Recovery of the uterus after curettage: steps and recommendations
Scraping (cleaning), if diagnosed endometriosis is a relatively common procedure, which is not harmless. Many women are interested in many questions, for example, what might be the consequences, how is the recovery after curettage of the uterine cavity, what are the treatments. Also, what are the warning symptoms to pay attention in time to ask for help. To begin with we will understand, why to perform the scraping, and then talk about the recovery after surgery, what complications can arise and what to do to reduce the rehabilitation period by using simple recommendations.
What is scraping and how long is the recovery?
Endometriosis is a disease that causes a proliferation of the glandular endometrial tissue outside of the uterus. Typically, endometriosis occurs in the fallopian tubes, ovaries, uterus, majevica, in the abdominal cavity, the rectum and other internal organs.
Often hear such a diagnosis can women who belong to the childbearing age group of 25-40 years. Rarely, but such cases are possible that endometriosis will show up at the teenager during the formation of a regular menstrual cycle.
Sometimes in severe situations, the pathology could trigger the active development of cysts and subsequently infertility. In most cases, endometriosis does not harm the normal development of the fetus, but the presence of pathology, the chances are greatly reduced. Therefore it is imperative treatment.
Scraping is assigned in cases where medication is not successful. It may also be assigned if developed complications, without which it is impossible to remove by other means.
Assigned to scraping, if installed: endometrial hyperplasia, disruptions in the menstrual cycle, spontaneous abortion, missed abortion, uterine bleeding unclear etiology, a combination of abnormalities, endometriosis, infertility.
Gynecological cleaning the uterine cavity involves the removal of the functional mucous layer of the uterus. Further recovery of the shell of the endometrium is due to proper germ layer. This is a fairly common procedure, gynecologist appoints her almost every third woman. Surgery to remove the endometriosis tissue is best done on day 3 before the impending menstruation.
Because sometimes curettage is performed for diagnostic purposes, to determine the informative character of the tissue sample or to find out if the degeneration to cancer.
What are the consequences depends on the experience of operating surgeon, which directly held the scraping of a cavity. If all the rules of surgical technique strictly adhered to, and the history of women indicates the presence of comorbidities that may influence the recovery of the cavity, complications should arise. Necessary if the endometriosis intersects with concomitant diseases, reproductive organs, the doctor needs to calculate all the risks.
Considered normal when a woman feels mild, tolerable pain during menses after the operation. Such pain is more like spasms as the uterus is Contracting and returning to its previous size.
If there are no problems, the restoration of the uterine cavity is fairly rapid, usually complete regeneration of the tissue occurs for one menstrual cycle.
In the postoperative period the woman should pay attention to the nature of the secretions and their intensity it is possible to recognize the warning signals.
To the question, how is the restoration of the uterine cavity after curettage precise answer is impossible, all depends on the General condition of the female body, its reserves and related factors.
Typically this period varies between 14-15 days.
Many are interested in what you have to do after brushing to reduce the recovery period:
- you can’t have sexual intercourse;
- do not douche, do not use a variety of gels, ointments, vaginal suppositories;
- to take antibiotics;
- to use only the gasket, not a tampon;
- can’t do sports and lift weights;
- strictly observe genital hygiene;
- to avoid hypothermia;
- a month don’t visit saunas, baths, solariums, etc.;
- you cannot take a bath, only a shower, not to swim in the lake, sea and other water bodies.
In compliance with General recommendations can reduce the recovery of the uterus and to avoid the consequences. Also, do not be afraid of such procedures as scraping. Today, thanks to the new and technologically advanced equipment of any complications are minimized. Cleaning cavity helps to eliminate various gynecological problems that interfere with conception and childbearing. That is why this procedure helps many people to experience the joy of motherhood.
The recovery period
For example, if cleaning was conducted with missed abortion, to extract from the cavity of the particles of the ovum, or after a miscarriage after the procedure the woman must pass laboratory tests:
- analysis on hormonal levels of estrogen and progesterone;
- smear on the vaginal microflora;
- ultrasound examination of the pelvic organs – the ovaries, uterus;
- histological analysis – to examine a highly informative sample of the retrieved tissues.
Discharge, pain: norm and deviations
When it comes to the final phase of the menstrual cycle, is the exclusion layer of the endometrium, which is why many women confuse menstrual fluid secretions after brushing. A woman must understand that after surgery, the uterus will bleed.
How many will last allocation depends on blood clotting, the scope of intervention, body condition and hormonal levels.
Normal discharge are those that:
- last about 6 days, but not more than 10 (risks that occur bleeding);
- allocation will eventually become smudged;
- possible aching and nagging pains as at monthly, but not strong.
Brown discharge is one of the signs that the uterus heals successfully and the treatment will be effective. And if the bleeding is bothering more than 10 days – urgently to the gynecologist.
Cheerleaders have the following highlights:
- have an unpleasant odor;
- bleeding or too liquid discharge;
- select the yellow liquid.
Usually, such wounds are allocated to the fluid exudate (pus). If it comes out profusely and multiple, it is a signal that healing is difficult. You also need to pay attention, what color is the fluid if yellow is a sign of infection.
Infection is extremely dangerous, which is why after intervention treatment with antibiotics for 5 days to prevent the consequences.
If vaginal fluid smells bad is a signal about the presence of bacteria.
What symptoms need urgent medical care:
- body temperature was sharply increased from 37 to 38 degrees;
- secreted vaginal fluid is absent;
- piercing pain in the abdomen;
- an excessive amount of selection;
- when you change the smell, consistency and color;
- malaise, weakness, drowsiness, dizziness.
The first month after the procedure: when to wait?
As a rule, the menstruation appears after 4-5 weeks after surgery. Timing depends on the condition of the body, and with what intensity the patient is recovering. If you did a medical abortion, there can be a delay, as it is necessary to reproductive function returned to normal.
The first signs that signal the need to visit a gynecologist – this is spotting or bleeding, especially if the body temperature is above 37 degrees and pronounced pain in the lower abdomen.
Regularity of cycle should be OK in 3-6 months. During this period, should be every 2 weeks to visit the gynecologist.
If gynecological cleaning was performed under the diagnosis of endometriosis in the presence of the fetus, miscarriage or polyps, in such a situation the monthly can have a rich and lasting. Also, absence of menstruation in due time – a reason to visit a specialist.
The temperature after the procedure
In fact, after any surgery included protective reaction of the organism and the temperature increases to 37 degrees is the norm.
Such a temperature in the range 37-37,5 can stay the first night. The next day she should be OK, but on the contrary if the temperature rose above 37.5 is a sign of development of inflammatory process.
If the temperature subsides, is kept within a 37.5-38 and in addition accompanied by severe pain, an urgent need to call a doctor.
As a rule, after the intervention the patient’s feeling bearable pain in the lower abdomen as during menstruation. Therefore, after the operation for several days the woman needs to take spasmolytic «no-Spa», which will help to prevent clots in the uterus.
Also, an antibiotic is prescribed, to prevent development of infection. In order to prevent bleeding, which is quite possible after this procedure the woman is assigned to «Oxytocin». After 14 days, be sure to visit the doctor and follow all recommendations.
The most frequent are the consequences, such as: hemorrhage, can accumulate clots and fluid in the cavity to cause inflammation and infection.
Consider all the possible complications:
- the diagnosis of infertility, when the basal layer is extremely damaged;
- uterine bleeding, derives abundant fluid, which is not terminated;
- hematometra – blood clots;
- infection accumulated clots act as a catalyst for the infection;
- tear, tear of the cervix;