Curettage of the uterus — When doing scraping of the uterus, experts

It happens that after the examination, the gynecologist appoints endocervical curettage. Many women this ad enters into a stupor. A curettage is a surgical operation, in cases of polyps, bleeding, hyperplasia and abortion.

But what is scraping?

This surgery, conducted in such branches of medicine like gynecology, where, cut off part of the uterine mucous surface by means of the curette or vacuum.

In order to carry out the curettage also used drugs that expand the cervix for the doctor's work.

Preparation for gynecological cleaning

Basically, curettage is performed a few days before the onset of menstruation. This prevents a large amount of blood loss, plus the uterus will be better able to recover.

Before the procedure, the doctor is obliged to appoint a few surveys that will help safer to conduct a surgical intervention.

Providence the blood of the patient, reaction to blood clotting, takes a swab from the vagina and tests for diseases that are transmitted sexually. All these activities are carried out to identify suitable drugs.

A couple of weeks before the procedure you must stop taking medicines, biological food additives, if their application had not been discussed with your doctor. If medicines are associated with acceptance of chronic diseases that require constant and (e.g., diabetes or asthma the lungs), then the reception should be reported to the doctor.

For two or three days before it will be held curettage, it is necessary to refuse from sexual life. Also should stop using other means of intimate hygiene. To care for the sexual organs to leave only warm water. It is also impossible to use vaginal suppositories and hygiene products, injected into the uterus (tampons). Be ruled out as causing the spray means and creams.

Immediately before surgery for eight or 12 hours you can not eat or drink anything. This is necessary for efficient entry of anesthesia.

Why spend curettage?

Cleaning the surface of the uterine cavity is carried out in two cases:

• for receipt of a scraping for analysis,
• remove unwanted education in the uterine cavity.

In some cases, do the cleaning of the cervix

Polyps – benign growths of tissue. Upon inspection of the visible pink education.

1. Abnormal growth of the mucous layer of the uterus.
2. If inflammation of the layer of the endometrium, the inner cavity of the uterus.
3. Scraping the remainder of the material after delivery is carried out in the case of removal of the remaining blood and placenta residue (liquid, in which was a child). Fluid balance in a woman's body can provoke infections.
4. Gynecological curettage, if was discovered the stood pregnancy in the case of a deceased embryo, it should be possible to remove quickly, as it poses a potential danger.
5. Cleaning after a miscarriage. Is to scrape the remnants of the fruit. A miscarriage can trigger severe bleeding.
6. Ectopic pregnancy. Always accompanied by a cleaning of the uterus and other organs.
7. Abortion. In today's world with the current technology, the scraping is very rare. As a rule, use a vacuum.

The process of curettage of the cervix

The basis of the procedure curettage is the cutting of the outer layer of the mucous surface of the uterus, which leaves for menstrual days.
The process occurring in the office gynecology on the chair with legs and is associated with curettage, is the scraping.

This operation is carried out under light anesthesia, introducing the patient into a light sleep. In this state, no pain is felt, and not remembered the process of the operation. For immersion of the patient in the anaesthetic agent in Vienna.

After birth, surgery can be performed without anesthesia. After birth, the organs are in extended condition and does not require the insertion of special expansion funds. Anesthesia is valid from 10 to 30 minutes (depending on the condition, weight, last meal patient).

If the procedure is not performed after delivery, when the uterus is narrowed then carried out a series of actions relating to its expansion. To do this the doctor uses a gynecological mirror, inserts forceps into the uterus, retaining its position. The injected probe (a long, thin rod). The physician may pull the first probe and insert the other with the largest diameter, it will extend the womb even more.

The probe must enter in order to make measurements of the size of the uterine cavity. And only after that is the procedure of expansion of the uterus to the mostcomfortable doctor size. The size should ensure the visibility of the uterus and a good cross curette (cleaning).

After the obtained scraping material was immersed in a special jar and sent to the laboratory for analysis.

Cleaning of the uterus takes from 15 minutes to an hour. Immediately after surgery, the patient can go home.

Problems and complications that may arise during the operation

Some formations are not amenable to removal with a curette. Then in this case introduces a camera and special instruments.
The occurrence of complications in the cleaning process of the uterus is a rare but occurring.

• Tear of the cervix. Can occur in the case of a meeting holding forceps. Hold the forceps on the uterus and the uterus is held by ligaments. Some women are very flaccid uterus, in which these pliers are very bad. In the result, the tongs can fly in and damage the integrity of mucous cover. The damages may be different. If the tear is small, no additional measures are required and the uterus heals itself, but if large, it is sutured.
• Inflammation of the uterus – can occur if not carefully treated surface, tools. Also can appear, if were not appointed or provisional pass a preventive course of antibiotics. Cure will only antibacterial therapy
• The formation of a blood clot in the uterine cavity. After having undertaken gynecological uterine curettage, in the normal course of rehabilitation needs for several days to be the selection. If the selection is bad, most likely, the accumulation of blood in the uterus. This can cause infections and cause pain. To cope with this problem the therapy of medicines and spasms.
• Damage of the mucosal surface. May occur in case of excessive curettage, which removes the unwanted part of the mucous membrane, which is no longer restored. This is one of the worst complications, as it is not treatable.

Often complications arise when the doctor uses during the operation of the camera, and can not accurately verify the complete removal of polyps from the surface. If they stayed, the beginning of the complications.

Procedure after the operation

After the procedure the curettage, the patient has for several days, approximately ten days, carefully monitor their health and secretions. Normal after the surgery occur a few days spotting. If they ceased abruptly and there is pain, it is a very bad signal. Should immediately contact your doctor, who will prescribe ultrasound therapy will help to address emerging disease.

To alleviate the effects of the operation in the first 3 days, take painkillers.

After the procedure should be prescribed a course of antibiotics. This will prevent the development of infectious diseases.
The results of laboratory studies should be obtained within a decade. They need to take and be sure to consult with your doctor.

What you need to abstain for the first two weeks after surgery:

• To exclude sex.
• To apply the tools for intimate hygiene introduced into the uterus (tampons). You can use shims
• Submerge. Eliminate trips to the pool, saunas, baths and bathing.
• Not to do strenuous exercise.
• You can not use medications containing acetylsalicylic acid.

Thus, the scraping abnormalities of the cervix one of the most common and frequent operations in gynecology. In the modern world, its implementation is not difficult and it is unlikely the occurrence of complications.

In case of pain, the abrupt suspension of the bleeding, it is urgent to consult a doctor.