Treatment after curettage of the uterus

Unfortunately, many women after pelvic exam hear from your doctor that for some reason, they need to undergo the procedure of curettage. Among themselves many call this manipulation simply - cleaning the uterus.

But the thing is that not everyone even a qualified specialist considers it necessary to explain the essence of his patient scraping. Many women are concerned about the upcoming procedure curettage. That is why should initially make sense of what constitutes such a cleaning and treatment after curettage of the uterine cavity should be assigned.

What is a curettage

A woman's uterus is a muscular organ that is pear-shaped. The uterus of a fertilized ovum by a spermatozoon develops future baby. From inside the cavity formed by the mucous layer, which in medicine is called - the endometrium.

Every month, the most in the uterus changes occur that are cyclical in nature. Thus, at the beginning of each menstrual cycle, the uterus starts preparing for further reception of a fertilized egg.

In that case if the cavity does not enter the fertilized egg, pregnancy does not occur, the layer begins to be rejected, and menstruation occurs

When scraping was removed protective mucous layer uterine cavity, and then after a certain time it is reduced independently. In the event that cleaning has been carried out correctly, the relevant medical procedures performed - uterine recovery happens as quickly as possible, as the germ layer is not affected.

Indications for surgery

Held scraping only prescribed by a doctor for the diagnosis or treatment of certain gynecological diseases.

Indications for curettage of the uterus.

• Visual changes in the endometrium structures that were discovered on ultrasound. Cleaning hyperplasia and other such violations can be performed to diagnose. Thus, there is a fence needed to survey material.
• uterine polyps were found. When properly conduct cleaning polyps are removed together with the mucous layer and if further treatment after cleaning is performed correctly, there is a guarantee that this is no longer a nuisance bother.
• Prolonged menstrual cycle.
• Menstruation for a long time have a rich character.
• Spotting is not menstruating.
• Prolonged absence of pregnancy without an established cause.
• Bleeding during menopause.
• Suspected malignant tumors in the cervical region.
• Scraping the uterine cavity after curettage and treatment are essential in the case of miscarriage or premature birth. In this way it is possible to fully remove from the cavity remaining placenta in case this does not happen naturally.
• Defective development or stop the pregnancy. If the embryo development stops scraping conduct in this case it is necessary to remove the gestational sac. Thus, it is possible to avoid inflammatory processes.
• Cleaning after delivery in the case of the placenta in utero residues.
• Curettage abortion.
• Suspected endometriosis.
• Intrauterine adhesions.

Cleaning can be conducted before the routine gynecological operations for diagnostic purposes, for example, when removing fibroid or ovarian cyst.

The process of scraping

The procedure takes place under general anesthesia, so no pain or discomfort the patient will not feel. The best time for cleaning are few days before menses. Currently body is ready for replacement of the mucosal layer of the cavity whereby the scraping not bring the total negative effect on the uterus. But the timing of scraping remain dependent on the diagnosis, so the physician may prescribe the operation at the beginning of the cycle.

At the present time there are two main ways of the procedure.

• Curettage without surveillance. In this case, there is a blind endometrial sampling specialized instrument - curette. Once the uterus is enlarged, input tools, and cleaning is carried out. The resulting material was subjected to histological diagnosis. Women prescribe after cleaning so as to prevent recurrence and uterine infection. If curettage was performed for the purpose of termination of pregnancy, the endometrial histology after the procedure, as a rule, is not carried out. The exception is the developing pregnancy.
• Cleaning with hysteroscopic method. The method almost identical to the previous one, but in addition to the main tool used and the optical device - the hysteroscope. Initially uterine cavity filled with a liquid or gas, through which it extends. Many gynecologists tend precisely to this method, as it is more accurate, can reduce the risk of injury and increase the diagnostic value.

possible complications

As with any other treatment, you should be alert to the emergence of possible complications, but they occur rarely, if everything was done correctly.

Consider the possible complications.

• Damage uterine cavity after brushing possible tears. Often, such complications occur due to cleaning with missed abortion. This requires the imposition of strong discontinuity internal welding and further treatment.
• Hematometra. At the end of cleaning can arise cervical spasms, which further leads to the accumulation of blood clots in the cavity.
• Uterine perforation. There are cases when during the procedure in the uterus due to negligence specialist occurs perforation tool wall. If the damage is significant, then followed by additional operational closure of the problem area and the appropriate treatment.
• Inflammatory processes. May occur due to a violation of the rules antiseptics or without appropriate treatment required after scraping the uterine cavity. The main symptom of the beginning of the inflammatory disease is high fever at the woman for a few days without weighty reasons.
• Damage sprout mucus layer in the cleaning process. Such complications are rather difficult to treat and the more completely eliminated. Often it is a problem can have a negative impact when planning pregnancy due to the fact that the endometrium is not fully recovered.

