Separate diagnostic curettage of the uterine cavity is performed to diagnose the condition of the epithelium layer by means of a histological analysis or as a medical procedure. In fact, diagnostic scraping for technique is not different from abortion.
What is the purpose of diagnostic scraping of the uterine cavity?
The purpose of therapeutic-diagnostic curettage is to clarify the diagnosis and treatment of a sufficient number of diseases of the reproductive system. Indications for a separate diagnostic scraping of the uterus cavity are:
- menstrual cycle disorders;
- the presence of polyps in the cervical canal and endometrium;
- dysfunction of uterine bleeding;
- spontaneous termination of pregnancy;
- diagnosis of tuberculosis or oncology of the uterine cavity endometrium;
- infertility.
Like any surgical intervention, diagnostic scraping has a number of contraindications: the inflammatory processes of the organs of the reproductive system and acute infectious diseases.
Currently, an alternative to diagnostic curettage is hysteroscopy, a procedure that allows you to conduct an examination of the uterine cavity with a hysteroscope. The optical, ultrathin instrument allows, also, to perform tissue sampling for biopsy and to remove polyps of the endometrium.
How is the treatment-diagnostic curettage done?
- Before conducting diagnostic curettage, a woman undergoes a thorough examination aimed at identifying possible contraindications. Usually, the diagnosis includes ultrasound, visual examination, ECG, biochemical blood tests. The blood is examined for syphilis, hepatitis and HIV.
- Before operation, for one day, it is not recommended to use any vaginal preparations. It is not desirable to perform syringing.
- On the day of surgery, it is forbidden to eat or drink.
- Going to the diagnostic curettage, a woman must grab slippers, a nightgown and the necessary number of pads.
- The surface layer of the mucosa is to be scraped off. After the procedure there is a growth layer, from which the new endometrium develops. The duration of the procedure is about 20 minutes. When scraping is used intravenous anesthesia, which allows you to completely eliminate pain. At the end of the procedure, the woman is transferred to the day hospital ward. Extracting home can be made immediately after the termination of anesthesia, if the condition of a woman is found to be satisfactory.
Recovering after curettage
After the procedure, the uterine cavity bleeds for a certain time. Allocations after diagnostic curettage are practically the same as menstruation. Normally, the secretions do not have an unpleasant odor and last 5-6 days,
Bleeding can be accompanied by minor aching pain in the lower abdomen and lower back. This is due to uterine contractions. It is recommended to use no-shpa to reduce the pain syndrome. In the absence of secretions and the presence of pain, you need to contact a gynecologist. High probability of formation of hematomas due to spasm of the cervical canal.
As a restorative measure after diagnostic curettage, a small course of antibiotics is performed to reduce the risk of inflammation.