egg during a missed pregnancy.
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 doctor.
Uterine bleeding is a serious health disorder in the female body. With such a symptom, the patient should urgently visit a gynecologist. The doctor in this case must identify the cause of the disease and prescribe treatment to eliminate it. Sometimes the patient needs to clean the uterus with bleeding.
Uterine bleeding: causes
The cause of this kind of violation in women in the genital area are:
- gynecological diseases of various kinds;
- pathological deviation due to pregnancy;
- deviations after childbirth;
- impact on the genitals of mechanical injuries;
- severe disturbances in the work of the hematopoietic system of the body.
What to do?
With uterine dysfunction, it is dangerous to ignore the symptoms and procrastinate. First of all, a woman should pay attention and sound the alarm if:
- bleeding appeared in the middle of the menstrual cycle;
- the discharge is profuse and lasts more than 7 days;
- there is severe weakness, fatigue, chronic malaise;
- there are pains in the form of spasms in the lower abdomen, radiating to the lumbar region;
- the presence of low hemoglobin without specific reasons.
If these symptoms are present, the doctor prescribes a set of measures, depending on the patient's condition. The main task is to stop blood loss and prevent serious consequences. Then the specific reason that served as such a pathology is already revealed. The simplest is the medical method of treatment, but it is used in simple cases. In some cases, a woman needs to clean the uterus during bleeding in order to avoid serious consequences, including death.
Diagnosis of the disease
On examination, the specialist should identify the psychosomatic state of the patient, whether there are hereditary diseases of this kind in the family, what are her working and living conditions in general, as well as the level of physical activity recently. To prescribe competent treatment, the doctor conducts an examination of the patient, attracts narrower specialists to obtain a complete picture of the state of health and identify the cause of this disease.
A number of diagnostic procedures
In order to determine the exact cause of the disease, the gynecologist takes the following measures:
- Examination of the vaginal cavity by a gynecologist.
- Taking smears from the urethra and vagina for microscopic examination of the biomaterial for flora.
- Visual examination by colposcopy of the cervix for the presence of neoplasms.
- Taking a tissue biopsy in the presence of erosion in the cervix.
- Examination of the endometrium of the uterus by ultrasound, radiography.
- If necessary, the uterus is cleaned during bleeding to study endometrial tissues.
- Blood sampling for analysis to identify the hormonal status of the patient at the time of treatment.
Treatment of the disease
Taking into account diagnostic studies, the optimal treatment is selected by the doctor. The approach to treatment should be based on the elimination of dysfunctional abnormalities and the complete restoration of the patient's reproductive system.
Menstrual function in a woman's body is an important manifestation of the full-fledged work of the body as a whole. To improve the functioning of the female reproductive organs, a doctor may prescribe:
- symptomatic hemostatic drugs;
- hormonal drug therapy;
- vitamin complexes;
- aromatherapy and physiotherapy courses;
- acupuncture;
- herudotherapy course;
- surgical impact - cleaning the uterus during bleeding in order to take a biopsy for histological examination.
When prescribing hormonal drug therapy, the patient should be patient. Such therapy is usually carried out for a long time (up to 3 months). Then a break is made and an additional examination is carried out, which will help evaluate the effectiveness of the treatment.
Self-medication is dangerous
Absolutely any uterine bleeding should not be attempted to be treated on its own, it requires a visit to a doctor. Only a professional is able to identify the cause of the disease and most competently build a treatment strategy. The gynecologist takes into account the tests, ultrasound results, examination results, recommendations of other narrow specialists.
If heavy bleeding after cleaning the uterus does not stop during the first 2-3 hours after the operation, then the doctor takes measures to stop it. Therefore, it is important to be in a medical facility for the first 5 hours after the procedure.
It is important to know that ignoring the symptoms, untimely treatment can provoke the appearance of cancer.
Is it possible to do without surgery
Menopausal women often undergo uterine curettage to check for cancer. Young girls who have indications are also subject to this procedure.
Is it worth it to clean the uterus with bleeding? It is impossible to answer unequivocally, a competent doctor should deal with this issue. The procedure is prescribed if the previously tested methods of treatment did not help to completely get rid of the disease. The cause of the disease in young girls is usually internal endometriosis, which is eliminated by curettage. After this manipulation, medications are prescribed to patients in order to prevent relapses. If the gynecologist has decided to prescribe a curettage procedure for the patient, then you should not panic. Unfortunately, often only surgery can cure gynecological diseases.
Curettage procedure of the uterus: features and nuances
Many who are going to have the procedure ask questions about how much bleeding occurs after cleaning the uterus, what are the consequences, etc. Curettage of the uterus is a gynecological procedure that is performed using special tools or a vacuum system. The purpose of its implementation is not only the removal of the upper layer in the uterine mucosa, but also the taking of samples for histology. Currently, in combination with this manipulation, hysteroscopy is performed - an examination of the uterine cavity. This makes it possible to see unaffected areas and carry out the procedure more thoroughly.
