Curettage is a gynecological procedure that consists of removing endometrial tissue (internal lining of the uterus) using an instrument called a curette.
This procedure is performed in cases of miscarriage or miscarriage, to treat endometrial polyps, or in cases of abnormal uterine bleeding.
Types of Curettage and Its Applications:
a) Uterine curettage:
This procedure involves scraping the inside of the uterus to remove any problematic tissue. The most common reason to undergo uterine curettage is after a miscarriage.
However, it can also be used to remove polyps or investigate unexplained bleeding in women who are not pregnant. In such cases, the procedure is known as diagnostic curettage.
b) Diagnostic curettage:
As an investigative tool, diagnostic curettage helps determine the cause of abnormal bleeding.
However, this procedure is gradually being replaced by hysteroscopy, a safer alternative. In some cases, diagnostic curettage may still be required if hysteroscopy is not available or there are issues with medical clearance or urgency.
c) Post-abortion curettage:
This type of curettage was widely practiced before the introduction of manual vacuum aspiration (MVA), which is less risky. If AMV is not available, post-abortion curettage can still be performed effectively.
The advantage of curettage in this situation is that the practitioner can feel that all tissue has been removed. However, there are risks associated with this procedure, which we’ll explore in the next section.
Can curettage cause infertility?
As for infertility, curettage itself is considered a safe procedure, as long as it is performed by an experienced professional and under appropriate conditions. However, when performed improperly or more frequently, the formation of uterine synechiae may occur.
These adhesions occur between the walls of the uterus or cervix, resulting in a pathology called Asherman’s Syndrome. This condition can lead to infertility, as it makes it difficult for the embryo to implant in the uterus and can cause changes in menstruation.
How long after the procedure can you feel pain?
Regarding the duration of pain after the procedure, it is common to experience mild cramps and a small amount of bleeding after the curettage. These symptoms usually stop within 3 to 7 days.
If the pain intensifies or persists beyond this period, it is important to see a doctor for evaluation.
How many days after curettage can you have sexual intercourse?
As for the return to sexual activities, it is important to take into account that the inner part of the uterus is injured and therefore susceptible to infections after curettage.
The ideal is to wait 15 to 20 days after the procedure before resuming sexual intercourse.
In addition, it is essential to discuss with your doctor about the need for contraceptive use and when it is safe to start trying to get pregnant again, if that is the goal.
Risks of Curettage:
a) Uterine synechiae: One of the risks of curettage is the development of uterine synechiae or internal scarring. Although this is not always the case, it is essential to be aware of this potential complication.
b) Uterine Perforation: Using a metal curette during the procedure poses a risk of accidentally perforating the uterus. While this isn’t common, it’s crucial to minimize risk as much as possible.
c) Postpartum curettage: In some cases, curettage may be necessary after delivery. This can occur if the placenta is retained or it is suspected that some placental tissue remains within the uterus. In these situations, curettage is performed because aspiration may not be enough to solve the problem.
Remember that each case is unique and medical follow-up is essential to ensure an adequate and safe recovery after curettage.
Source: blogdasaude.com.br
