Separate diagnostic curettage (RDV) is one of the therapeutic and diagnostic methods used in gynecology.
WFD uterus - the essence and testimony
The UDT is carried out by means of surgical intervention, during which the surface layer of the mucous membrane is removed first of the cervical canal, then its cavities. After the procedure of the WFD, the endometrial growth layer must remain. More modern and effective is the method of carrying out the WFD in parallel with the hysteroscopy, as it can be used to examine the walls of the uterus, to reveal the presence and location of tumors and other pathologies. In addition, hysteroscopy after the WFD can assess the correctness of the curettage performed, thereby reducing the likelihood of complications in the form of nonspecific discharge, increase in temperature, etc.
Despite the fact that the WFD is a rather unpleasant procedure, and to some extent even dangerous, for many patients - this is the only solution to gynecological problems.
As a rule, WFD is conducted for the purpose of diagnosis and treatment. In the first case, to get the material for further research, in the second - to remove the pathological condition of the mucosa.
To special therapeutic indications, WFD include:
- Uterine bleeding . Women at different ages may experience bleeding blemishes of unclear etiology, often this process can not be stopped by medication, so it is decided to do the WFD.
- Synechia . They represent the fissures of the walls, which also do not lend themselves to conservative treatment. In this case, it is practiced to use WFD with hysteroscopy, since the probability of trauma to the uterine wall is high.
- It is necessary to carry out a curettage in the presence of polyps.
- Endometritis. It is believed that taking medications will give better results if you first remove the surface layer of the endometrium.
- Hyperplasia. In this case, scraping is the only way to treat and diagnose.
- Complications after an abortion or a stiff pregnancy. WFD allows you to get rid of the remains of fetal membranes and embryonic tissues after surgery, which causes severe bleeding, nonspecific discharge and other dangerous consequences.
For the diagnosis of RDV with hysteroscopy and without, carry out in the following cases:
- structural changes in the cervix and its mucosa;
- profuse menstruation and intermenstrual bleeding for unclear reasons;
- WFD is necessary in preparing for routine surgical intervention, in particular when removing uterine fibroids.
Preparation for the WFD and features of the rehabilitation period
Preparation for the WFD consists of several stages. Priority requires the surrender of some tests:
- general blood analysis;
- bacteriological smear from the vagina;
- HIV testing, syphilis, hepatitis B and C;
- coagulogram.
Immediately before carrying out the WFD, it is necessary to refuse to eat food and liquids, take a shower, make a cleansing enema, and shave off the scalp on the genitals.
The WFD is a relatively simple procedure, but there is a possibility of complications. Therefore, a certain period after the WFD and hysteroscopy should closely monitor the temperature of the body and vaginal discharge. Within the limits of the norm is the appearance of spotting spotting within 10 days. It should alert the woman just the absence of secretions in conjunction with the pain in the lower abdomen, as this may indicate the accumulation of blood in the uterine cavity.
After the WFD is not recommended to resume sex for about two weeks, it is also necessary to limit physical activity, refuse baths, saunas, baths.