Aspiration of the uterus - this is a common minor gynecological surgery. Depending on the purpose of the aspiration of the uterine cavity, it may be performed under local anesthesia or under general anesthesia and does not require cervical dilation.

Diagnostic aspiration of the uterus

Diagnostic aspiration of the uterus is carried out to confirm the diagnosis in the overgrowth (hyperplasia) of the mucous membrane of the uterus, and uterine polyps cavity with suspected malignant tumor. Carry out diagnostic aspiration of the uterus and to monitor during treatment with hormones.

Before the diagnostic aspiration of the uterus is carried out a survey in order to identify women with contraindications for this operation. For blood for syphilis Syphilis - punishment of Venus , HIV, hepatitis, smear on the flora of the vagina, carried ultrasound.

Contraindications for the diagnostic study are: any acute illness, exacerbation of chronic diseases and infectious and inflammatory processes in the area of ​​the vagina and cervix.

Diagnostic aspiration of the uterine cavity is performed under local anesthesia in an outpatient setting. It is made without cervical dilation, using a special disposable tip diameter of 4, 5 mm or with a probe Paypelya. Paypelya probe is a flexible plastic cylinder. It is introduced into the uterine cavity, and the cavity in the extraction of a negative pressure, and it is drawn in the contents of the uterine cavity and mucous membranes. Content is given to research in histology laboratory. Operation is not too painful, and the application of local anesthesia is very well tolerated by all women.

Today the aspiration of the uterus is carried out much more frequently than a diagnostic curettage, because it is less traumatic and less likely to give complications such as inflammation. However, complications rare, but there. It wounds the uterine wall (including trauma to the blood vessels), which manifests itself as pain in the abdomen, who give up to the neck and collarbone. If there is internal bleeding, the blood pressure drops, may appear nausea, dizziness, bleeding or spotting Spotting - it is important to rule out pathology   from the genital tract.

Another complication of this operation can be an acute inflammatory process in the uterus, develops in a few hours or days after surgery. In this case, a woman may receive a general malaise, fever, severe abdominal pain.

All the complications completely eliminated in a modern clinic, women just need to see a doctor promptly.

Therapeutic aspiration of the uterus

Therapeutic aspiration of the uterus is held in the complex treatment of endometritis (inflammation of the inner lining of the uterus - the endometrium). When purulent endometritis in the uterus can accumulate a large number of inflammatory purulent fluid and pieces of dead mucosa. All of this slows down the healing process.

Previously, the uterus is purified by scraping the uterine cavity Curettage - how dangerous it is? But it is quite traumatic surgery, so today the uterus often cleaned by aspiration. This procedure is more traumatic and painful than diagnostic aspiration, so it is performed only in a hospital and under general anesthesia.

Aspiration of the uterus for the purpose of termination of pregnancy (mini-abortion)

Aspiration of the uterus for the purpose of termination of pregnancy is carried out in the early stages (up to five weeks of pregnancy). During the operation, the ovum is removed special tip attached to a vacuum suction. This surgery is much less traumatic than scraping Scraping - heavy and unsafe procedure . Since the uterus a little injured, reducing the risk of inflammatory diseases, bleeding and damage to the uterine wall.

Before the operation, the woman held a full examination in order to identify contraindications. Contraindications for mini-abortions are inflammatory processes in the female genitals, any abscesses, acute illness, exacerbation of chronic disease, less than six months after a previous abortion, gestational age more than three weeks.

Mini abortion is done on an outpatient basis under local anesthesia. Cervical canal is not expanded, there is introduced a thin catheter, whereby in the uterine cavity creates a negative pressure separating too deeply embedded ovum from the uterus wall.

Aspiration of the uterine cavity - one of the most common small gynecological operations today.

Galina Romanenko

Buserelin ampoules (more correct - in bottles) for the treatment of hormone-dependent tumors of the reproductive system. This drug is quite administered once a month, in order to completely suppress the secretion of sex hormones that stimulate the growth of tumors.

Buserelin in ampoules - especially actions

Buserelin - this anticancer drug (a synthetic analog of gonadotropin-releasing hormone - GnGR) Not available in ampoules and vials. Each vial contains a lyophilisate (dried in a special way substance) for suspension for intramuscular depot, which is composed of 3, 93 mg of active principle (buserelin acetate), and adjuvants - a copolymer of DL-lactic acid and glycolic acid, mannitol, carmellose sodium polysorbate. Each bottle supplied solvent 0, 8% mannitol solution in 2 ml ampoules, syringes, needles and alcohol swabs.

Buserelin depot is able to completely shut down ovarian function, interrupting, thus stimulating the growth of a tumor or of any other hormone-dependent diseases of the female sex hormones, mainly estrogen.

Thus at the beginning, after the first drug administration in two weeks may increase the disease as the first reaction to the introduction of buserelin - depot is the stimulation of ovarian function and the release of large amounts of estrogens and progesterone. But then completely suppressed ovarian function, which allows you to stop the spread of hormone-dependent diseases.

With which diseases and how to apply buserelin-depot

Buserelin depot is used for diseases that develop on the background of the increased content of the body's hormones. In men, prostate cancer is in women - breast cancer Breast cancer: what every woman needs to know , Uterine fibroids, endometriosis and endometrial hyperplasia (swelling of the mucous membrane of the uterus under the influence of a large amount of estrogen - is considered a precancerous condition).

Buserelin depot administered intramuscularly once a month. Treatment begins on the first five days of the menstrual cycle The days of the menstrual cycle: Four phases   and it lasts for a few months - the duration of treatment depends on the diagnosis of the disease, the patient's condition and determined by the physician.

Buselerin depot is used as in vitro fertilization (IVF) for suppressing natural hormonal levels of women. After the suppression of the natural hormonal creating an artificial, controlled by hormones, allowing to carry out the procedure of IVF.

Injections buserelin-depot should only be performed by trained health care professional, since the introduction of this drug has its own characteristics. If they do not take into account the efficiency of treatment is reduced.

Contraindications to the use of buserelin-depot and side effects

Application buserelina Depot is contraindicated in hypersensitive to the components of the drug to patients during pregnancy, breastfeeding. With care prescribe a drug if the patient depression.

Their side effects are possible allergic reactions. Most often, they occur in the form of urticaria or angioedema. On the part of the central nervous system may be headache, insomnia, irritability, Irritability - you try to control my temper Depression. Sometimes there are nausea, vomiting, diarrhea and abdominal pain Abdominal pain: Types and Symptoms . From the musculoskeletal system suppression of estrogen secretion leads to osteoporosis - bone loss of calcium, causing bone fragility and susceptibility to fracture. There were isolated cases of pulmonary embolism.

Introduction buserelin-depot in women is sometimes accompanied by a violation of sexual desire (in the beginning of treatment it may be increased, then completely disappears), headaches, sharp decline in sentiment, dry mucous membrane of the external genitalia, abdominal pain. At the beginning of treatment may cause menstrualnopodobnoe bleeding.

Men buserelin-depot is used for treating hormone form of prostate cancer and the first two weeks after initiation of treatment may cause disease progression. At the beginning of treatment may also characteristic appearance catches of blood to the head and upper torso, breast enlargement, increased sweating, swelling, urination disorders (this is due to swelling of the prostate gland, caused by hormones), weakness in the legs. However, disease progression is then usually suspended disappear and side effects associated with high blood levels of sex hormones.

Galina Romanenko