Uterine curettage

Uterine curettage

Uterine curettage is a gynecological intervention which serves to extract part of the inner layer of the uterus.

This procedure is performed to remove the tissue after a irregular bleeding during the period, a abortion spontaneous or for analyze the endometrium in search of a diagnosis of uterine cancer or other conditions.

There are two types of laymen:

  • Gynecological curettage: It is carried out as part of the study to determine the causes of some irregularities such as: very abundant, irregular periods, bleeding after menopause, or in order to extract formations lodged in the uterine cavity.
  • Obstetric curettage: It is performed after childbirth, when there are remains of placenta, in deferred abortions to remove residual tissues or for IVE in order to extract the sac lodged in the cavity.

+ Frequently asked questions about uterine curettage?

When it's made?

Uterine curettage is carried out in the following situations:

  • Diagnosing uterine cancer: The curettage allows to analyze the endometrium to see if there are signs of malignancy or not.
  • Remove the contents of the uterus after a miscarriage: When the expulsion of the embryo does not occur completely, and remains left inside the uterus are called abortion held. In these cases, the embryo and its attachments must be removed before an internal infection or other complications occur. The curettage is sufficient for interrupted pregnancies up to three months; then it may be necessary to use other more aggressive techniques.
  • Treatment of heavy periods: there are cases of women whose periods are more abundant than normal. In this case, curettage can be performed to analyze the endometrium in search of abnormalities that explain this situation, but it can also be useful as a treatment in itself, since it can eliminate the cause (a fibroid, for example).
  • Treatment of irregular menstrual periods: that is, curettage can be used to treat vaginal bleeding outside the menstrual period. In this case, curettage would be used to analyze the endometrium, and sometimes it would also solve the cause of these bleeding.
  • Perform provoked or therapeutic abortions: One of the ways to interrupt a pregnancy in the first trimester is to perform a curettage that allows the embryo to be removed along with the rest of the endometrium. This curettage is carried out either at the will of the pregnant woman herself, because her health is in danger, or because the future fetus will not be able to develop.
  • IUD Embedding: One of the complications of intrauterine devices (IUDs) is that over time they become embedded in the inner walls of the uterus, making it impossible to remove them directly. In these situations, a previous curettage is performed to remove the endometrium that retains the IUD.
  • Treatment of small fibroids and endometrial polyps: fibroids and polyps are abnormal growths of the endometrium or uterine muscle that develop into the uterine cavity. Sometimes they cause complications (spontaneous abortions, sterility, heavy menstruation…) and must be eliminated by means of a curettage.
  • Tests to prevent early endometrial cancer: It is not recommended to perform this test on all women, but in certain situations you should proceed to perform it, since it can detect endometrial cancer when it is still easy to solve. The most characteristic situations occur after menopause and are: abnormal bleeding in women who follow Hormonal treatment, irregular bleeding y endometrial thickness growth detected by a transvaginal ultrasound.

How is the recovery?

  • The recovery is Quick, so the patient can return home the same day as the procedure.
  • It is recommended that the patient be accompanied during the following 24 hours, as she may experience disorientation caused by anesthesia.
  • It is normal to have slight bleeding or spotting irregularly for a few days after curettage.
  • After having undergone a uterine curettage the patient should keep some precautions such as do not use tampons o douching y refrain from sexual intercourse for about 15 days.

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