After suffering a curettage from a miscarriage, women always have the same question: when can I get pregnant again? You need a recovery time and special care after undergoing this surgical intervention that can vary depending on different physical circumstances of the woman. We explain what a curettage is, when it is done, what risks it entails, what to do to have a speedy recovery and how it affects your fertility.
The curettage, a surgical instrument, gives its name to the procedure of scraping the womb or curettage of the uterus, in order to extract the deepest layer, specifically the endometrium. However, there is often talk of scraping, but there is also the technique of vacuuming.It is performed in situations of uterine alterations or to eliminate placental remains in cases of abortion.
There are different degrees, it can range from an endocervical (gynecological) biopsy, in which only a small uterine sample is taken to be able to assess studying because there are irregular periods and / or staining or bleeding in menopause, to a uterine curettage with a complete scraping for an abortion or for rest of the placenta after a delivery. The purpose of curettage is often to prevent bleeding and to prevent infections that originate within the womb.
Depending on the procedure, it will be recommended from any type of sedation to anesthesia in different degrees, with the consequent outpatient management or consultation up to hospital admission in more complex situations. The average duration of the procedure is 15 minutes.
As is normal, depending on the procedure used, indication, degree of scraping or level of anesthesia, convalescence and care may vary.
- For simple cases of gynecological endocervical curettage, only 24-hour relative rest is recommended, take care of hygiene measures and have correct hydration. The use of analgesics can be prescribed in case of significant discomfort.
- He average recovery time, in obstetric curettage, is variable depending on the evolution and relative rest is usually advised for the patient, in order to avoid possible bleeding or uterine infections, as the most common complications. It is very normal to have discomfort these days, usually uterine contractions and cramps, which can be a reason to consult with the gynecologist so that he can assess the possibility of prescribing medication to relieve them.
- The cicatrization It is a moment to take into account, since adhesions to the uterine wall can form, which can lead to variations in the usual menstrual cycle and, consequently, alterations in the level of fertility. It is one of the rarer complications, but it is possible.
- It is advisable not to make efforts in the first days, after 72 hours you can lead a normal life, avoiding extreme exercises. During this period, it is normal for there to be some small bleeding, which should decrease, and colicky pain, which will gradually disappear.
- In cases where anesthesia has been necessary, Between care, once discharged from the hospital or private clinic, it is recommended that the patient be accompanied at all times, due to the risk of drowsiness she may have.
- What is not recommended, under any circumstances, is the use of tampons for a month, douching in the shower or immersion baths and sexual intercourse for 10 days and always depending on the evolution.
- It should be borne in mind that the next menstruation after curettage may be somewhat more painful than usual, it may also include small clots, so some women may believe that they are having a new abortion, but they are actually remains of tissue that lined the uterus the previous month. Another circumstance that can be scary and that can occur is the new period is delayed.
As in the case of care, depending on the type of curettage and circumstances, the recommendation that doctors and gynecologists can make to women when trying to get pregnant again will vary.
In the case of curettage after an abortion, sexual intercourse is not recommended within the next 10 days (if it is done without a condom it can cause infection) and, in general, pregnancy should be avoided in the following 2 months, so that at least the rule has returned to normal operation.
The woman needs to regain her body, but she also has to do it emotionally and take things easy. If we start with the physical part, you should pay special attention to certain warning signs that can occur after a curettage:
- yes the bleedings do not decrease. More specifically, if you need to change clothes every hour due to excessive bleeding.
- yes fever appears.
- If the abdominal cramps and his pains do not decrease in intensity.
- If you notice that you vaginal discharge smells bad.
On the other hand, this type of intervention has some drawbacks that can, in some cases, delay or make it difficult to conceive a baby.
- Risk of uterine perforation.
- The natural hormonal process is suppressed, which can help you cope with grief more effectively.
- Scars that may influence future pregnancy.
- Development of synechiae ("threads" that join both uterine walls), which reduce uterine space, cause fertility problems.
- Problems and side effects related to anesthesia.
- Risk of infections.
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