There are cases when it is necessary to carry out an emergency cleaning of the uterus in case of bleeding that threatens a person's life. Along with emergencies, there are also planned operations. In a planned manner, it is customary to carry out such a surgical intervention before the onset of menstruation. This is done so that the cleaning of the uterine cavity coincides with the rejection of the mucosa for physiological reasons. But in the event that the operation is performed to remove the polyp, it should be prescribed immediately after menstruation, then the endometrium will be the thinnest, and the doctor will be able to see the most accurate position of the polyp.
When is the best time to do the procedure?
Curettage at the beginning or middle of the cycle will lead to complications such as prolonged bleeding. This reaction of the body is due to the fact that the growth of follicles in the ovaries occurs simultaneously with the growth of the uterine mucosa. Accordingly, when the uterine mucosa is removed much earlier than the due date, the hormonal background created by the ovaries conflicts with the fact that the mucosa is absent and does not allow it to fully grow. The hormonal background will return to normal only after the synchronization between the uterine mucosa and the ovaries comes again.
Why, according to reviews, is it better not to clean the uterus during bleeding without indications? It's simple: the scraping obtained in this case will be almost non-informative, because the mucous membrane undergoes necrotic changes during this period.
How is the curettage of the uterus
This surgical manipulation is performed on the patient on a gynecological chair. How is the uterus cleaned during bleeding? The process itself is quite painful, so it is most often carried out under general anesthesia. The duration of the operation is on average 30 minutes. Without anesthesia, curettage is done only in individual cases, for example, after childbirth. The cervix is dilated at this point.
Now anesthesiologists agreed that the most appropriate in this case is anesthesia, which immerses the patient in a shallow sleep. With such anesthesia, there will be no pain during the manipulations, and upon completion, the person will quickly come to his senses.
The procedure begins with the introduction of a dilator into the vagina, which allows you to straighten the walls and see the cervix. Next, the doctor needs to dilate the cervix. Using a special tool, the doctor holds her and inserts a probe into her canal.
When the doctor has achieved sufficient expansion of the cervix, he performs a hysteroscopy, which allows you to more accurately see the condition of the uterine mucosa. Next, the gynecologist performs scraping with the help of special tools. In general, the whole procedure takes about 40 minutes.
Why choosing a clinic and a doctor should be taken seriously
The price of cleaning the uterus with bleeding in Moscow is on average from 7 to 30 thousand. It all depends on the clinic and the experience of the doctor. If possible, this surgical intervention should be carried out only in a trusted clinic with an experienced doctor. This is due to the fact that if this operation is unprofessional, you will have to do it again.
Features of the postoperative period
After the procedure for scraping the mucous membrane, the uterus contracts. Physiologically, this process helps to stop bleeding after cleaning the uterus. With a planned competent surgical intervention, the complete restoration of the functions of the female genital organs occurs as quickly as during normal menstruation.
Immediately after the procedure, the patient may feel general malaise, drowsiness, weakness, headache - all this is nothing but the consequences of anesthesia. In the first hours, there will be a discharge from the vagina
For some, the postoperative period is characterized by symptoms such as:
- Severe pain in the lower abdomen, in the lower back. This pain can last for hours or days. It feels like pain during menstruation. With such complaints, the patient is advised to take an anesthetic.
- Bloody copious discharge. This phenomenon is normal if it lasts no more than 10 days. If, on the contrary, they quickly ended, then this is not a very good sign, which indicates that a spasm of the cervix has occurred, which leads to the accumulation of blood clots in its cavity.
The results and consequences of cleaning the uterus during bleeding are the normalization of the hormonal background of the female body and the restoration of the menstrual cycle.
After cleaning, a woman's menstruation usually occurs with a delay of 4-5 weeks. This is absolutely normal and should not be cause for concern. If menstruation does not occur within 2, maximum 3 months, then you need to visit a gynecologist.
Possible complications after surgery
If you did a cleaning of the uterus, should there be bleeding? Yes, of course, this is an absolutely normal phenomenon, but it is important to understand that if it is very plentiful and prolonged, then you should definitely contact a medical institution for help. After all, a large blood loss can lead to very bad consequences, up to a fatal outcome.
Cleaning the uterus when bleeding increases the chances of infection entering the body, which often causes endometritis. If possible, the doctor prescribes a course of antibiotics.
Another rather unpleasant complication is hematometra. It is a blood clot that has accumulated in the uterine cavity. Spasm of the cervix is the cause of such an ailment. To avoid this, the doctor prescribes antispasmodic drugs.
A rare, but very unpleasant complication is perforation (rupture) of the walls of the organ. Injury to the uterus is possible due to illiterate, unprofessional actions of a doctor who overdid it when removing the endometrium. The woman needs urgent surgery.
In extremely rare cases, a woman's ability to conceive is reduced or completely lost.
