Curve and aftercare + complete tips

What information do you know about curettage? Do you know what risks threaten you after curettage? After that, what kind of infertility do you have? In this article from gcorp llc we will carefully examine it ...

What is curtage?

Dilation and curettage or D&C is a minor surgical procedure in which the cervix is slightly opened and a series of special instruments are used to scrape the inner cervix.

Reasons and types of curettage

Disaster and curettage are used to diagnose or treat some uterine diseases..

Diagnostic curettage

Diagnostic and diagnostic curettage is a procedure in which the cervix is opened so that your doctor can take a sample of the uterus..

You have abnormal uterine bleeding...
You have a menopausal bleeding ...
You have abnormal endometrial cells that are seen during routine examinations for cervical cancer..

To perform this test, the doctor collects a sample of the inner lining of the uterus (endometrium). Then he sends this sample to the laboratory for further examination. This test can detect the presence of the following disorders:

Endometrial hyperplasia (endometrial intrauterine neoplasia) - is a precancerous disease in which the lining of the uterus becomes very thick..
Uterine polyps
uterine cancer

Learn more: Ovary anatomy + female ovarian diseases

curtain treatment

When a curettage procedure is performed to treat a disease, the doctor removes the contents of the uterus instead of a small biopsy... This procedure may be performed for the following purposes:

Tissues that remain in the uterus after an abortion may cause infection or heavy bleeding.... To prevent these symptoms, curettage is used to clean these tissues.
Tumor removal caused by molar pregnancy.
Removal of cervical or cervical polyps that are usually non -cancer (benign).
The curettage process by removing the residual placenta in the uterus treats excessive postpartum bleeding.
To remove the intrauterine device (IUD) which is a method of prevention prevention.

This process is performed by a gynecologist or a midwifery specialist ...

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Measurement before the process of curettage

You can do Cretting process in an outpatient doctor, clinic or hospital. This process usually takes only 10 to 15 minutes, but you may need to monitor for up to five hours.

Before the curettage, the doctor will do an examination and ask you about your medical history .... He also asks you to sign a form of consent .... Before you do, ask your doctor any questions about curettage.

If you have any of the following, be sure to tell your doctor .... If:

may be pregnant.
You are allergic to iodine, latex and any drug.
You have a history of bleeding disorders or you are taking blood thinners.

You will receive anesthesia after these steps and the doctor will talk to you about the type of anesthesia. The type of anesthesia depends on your treatment process.

If you receive general anesthesia you will not be awake during the operation.
If you receive spinal cord anesthesia or epidural (regional), you will be numb from the waist.
If you receive local anesthesia, you will be awake during surgery while the area around the cervix is numb.

Before curettage, you may need to wear your clothes, wear and empty your bladder.

Dear, you can book an appointment with a specialist by visiting the GCORP LLC site.

learn more: What is the uterine polyps and how it is treated

Important Tips Before the Curettage Process

Depending on the type of anesthesia used, the doctor gives you instructions before curettage, some of which include:

Failure to take unnecessary drugs

A few days before curettage, you should discontinue drugs such as aspirin (which can increase the risk of bleeding) and non -prescription drugs (such as colds and laxatives). Avoid alcohol and tobacco. Many surgeons advise patients to stop taking herbal supplements at least two weeks before surgery.

Chronic Diseases

Your doctor asks you to let him know about the chronic diseases you have before doing this.

Eating and drinking limit

If you are going to be under general anesthesia, your doctor wants you to eat or drink 2 hours before this process ...

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Preliminary tests

On the day before the operation or on the day of surgery, the doctor may ask you to do common tests such as blood, urine and other tests to make sure that there is no disease and it can be done without worry..

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How Curtage Works

The curation process usually includes the following steps:

First you should lie on the back on the bed, while the legs are placed on the bed.... These correlations allow the legs to be kept open in a suitable position so that the doctor can have easier access to the treated area (the position of the legs should be the same as when the doctor performs a pelvic examination)..

The doctor may insert a urinary catheter..

In the next step, an instrument called a speculum is inserted into the vagina to separate the walls of the vagina and reveal the cervix..

The doctor then cleans the cervix with an antiseptic solution..

For local anesthesia, the doctor injects the medicine using a small needle to numb the area..

For general or regional anesthesia, the anesthesiologist continuously monitors heart rate, blood pressure, respiration, and blood oxygen during the procedure..

A type of surgical forceps called a tenaculum may be used to stabilize the cervix during this procedure.

If the cervical tissue needs further examination, the inside of the cervical canal may be scraped with a small surgical blade..

A thin rod-like instrument called a uterine catheter is inserted through the cervix to determine the length of the uterus.. If you are under local anesthesia, the insertion of this instrument may cause muscle cramps in the uterine area.. The doctor then removes the catheter..

The cervix is opened and dilated by inserting a series of thin rods.... Each rod will be larger in diameter than the previous rod.... This process gradually enlarges the cervix until a curtain (spoon-shaped instrument) is inserted into the cervix..

CORT is then inserted into the uterus through the cervix, and the sharp, spoon-shaped edges of the canister pass through the lining of the uterus to scrape the tissue.... In some cases, suction may be used to remove the tissue... If you are under local anesthesia, it can also lead to muscle cramps.

then the doctor chooses the tool ...

If this process is performed for diagnosis, the tissue collected is sent to the lab for further examination.

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In some cases, your doctor may do a few hours or even a day before surgery, an opening process and cervix. This helps to gradually open the cervix and usually when the cervix needs more than it needs (such as discomfort or specific types of hysteroscopic).

cortex complications

although rarely but Curettage process is associated with some side effects, including:

Infection

Always when a tool is placed in the uterus, infection is likely. Most types of infections can be easily treated with antibiotics.