In order to protect yourself from complications, should trust their health professionals only, who will be able to do everything, not only the right but also the most accurate.

Treatment after treatment

The main task after even minor gynecological surgery - it does not prevent the development of internal inflammation and get proper treatment. This is why experienced specialists are required to designate an appropriate course of antibiotics. If everything is correctly treated, it is possible to avoid cases of inflammation. In addition to antibiotics, there are also additional necessary steps therapy after cleaning.

• The full saturation organism lacking micronutrients: vitamins B, C, A, E, polyunsaturated fatty acids. Thus, after scraping the mucosal layer recovers much faster.
• Hormonal treatments. They help to restore hormonal balance in the body and prevent the recurrence of the disease variant.
• Passage of the course of reflexology, as well as electrophoresis.

In addition to all of the above, it is necessary to include in the course of treatment drugs, to prevent the formation of adhesions (enzymes).

It should be regularly examined by a gynecologist (this condition is also required after the operation). After passing through the full treatment necessary to re-produce the fence mucous layer of the uterine cavity by means of a biopsy for the diagnosis and exclusion of recurrence options.

Medical procedures are at relapse

In the embodiment, when the still thickens the endometrium after undergoing the procedure, it is necessary to make a radical decision (often a second operation). That exactly what measures will be taken, a specialist can tell, referring to individual performance and other factors.

A first relapse may occur due to improperly conducted curettage. This happens according to the doctor's fault, as well as in the course of the operation has not been used hysteroscope.

If a woman is not interested in future pregnancies, it is possible to re-purpose cleaning uterine cavity in which will be completely removed from the mucosa germ layer.

If you have additional gynecological diseases, which may adversely affect on the status and health of women (malignancies), it can be removed and the uterus appendages. As for the recovery and treatment, it will be a very long and complicated, often in this situation all appointed by the course of hormone replacement therapy, which is to be a woman throughout life.

recovery process

For some time after the procedure may experience isolation, anointing with character and a darkish hue. Duration ranges from 3 to 10 days.

If there is no separation of the uterine cavity, but felt strong pain in the abdomen, you should consult your doctor as it may be a sign of the formation of hematometra. Should undergo ultrasound to confirm the existing spasm after surgery.

In order to avoid such trouble immediately after the surgery in the first days to start taking medications that reduce spasms of at least 2 times a day.

The specialist must prescribe antibiotics in order to avoid cases of the beginning of inflammatory processes in the body. You can never ignore the doctor's prescription, as it affects the healing process.

After about 2 weeks should visit a gynecologist, undergo a pelvic exam, and refine the results of histological studies, taken during the operation of the uterine cavity. The specialist will recommend further treatment after curettage.

It must be remembered that, after correctly spent treatment desired full pregnancy can occur within 6 months after surgery. The fact that many women think that after cleaning, they are protected from pregnancy, but they are very wrong in this. Therefore, if conception is not planned must be protected!

Complications during pregnancy and childbirth in the remote period after the intervention in the case of competent treatment does not occur. If within one year after cleaning the uterus planned pregnancy does not occur, you should contact your doctor, gynecologist and undergo a complete examination with the delivery of all analyzes.

In rare cases, there may be a violation of reproductive capacity among women as a result of the cleaning, but in medical practice, they are rarely recorded.

To the recovery period was complete within the first two weeks after surgery should comply with certain constraints, which will lead to the speedy recovery.

• Abstinence from sexual intercourse for at least a month after surgery.
• Never carry out independent irrigation (especially without an appointment).
• Do not use tampons, absorbing vaginal discharge (not just after surgery, and to completely eliminate their use).
• Do not self-medicate and do not enter a candle in the vagina without a doctor's prescription.
• Avoid all sorts of physical activity (especially the banned heavy lifting and work in slope).
• Necessary to observe complete personal hygiene.
• Women should not become too cold and overwork.
• Refuse to visit steam rooms, saunas, tanning beds, ponds and public swimming pools for at least the first month after curettage.
• Do not take the bathroom (hot tub is prohibited). Swimming in rivers or other water bodies are also prohibited.

In that case, if you follow all the rules, follow the doctor's instructions and do not overload your body generally after surgery can avoid possible complications in this not very pleasant for a woman period. But in any case it is not necessary to be afraid of the procedure because at the present time almost all hospitals are equipped with professional equipment for cleaning the uterus, and in the clinics are only good experts who will conduct the operation without difficulty and harm to health women. That is, a successful outcome will depend on the doctor you trust your health (this should be treated with special responsibility).

A few decades ago, women were afraid to clean quite reasonable, since the consequences were often infertility, complications during gestation and birth of the child process. At the present time these problems are a thing of the distant past, and it is believed that with the right approach to the conduct of operations, many women decide to infertility, acquire desired pregnancy.