Does it hurt if the abortion is not clean?

Many pregnant women still find residues in their uterus during examinations even after having medical abortions. These residues must be cleaned up as soon as possible, mainly to prevent these residues from breeding bacteria and affecting the normal functioning of the uterus. In this case, they must undergo a uterine curettage to clean the inside of their uterus, thereby preventing themselves from suffering from infertility in the future.

Curettage and dilation is a procedure to scrape out the endometrium or uterine cavity contents. This is a minor surgery commonly performed in obstetrics and gynecology and is one of the methods of artificial abortion. It is divided into two categories: diagnostic curettage (abbreviated as DCT) and therapeutic curettage. There are certain risks and complications.

① Diagnostic curettage is divided into general diagnostic curettage and segmented diagnostic curettage. General diagnostic curettage is suitable for endocrine abnormalities, which require understanding of endometrial changes and responses to sex hormones, the presence or absence of ovulation, the presence or absence of tuberculosis, etc. Segmented diagnostic curettage refers to the operation of first scraping the cervical canal and then the uterine cavity. The scrapings are sent for pathological examination separately. It is suitable for diagnosing cervical cancer, endometrial cancer and other uterine malignancies, and can understand the scope of cancer.

②Therapeutic curettage can be divided into suction curettage and forceps curettage. Suction curettage is the use of a negative pressure suction tube to suck out the contents of the uterine cavity, while forceps curettage is the use of an oval forceps to remove the contents of the uterine cavity, followed by curettage. The indications for therapeutic curettage include: those who want to terminate the pregnancy in early pregnancy, suction curettage within 3 months of pregnancy, forceps curettage to remove residual materials in the uterine cavity after 3 months and after induced abortion; those who need to empty the uterine cavity for incomplete abortion, inevitable abortion, missed abortion, retained placenta, hydatidiform mole, etc. Contraindications include acute genital tract and pelvic inflammation, trichomoniasis and candidal vaginitis, and patients with severe medical diseases who cannot tolerate surgery. Note: Understand the indications and choose the appropriate time and procedure for different diseases.

Diagnostic curettage

It is suitable for patients with endocrine abnormalities who need to understand changes in the endometrium and its response to sex hormones, the presence or absence of ovulation, the presence or absence of tuberculosis, etc. Diagnose cervical cancer, endometrial cancer and other uterine malignancies.

Therapeutic curettage

The indications for therapeutic curettage include: those who want to terminate the pregnancy in early pregnancy, suction curettage within 3 months of pregnancy, forceps curettage to remove residual materials in the uterine cavity after 3 months and after induced abortion; those who need to empty the uterine cavity for incomplete abortion, inevitable abortion, missed abortion, retained placenta, hydatidiform mole, etc.