Perhaps, every second woman went through a medical procedure such as curettage, or "clean." Reasons curettage of the uterus can be caused by gynecological diseases, or simply the desire to get rid of the woman's pregnancy. Often scraping the uterus accompanied by various complications due to hormonal source organism and the presence of constitutional features of a woman. For one of these complications after "cleaning" and are plentiful monthly. So why, after "cleaning" are plentiful monthly? The answer to this question can not be unique, but in any case, heavy bleeding is the reason for seeking medical attention.

What is a curettage

Curettage is an invasive medical procedure, during which after the expansion of the cervical canal expanders Gegara special tool (curette) removing the functional layer of the uterus or ovum. The functional layer of the uterus (sprout) by the end of the menstrual cycle begins to be torn away, causing menstruation. After last month germ layer again begins to thicken and prepare for implantation of a fertilized egg. The medical-diagnostic purposes curettage performed in the following situations:

• heavy and prolonged menstrual period;
• on the eve of a planned gynecological surgery;
• polyps of the mucous membrane of the uterus;
• hyperplastic processes in the endometrium;
• uterine bleeding;
• spontaneous miscarriage;
• endometritis;
• the remains of the ovum.

Often scraping performed after hysteroscopy (visual examination of the uterine cavity a special device).

Causes heavy menstrual period after curettage

To begin to determine that bleeding after curettage Discharge after scraping: What to Expect   Women are often mistaken for menstruation. In a normal month after curettage or medical abortion begins in 21-35 days (as a new menstrual cycle). Spotting right after the "cleaning" the first two or three hours are pronounced, and then decrease. In addition, the duration of bleeding after curettage of the uterus Curettage - how dangerous it is?   shall be not more than ten days. Causes heavy "monthly" after scraping:

• Hemometra

Hematometra is the accumulation of blood in the uterus after curettage. Hematometra formed as a result of spasm of the cervix. Normally, immediately after the "cleaning" of the uterus poured blood. When accumulation of blood in the uterus after the relaxation of cervical bleeding are abundant in nature and are present clots.

• Damage to the lining of the uterus

Damage to the lining of the uterus is also the cause of heavy bleeding after curettage. Mucosal damage is the result of too "heavy" scraping the uterine cavity up to its basal layer. This complication is one of the heavy and the cause of infertility. This pathology is virtually untreatable.

• Inflammation of the uterus

Inflammation of the uterus or endometrium occurs after curettage of the uterus on the background of inflammation (vulvovaginitis, salpingoophoritis) or non-compliance with the rules of aseptic and antiseptic. Discharge after curettage of the uterus have a bad color, reminiscent of the "meat slops". Endometritis addition to heavy bleeding Spotting - it is important to rule out pathology   accompanied by fever, abdominal pain and general malaise.

• Hysterocervicorrhexis

Often during the opening of the cervix dilators Gegara her break occurs (tight cervix in nulliparous women or scraping Scraping - heavy and unsafe procedure   premenopausal). Bleeding after curettage is quite massive in nature, and bright scarlet blood.

• Remains of the ovum

Medical abortion is performed "blind" and one of its complications is the remains of the ovum in the uterus. Massive bleeding can occur immediately after curettage, and in a few days. Spotting accompanied by cramping abdominal pain, and fever.

Anna Sozinova

Physiological processes occurring in women during their reproductive years, called the menstrual cycle, it is primarily focused on the possibility of fertilization. That is why the menstrual cycle and ovulation are two closely related concepts. In healthy women for almost all menstrual cycles ovulation occurs that determines its ability to conceive. In other words, the correct sound-term ovarian menstrual cycle. Ovulation, as does the menstrual cycle is dependent on many factors and any external or internal changes affect its process.

Ovulation

Ovulation (translated from Latin ovum - the egg) - a process that is characterized by access to the abdominal cavity from the ovary of a mature oocyte ready to be fertilized. Ovulation - is one of the phases of the menstrual cycle and occurs approximately every month. Conventionally, ovulation menstrual cycle divides into two phases, the follicular and luteal. The process of ovulation Ovulation - How to determine as accurately as possible?   It depends on the neurohumoral mechanisms, in particular gonadotropin of anterior pituitary hormones (FSH and LH). Ovulation occurs as a result of accumulation of follicular fluid and thinning of the tissues of the ovary on the main (dominant) follicle. Stopping ovulation normally occurs during pregnancy and after forty years (premenopausal).

Signs of ovulation include the appearance of small lower abdominal pain Abdominal pain: when to sound the alarm? , Increased vaginal discharge and reduction of basal body temperature on the day of release of the egg, with subsequent increase in the next day. In addition, many women during ovulation point increase in sexual desire, which is associated with the peak of sexual hormones.

The lack of ovulation (anovulation) is a sign of an illness that leads to hormonal disturbances. It may be inflammatory diseases of the pelvic organs, the pathology of the adrenal or thyroid gland, the hypothalamus and pituitary tumors, diabetes mellitus Diabetes - threatening and incurable disease , Stress. Anovulation - the first sign of infertility women. In some cases, there is an additional ovulation (for strong sexual feelings).

Follicular phase

The follicular or proliferative phase is considered the first phase of the menstrual cycle. On average, it takes about fourteen days (28-day menstrual cycle). Immediately after the end of menstruation the ovaries under the influence of follicle hubbub beginning to synthesize estrogen. Under the influence of estrogen is an intensive proliferation and proliferation of the functional layer of the endometrium. In addition, growth of glands. The thickness of the mucosa by the end of the first phase of the menstrual cycle reaches four - five millimeters. The glands of the cervix begin to intensively produce mucus, which explains the increase in vaginal discharge. Cervical channel opens and becomes easily passable for sperm. In this phase under the influence of FSH, follicle begins to grow actively, which later will mature egg.

Ovulatory phase

When estrogen levels reach their peak in the pituitary gland begins to synthesize luteinizing hormone, which occurs due to the rupture of the follicle, from which the mature egg. The egg enters the abdominal cavity where it is captured fimbriae of the fallopian tube, whereupon the egg continues to move in the lumen of the tube. If at this time, she met with the sperm, the fertilization takes place. The fertilized egg tends to get into the uterus to be implanted there. If conception has not occurred, begins the next phase of the menstrual cycle - luteal.

Luteal phase

Luteal or secretory phase of the cycle takes place under the action of luteinizing hormone, which stimulates the production of progesterone Progesterone - norm and pathology . In this phase of the lining of the uterus stops growing, it becomes loose and edematous. By the end of the luteal phase of the corpus luteum undergoes reverse development, the level of progesterone snizhet begins rejection of the functional layer of the endometrium (menstruation).

Anna Sozinova