Curettage - a short operation in which the cervix and expand with a special tool scrape the uterine cavity. To get rid of the doubt, and the best move this procedure, you must know what you expect before, during and after the operation.

What do curettage

Curettage may be required for several reasons:

• To remove fetal tissue from the uterus during or after a miscarriage or abortion, as well as to remove residual placenta after birth. This procedure helps to prevent infection or severe bleeding.
• For the diagnosis or treatment of abnormal uterine bleeding Uterine bleeding outside of menstruation - a sign of a serious breach . Curettage helps in diagnosis or treatment of tumors, such as fmbroznaya tumors, polyps or endometriosis, and hormonal imbalance or uterine cancer. A sample of uterine tissue is examined under a microscope for the presence idioblast.

The procedure curettage (scraping): what to expect

Curettage procedure is performed in an outpatient clinic or in a hospital. The procedure takes about 10-15 minutes, but the patient can remain in the clinic or hospital for about two hours after surgery.

Prior to curettage is completely visible medical card patients who signed the informed consent form. You can ask your doctor any questions about the procedure. Doctor it is necessary to warn:

• On suspicion of pregnancy
• On the specific sensitivity or allergic reactions to any medications, iodine, or latex products
• Cases of bleeding disorders or receiving blood-thinning drugs

The patient is anesthetized, and the question of what kind of anesthesia will be used, discussed with your doctor. Type anesthesia depends on the type of the procedure.

• Under general anesthesia during the procedure the patient is in a deep sleep Dreams: how to understand our dreams .
• When lumbar or epidural (regional) anesthesia is a loss of sensitivity of the lower half of the body.
• With local anesthesia the patient is fully conscious, and the area around the cervix loses sensitivity.

Before the operation the patient should change into a medical gown and empty the bladder.

During the procedure, curettage patient lies on his back, feet on the holders, both during the pelvic exam. The patient is inserted into the vagina speculum and the cervix is ​​fixed with a clamp. During the scraping procedure is not made any cuts or seams remains, but the doctor cleans the cervix using an antiseptic solution.

Curettage procedure involves two main steps:

• Dilation implies expansion and opening the lower part of the uterus (cervix) for insertion therein of a special tool. The doctor inserts a thin Bougie (from kelp) in the cervical canal Cervical canal - the path traversed by every person Gradually expanding it. Sometimes, in order to expand the uterus relaxing it by means of special drugs.
• Curettage is scraping Scraping - heavy and unsafe procedure   removal of the uterus and its contents using a spoon-shaped instrument (curette). Sometimes the contents of the uterus is aspirated via a cannula. This may occur spasms. In many cases, the tissue sample is sent to a lab for study.

Sometimes parallel curettage performed other procedures. For example, a doctor can enter the uterus in a thin tube that allows you to view the interior cavity of the uterus (called hysteroscopy).

There are certain risks and side effects after curettage, including:

• Spasms
• Spotting or light bleeding

Complications such as damage to the cervix, uterine perforation or intestinal wall, occur in rare cases. But if after curettage appear in any of the following symptoms, contact your doctor immediately:

• Heavy or prolonged bleeding, blood clots out
• Temperature
• Pain
• Pain in the abdomen
• Discharge with odor from the vagina

In very rare cases, the uterus is formed within the scar tissue (adhesions), the so-called Asherman's syndrome, which can cause infertility and changes in menstrual period. This problem is solved by surgery, so any changes in the menstrual period after the procedure curettage is necessary to consult a doctor.

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