2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21
Scraping (or cleaning) is a procedure whose purpose is to eliminate the contents in the uterus and its falling off membrane. That is, the organ is cleaned, and the scraped material is sent to the laboratory for study. They do not clean the entire inside of the organ, but only the upper, multifunctional layer.
A few words about the procedure
After cleaning, a new mucosa appears from the endometrial growth, so it must not be caught during the operation. Perform cleaning in a hospital, in most cases under anesthesia. It is considered a full-fledged operation, for this reason, they prepare for it, according to all the rules, in advance.
The doctor certainly performs a complete examination of the girl on the eve of the operation in order to exclude contraindications to the procedure, as well as to more accurately determine the indications for cleaning, to establish the shape and position of the uterus. Scraping is performed using various devices. Before the procedure, everyone is treated with an alcoholic solution of iodine, then the cleaning itself is performed, and after the end of the procedure, the organs alsotreated with antiseptics, and ice is placed on the stomach (cold helps to reduce the uterus).
In the postoperative period, the girl must be attentive to her own body. In particular, it is important to observe the nature of bleeding, since they are the first to indicate complications. Bleeding after cleaning passes in the form of simple menstruation, they last no more than 10 days, accompanied by pulling pains in the lower abdomen. If the discharge stops much earlier, or has an unpleasant odor, brown color, you should immediately go to the doctor.
Diagnostic cleaning
Extremely often, such a procedure is done to a woman in order to diagnose probable pathologies of the uterine cavity, especially if the desired pregnancy does not begin for a long period. Pathological processes in the uterine cavity can be detected using ultrasound, however, what kind of violation affected the endometrium will be presented by the results of a histological study. Thanks to such curettage, the doctor determines the exact diagnosis, prescribes treatment and, in accordance with this, draws conclusions about the probable pregnancy.
Hyteroscopy
Recently, almost all doctors are against such diagnostic curettage, they advise switching entirely to hysteroscopy. After all, this is the same cleaning, but not blindly. A tube with a meter at the end is inserted into the recess of the uterus, which transmits an image of the cavity under study to the screen. Next, a piece of tissue is separated with a special device, it is also studied duringthe help of a microscope. It turns out that with the help of hysteroscopy, only an unnecessary area of \u200b\u200bthe endometrium is affected, and not its entire layer is scraped off.
Hysteroscopy is also highly justified for medicinal purposes, as the device demonstrates the extent to which superfluous formations are qualitatively removed. However, most often a woman is cleansed at random. Therapeutic curettage is performed for uterine fibroids, polyps of the uterus and its cervix to remove them. In some cases, the cleaning method is used to treat endometriosis and other diseases. Perform the procedure just before menstruation, otherwise hormonal disorders can be provoked.
Healing cleansing is supposed to help a lady get pregnant. This is what happens if there were no complications in the postoperative period, and the procedure itself was done correctly and the treatment took place. But there is still no need to rush, it is necessary to give the body a rest and renew itself. In 2-3 months after the operation, you will be able to start conception. Unsuccessful efforts within two months should be an excuse to see a specialist.
Abortion
More pessimistic are the results of the purge-abortion regarding further pregnancies. But even here it is necessary to distinguish between concepts. In the event that the procedure took place in order to remove the fetal egg, then they say about an abortion, which many girls also call cleaning. It is worth saying that in recent years, cleansing abortions are considered a curiosity. However, there are other unpleasant indications for curettage. So, only this method removes a non-developing or frozen fetus, as well as fragments of the fetal egg afterspontaneous miscarriage. Such unsuccessful pregnancies almost always require curettage. Pain after scraping a missed pregnancy is not felt, because the whole procedure is performed under anesthesia.
What will happen to further pregnancy after this kind of cleaning?
Doctors reassure: if a frozen or non-developing pregnancy has come for the first time, there is no need to lose heart. But after cleaning, all the scraped material is sent to the laboratory for study, and the patient will have to be checked completely and completely.