Symptoms of infection often include vaginal discharge, cramps and pain in the uterus and fever ... If urgent treatment, infection does not cause prolonged complications ....

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uterus piercing

Although this complication is rare, it is common in women who have the following conditions:

Women who have uterine infection
Older women who are menopause ..
If this procedure is performed for abortion

If the doctor is suspicious of this complication, he or she will ask the patient to stay in the hospital for observation or surgery.

Ashman Syndrome

This is a rare complication that involves the formation of scar tissue in the uterus. Ashman's syndrome is caused by an aggressive scratch or abnormal body reaction to scratch.. In this condition, thick ulcers form that can completely fill the uterus..

Undiagnosed disease

Since the curettage process cannot completely remove the endometrium (tissue lining the uterus), there is a possibility that the person's disease will go undiagnosed.... For this reason, this procedure is often performed in conjunction with hysteroscopy (examination of the lining of the uterus with the help of an instrument that allows imaging)..

Damage to the cervix

If the cervix tears during the curettage process, the doctor recommends applying pressure to the affected area or using medicine to stop the bleeding.

Recovery after curation

The recovery process after curettage will usually be short... The recovery time will vary depending on the type of operation performed and the type of anesthesia used..

If you are under regional or general anesthesia, you will be taken to the recovery room for observation.... When your blood pressure, pulse, and breathing are stable and you are conscious, you will be transferred to a hospital ward or discharged...
After a curettage using local anesthesia, you may rest for about two hours before going home...

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Curettage care

Some care points that the doctor recommends after curettage:

It is usually recommended that you avoid vaginal douching for two to three days after the curettage or for a period of time..
You may also need to limit your physical activity (including extreme immobility or heavy lifting)...
You can resume your normal diet after curettage, unless your doctor has recommended otherwise...
Muscle pain and cramping (similar to menstrual cramps) will probably be the patient's strongest sensation immediately after the curettage process..
It is recommended that the patient not drive for at least 4 hours after anesthesia.. It is better to do this even after local anesthesia, because the side effects of anesthesia can temporarily disrupt the body's response time ... In this case, you should ask a friend or family member..
It usually goes away after using narcotics to relieve pain and cramping.. Pain... Aspirin and some types of painkillers increase the risk of bleeding, so be sure to take only prescribed drugs...
Even if you feel pain and discomfort, it is better to get up and move as soon as possible... This keeps the muscles strong and helps prevent blood clots from forming in the legs..

It is recommended not to go to work or university for at least two days and rest at home...

Bleeding after curettage

Spotting or light vaginal bleeding for a few days after curettage is normal.. rarely experience heavy bleeding that requires a blood transfusion.. but if the instruments used during the dilation and curettage process may damage the uterine walls... give...

If the blood is completely covered with blood within two hours, two or more sanitary pads or tampons, and the bleeding continues, call your doctor or go to the emergency room..

In what circumstances does the doctor not recommend the curettage process?

The doctor does not perform curettage under any circumstances, except in emergency cases:

Pelvic infection:

If you have an infection in the genital area, the surgical instrument that is inserted into the vagina and cervix is likely to transfer bacteria from the vagina or cervix to the cervix.... For this reason, your doctor may advise you to wait until the infection is completely cleared by antibiotics before performing a curettage..

Blood clotting disorders:

Stopping after curettage depends to a large extent on the body's natural ability to clot blood. Therefore, women who have certain blood disorders usually should not do this.

Serious diseases:

For example, heart and lung disease can make general anesthesia and sometimes local anesthesia dangerous..

Learn more: What are the important screening tests for women?

If you see curettage, what symptoms should you see a doctor for?.

If you experience the following symptoms after the curettage procedure, contact your doctor:

Dizziness or lightheadedness that continues and worsens...
Fever
Muscle pain and cramps lasting more than 2 hours...
Pain that gets worse instead of better...
disposable vagina

Pregnancy after curettage

Many women are worried about the damage that will be done to the uterus after the curettage process... but can the curettage really have a negative effect on future fertility? According to doctors, if the curettage process is done correctly, it will not have any negative effect on future fertility.

In general, there are two very rare cases of curettage that can reduce the chance of pregnancy.. First, if someone gets infections related to the process, uterine adhesions may also reduce the chance of pregnancy in the future when uterine adhesions decrease... to adhesions...

Also, if a person has had multiple miscarriages, this disease will cause more pregnancies.... Although some patients with repeated miscarriages think that the process of curettage causes fertility problems, it is actually multiple and repeated miscarriages that are associated with future miscarriages..

According to doctors, if a person has a miscarriage, it is better to do the curettage process than to let the uterus clean itself..

One study found that almost 90 percent of women who underwent a hysterectomy conceived again within a year of trying.

Learn more: 8 signs and symptoms of uterine prolapse

Court fee

The cost of curettage depends on various factors... the clinic where you perform the curettage, the doctor who performed the curettage, the type of curettage and the reason for doing it, all can affect the cost of the curettage..

In general, it is recommended that, if necessary, the curettage process is performed by an experienced obstetrician and gynecologist to avoid side effects related to this process and to have a shorter recovery period.

alt: Abortion - Photo Description:

If I had an abortion, do I need dilatation and curettage?

About half of women who experience abortion do not need dilatation and corntage. Abortion, which occurred before week 10 of pregnancy, is likely to be a spontaneous abortion and you will not cause any problems and do not cause any problems. Better for you.

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Does Dilatage and Cretting affect the menstrual cycle?

Since curettage eliminates the internal coating of the uterus, the internal liner must be restored ... For this reason, after the pancake, your subsequent menstruation may occur late or later than usual.