How to restore the endometrium after curettage

Curettage of the uterine cavity is a fairly common procedure, but not entirely harmless. There are many questions about possible complications, about how the endometrium recovers after curettage, what symptoms a woman should pay attention to in order to seek help. The doctor's task is to respond in a timely manner to the patient's complaints, carefully considering her questions, requiring compliance with the regimen and recommendations for a quick recovery.

Purpose of scraping

Curettage of the uterine cavity (and in the scientific language - curettage) has certain indications. The procedure is usually performed under intravenous anesthesia. If for some reason this is not possible, local anesthesia with lidocaine solution and tranquilizers can be used.

After the anesthesia has begun to act, the doctor dilates, expanding the cervical canal with special tools. Then the actual curettage of the canal and the uterine cavity is carried out. Indications for such a procedure may be the following diseases and conditions:

1. Neoplasms on the upper layer of the endometrium (for example, polyps). It is important to analyze the remote formation and determine how dangerous it is from the point of view of oncology.
2. Intrauterine bleeding. With scraping, you can stop the process and determine the cause. In addition, curettage during bleeding will almost completely eliminate the development of the inflammatory process.
3. Abortion. If the abortion is incomplete, the remains of the fetal egg are determined in the uterine cavity. To remove them, scraping is carried out. Often this condition is observed during a miscarriage. The uterine cavity must be promptly cleaned.
4. hyperplasia of the endometrium.

The endometrial curettage operation can be repeated if a source is found that bleeds. This can be with perforation of the walls of the uterus or their ruptures.

What is the procedure

Curettage is carried out exclusively by a doctor in order to remove the functional surface of the endometrium. Also, during the operation, the cervical canal of the cervix is ​​​​cleansed. All formations of a pathological nature in the process of curettage must be removed.

In some situations, manipulation is carried out for diagnostic purposes. Only an analysis of the contents of the uterus can confirm or refute any diseases. The diagnostic curettage procedure can be carried out in different ways:

1. RDV (separate diagnostic curettage of the uterine cavity). It is called separate, as it is carried out in several stages. First - curettage of the cervical canal, then - directly to the uterine cavity. The resulting endometrium after curettage is subject to mandatory histological examination. Only it can reveal the presence of pathology and its type. When conducting WFD for therapeutic purposes, most often the removal of endometrial polyps or an enlarged endometrium occurs.
2. Hysteroscopy. This is a type of curettage, which is accompanied under the control of a hysteroscope - a special medical camera inserted into the uterine cavity through the cervical canal. This method is very effective, as it allows the doctor to act not blindly. The higher efficiency of the procedure relative to traditional curettage is due to the ability to adjust the course of the operation immediately at the time of its implementation. In addition, it is possible to conduct an examination, the result of which will be obtaining information about the state of the organ: the presence or absence of polyps, endometrial dysplasia. The high precision of the operation becomes possible thanks to the hysteroscope.

In the event that the patient undergoes an RDD using a hysteroscope, the risk of complications, relapses and re-interventions is minimized. However, the procedure has contraindications:

• acute heart failure;
• impaired renal function;
• deviations in the work of the organs of the genitourinary system;
• the presence of infections.

In some cases, despite the contraindications, the cleaning procedure is still carried out, because the condition of the woman inspires great concern. This happens with severe uterine bleeding.

How is recovery going?

During the scraping procedure, a part of the material removed from the uterine cavity is sent for examination. After waiting for these tests, a woman should visit a doctor and receive a prescription for medications, with which she will correct her condition for a certain time.

It would be useful to undergo a series of laboratory tests aimed at obtaining information about the condition of the woman after the procedure. A doctor who knows how to restore the endometrium after curettage may prescribe:

• analysis for the content of hormones (estrogen and progesterone);
• smear on microflora;
• Ultrasound of the ovaries, uterus.

In no case should you go to the laboratory and take tests on your own. Their appointment should depend solely on the condition of the patient and the purpose of curettage. The list of necessary laboratory tests in a woman who underwent RAD due to endometrial hyperplasia and a patient who had the remains of a fetal egg removed can be completely different.

If the procedure was carried out qualitatively, the technique of the operation is fully observed, the woman’s condition does not show the manifestation of concomitant diseases, then the risk of serious complications is minimized. If the appointment of manipulation was associated with concomitant diseases of the reproductive system, the doctor should be extremely attentive and prudent. He has to anticipate all possible risks.

The recovery process takes several weeks. It is considered normal if a woman feels moderate pain of a pulling nature in the lower abdomen. This is a signal that the muscles of the uterus take their former sizes. If no other concomitant deviations are observed, recovery after curettage takes place within one menstrual cycle. You should not purposefully think about how to build up the endometrium after scraping. This will happen within a short amount of time.

In order for the recovery period to be short, you need to follow some rules that will not only shorten the recovery period, but also avoid complications:

• sexual relations can be resumed after the first menstruation after the procedure;
• douching is prohibited;
• it is not recommended to use gels and ointments;
• taking antibiotics is not recommended, since the vaginal microflora is already vulnerable during this period;
• instead of tampons, it is better to use pads;
• playing sports and lifting weights in the first month is better to exclude;
• pay special attention to the hygiene of the genital organs;
• do not overcool;
• during the first month, avoid sudden changes in temperature, including in the bath and sauna, visiting which is contraindicated;
• taking a shower instead of a bath.

Compliance with the above recommendations is the key to a quick recovery of a woman after a curettage procedure. You shouldn't be afraid of her. Most patients report improvement after such treatment. Modern high-tech equipment allows you to reduce the risk of complications to a minimum. however, in some cases, especially if the patient does not follow the doctor's instructions, they are still possible.

Possible Complications

Sometimes after the operation, a woman voices complaints about the appearance of discharge and pain, but this is not a complication. Do not panic, because this condition is normal when carrying out such manipulations. The nature of the pain resembles that of menstrual pain. Localization of discomfort - the lower abdomen.

Allocations after curettage are not very plentiful. Their color is close to brown. This indicates that a certain amount of blood was released during the procedure. The duration of such allocations is no more than 10 days. If there is a faster disappearance of them, this is not always good. In some cases, this indicates a spasm of the muscles of the uterus, contributing to the formation of clots. Such clots can act as foci of infection.

The most dangerous complication after curettage is bleeding. If a woman has problems with blood clotting, that the occurrence of such a situation is quite likely. If you suspect bleeding, you should immediately consult a doctor.

In addition to bleeding, some other complications may occur:

• endometritis after curettage;
• vaginitis;
• cervicitis;
• infertility;
• infection;
• tear of the cervix;
• hematometer.

If you suspect a deviation from the work of the body, you should not self-medicate, you need to visit a doctor. You need to talk about everything that worries, no matter how awkward the woman feels at the same time. If the doctor's recommendations are not followed or the patient has concomitant diseases of the genital area, the following disorders may occur in the work of the body:

• wall perforation;
• infections of the genitourinary system;
• violation of menstrual function;
• inability to bear fruit.

In some situations, after manipulation, an increase in body temperature may be observed. In most cases, this is normal. With an increase in temperature of more than 38 degrees, you need to think about the occurrence of an inflammatory process.

The right lifestyle after scraping, following the recommendations of doctors is the key to maintaining reproductive health and well-being. As supporting procedures, patients can be recommended psycho- and acupuncture, taking herbal sedative teas, and in some cases, antidepressants. Full-fledged appointments of specialists in the field of gynecology guarantee the peace of mind of a woman during the recovery period.

Recovery of the endometrium after curettage - video