Separately, I would like to say a few words about abortion in the early stages of curettage. And it’s not even about the fact that we become murderers (retribution for this offense will really make itself felt, and sometimes it can be unbearable). The results of abortions are all just as disappointing. Perforation of the uterus, uterine bleeding, hematomas, infections and inflammation of the uterine mucosa, excessive curettage (which violates the growth layer of the endometrium) - all without exception can subsequently cause infertility. Here are the pessimistic monitorings to think about.
If the selection never ends
It happens that the discharge after curettage of a missed pregnancy ends quickly, and in some it is completely absent. However, after a few days they appear, while quite strong. Often the blood is very dark.
What is the cause of the phenomenon?
Usually, after 10-14 days, an ultrasound of the uterus is prescribed aftercurettage of a frozen pregnancy. Its task is to look at the size of the organ, the thickness of the endometrium, and determine anechoic inclusions. If the gestational age was of the order of 10 or more weeks, a concentration of blood is detected in the uterus. This is called a hematometer. Appears due to contraction of the cervix. Over time, she leaves the body on her own. However, in some cases it takes 2-3 months.
The doctor usually prescribes antibacterial treatment for preventive purposes. This is especially necessary during menstruation. Fever indicates a bacterial infection. That is, in this case, with pregnancy, you must wait. Dark blood is not to be feared, it acquires its tone due to oxidation.
No period coming
Doctors do not advise thinking about pregnancy immediately after this mini-operation. Only in the next monthly cycle. However, what to do if the menstruation after curettage of a missed pregnancy did not come on time? Often in this case, 3 injections of progesterone are prescribed. And menstruation comes to the abolition of the substance. By the way, menstruation can also be absent due to a very thorough cleaning, when the muscular layer of the uterus is injured. However, significant pathologies are visible on ultrasound.
In addition, girls with a delay are advised to take a blood test for TSH in case they have not taken it before. Deviations from the norm in one direction or another can increase the risk of miscarriage, as well as lead to the birth of a child with low intellectual capabilities.
When can I get pregnant after scraping?
In the event that a woman has undergone an artificial termination of pregnancy, which consists in the removal of the fetal egg with scraping of the walls of the uterus, then the subsequent pregnancy must be planned, taking into account numerous nuances. For example, the longer the gestation period, the more serious the injury is inflicted on the body. From this, as well as from the state of he alth of the girl depends on how quickly he recovers.
As a result of an abortion, the formation of inflammatory diseases is permissible, as well as the depletion of the functional layer of the uterus, which, in turn, can cause infertility, and in the case of pregnancy, to a variety of complications. These include the threat of abortion as a result of isthmic-cervical insufficiency or changes in hormonal regulation.
In addition, the process of curettage injures and thins the endometrium, which can cause improper development of the placenta, the formation of adhesions and the attachment of a fetal egg in the lower sections of the uterus. All this can be a factor in ectopic pregnancy or the formation of placenta previa. Based on the above, the doctor will give the go-ahead for pregnancy after scraping the uterine cavity 3-6 months after the manipulation.
Other recommendations
When a frozen pregnancy after scraping the endometrium and other similar procedures is necessary:
- Indispensable intake of folic acid. You need to start even before conception. In many cases, this can help to avoid chromosomal pathologies in the embryo, due to which miscarriages often occur in the early stages. If the reason for the spontaneous abortion was precisely this, then it is possible to conceive in a month, this does not threaten anything.
- The right way of life and the rejection of bad habits. This will benefit not only your well-being, but also the unborn child.
- Beware of teratogenic pharmaceuticals, x-rays, and other procedures and exposures that may cause harm.
Baby was conceived right away
In fact, pregnancy after curettage of the uterine cavity can occur in 12-14 days. Doctors report that with a carefully performed procedure, the risk of miscarriage does not increase due to such a small time interval between procedures.
All that is needed from a girl is to follow the doctor's advice and take tests. In order not to miss anything, you must immediately register with a gynecologist.
The course of pregnancy after the cleansing procedure
Pregnancy, which came after a long time after cleaning the uterus, can proceed without any complications. However, girls who have undergone such an operation may still be at risk.
Very early pregnancy after curettage of the uterus can be aggravated by detachmentgestational sac, risk of miscarriage, placenta previa.
In certain cases, if fertilization occurs before the endometrium has recovered, an ectopic pregnancy is likely.
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