Curettage is a procedure usually performed in situations where a woman has an abortion.
Abortion has several causes and, in some situations, the body is not able to properly eliminate all the uterine contents.
It is precisely these so-called incomplete abortions that need curettage as an intervention, which is performed by a gynecologist.
What is and when is curettage done?
Throughout the weeks of pregnancy, a woman’s body goes through many changes. Most of these happen inside the uterus, where the endometrium thickens to accommodate the embryo from the earliest stages.
Often, usually due to natural reasons, the body is unable to maintain the pregnancy. Then the woman has an abortion.
It turns out that in some circumstances the body does not completely eliminate the endometrium after an abortion.
If the pregnancy is already in more advanced stages, it is necessary for the body to also eliminate parts of the placenta and the fetus. If this does not happen, curettage must be performed.
Who assesses the need to perform this procedure is the gynecologist himself.
Usually, when the procedure is recommended, the woman experiences fear and anxiety. The pain of loss is always intense and very sad.
But in some cases it is essential to perform a curettage to prevent the content from remaining with content that could cause problems for the woman.
In cases where the uterine contents are not completely eliminated, serious uterine infections can occur.
The procedure can be unpleasant, but having to deal with the consequences of a partial eviction is dangerous.
It is also very important to clarify that curettage is not only performed in cases of miscarriage.
On some occasions, the gynecologist may choose the procedure to treat problems such as excessive bleeding and severe abdominal pain.
Furthermore, the term curettage should not be confused with collection, which is the designation for the procedure in which some material is collected.
Can you avoid the procedure?
Miscarriages are natural reactions of the body and it is not possible to completely prevent them from occurring.
However, a lack of some vitamins and minerals increases the chance that they will happen.
That is why it is very important that the doctor prescribe these supplements to minimize the chances of miscarriage.
Folic acid is the main one. Therefore, when women decide to get pregnant they should start taking folic acid.
Vitamins A, C and E in general are essential for pregnant women. Therefore, it is necessary to have good nutritional and gynecologist monitoring during pregnancy to reduce the risk of miscarriage and of having to undergo curettage.
How is this procedure performed?
First, it is necessary to say that curettage is a surgical procedure, which must be performed in a hospital by a gynecologist.
Basically you need to use specific instruments to enlarge the cervix and then use others to remove the waste.
There are currently two procedures used for this. The most conventional is scraping, but there is also suction, which is a more modern method.
Before that, the patient receives an anesthesia. The type is indicated by the responsible physician and this depends on the patient’s physical and emotional situation.
The spinal is the most used, but there are cases where the patient can even receive a general anesthetic.
If the patient’s health is good, curettage is a very simple procedure. After going through it, the woman can leave the hospital after 24 or even 12 hours of observation.
There are cases in which the contents extracted from the uterus after curettage are taken for analysis to detect the cause of the miscarriage.
In cases of consecutive and frequent miscarriages, the doctor usually chooses to do this to determine the source of the problem.
How is recovery after uterine curettage?
First, you must understand that recovery after any type of procedure depends on the body’s response.
This is individual. Therefore, each woman will recover in a different way and the sensations may vary. But in general for curettage it is considered simple.
Commonly, curettage performed after an abortion that occurred in a recent, low-risk pregnancy is simpler and has a faster recovery.
On the other hand, when this happens in an advanced stage pregnancy, it may require more care in recovery. In some cases it is necessary to make a 40-day period.
Regardless of the level of complication of the curettage, it is essential that the woman has some specific care, which includes:
- Absolute rest;
- Not having sex;
- Correctly take the anti-inflammatory drugs or antibiotics prescribed by the doctor.
After the procedure, it is normal for the woman to have bleeds and this is absolutely normal.
The curettage procedure is invasive and the body completes the expulsion of the uterine contents through bleeding. It can be extended for a period that varies between 5 and 15 days.
If the woman has severe bleeding or has fever and abdominal pain, she should contact her doctor for an evaluation.
Can I get pregnant after how long?
After curettage, it is common for women to want to know when they can start trying to get pregnant again.
If that’s your case, first of all, take it easy. As much as you want a new pregnancy, you should think about allowing your body to recover from what happened.
Going through a miscarriage is very difficult psychologically, but it is also a trauma for your body.
So it is necessary to allow time for the body to fully recover until it is ready to shelter a new life.
Ideally, the doctor should assess the situation, as each case is different. In cases of low complexity, it is generally recommended that the woman wait three months before trying to get pregnant again.
On the other hand, when the complexity of the picture is greater, a period of up to six months must be waited.
Curettage is a procedure usually performed after an abortion. That’s why it can be psychologically difficult for a woman. Despite this, it is very important to avoid infections and more complex problems.