Will uterine curettage affect pregnancy?

Curettage is an act that is harmful to physical health. Generally speaking, it is not recommended. Of course, if people really cannot give birth to a child after becoming pregnant, they can only choose curettage. What people are most worried about after the curettage is probably the impact on future pregnancy. People are afraid that they will not be able to get pregnant in the future. Will the curettage affect pregnancy? Let’s analyze it carefully below.

1. Is it easier to get pregnant after curettage?

Whether it is easier to get pregnant after a curettage depends on the circumstances.

There are two types of curettage: diagnostic curettage and therapeutic curettage. Diagnostic curettage is a method for diagnosing pathological diseases or treating gynecological diseases, while therapeutic curettage is a type of artificial abortion that we often talk about. If you are a normal person, there is no need to do uterine curettage, unless the fallopian tube is blocked or there is a history of miscarriage. Patients with symptoms are more likely to get pregnant after uterine curettage, but if a normal person does it to terminate pregnancy, it is not conducive to pregnancy, and severe patients may suffer from infertility. Therefore, whether it is easier to get pregnant after curettage depends on the situation.

2. Diagnostic curettage

Diagnostic curettage (DCT)

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 range of the cancer.

3. Therapeutic curettage

Therapeutic curettage can be divided into suction curettage and forceps curettage.

Suction curettage: Use a negative pressure suction tube to suck out the contents of the uterine cavity. Curettage: Use oval forceps to remove the contents of the uterine cavity, and then perform curettage.

The indications for therapeutic curettage are: for those who want to terminate the pregnancy in early pregnancy, suction curettage is used within 3 months of pregnancy, and forceps curettage is used to remove residual materials in the uterine cavity after 3 months of pregnancy and after induced labor. Patients with incomplete abortion, inevitable abortion, missed abortion, retained placenta, hydatidiform mole, etc. who need to empty the uterine cavity. In the past, curettage was quite painful. but. With the development of science and technology, painless curettage and dilation is now adopted because the painless curettage and dilation operating room uses intravenous anesthesia. The surgery is usually performed without the patient's knowledge, and is completed after the patient wakes up.

4. The role of curettage

Termination of pregnancy

A curettage is a procedure that uses an instrument to remove the embryo or uterine lining from the uterus. Currently, many women with unexpected pregnancies choose painless abortion to end their pregnancy, that is, painless curettage and uterine cleaning. Normally, once the patient feels well enough (usually the same day), they can resume normal activities. Vaginal bleeding, lower abdominal cramps and back pain may occur for several days after the operation. Painkillers can be taken to relieve the pain. The use of internal menstrual tampons is not recommended for several weeks, and sexual intercourse is not recommended for several days. Due to trauma to the endometrium after curettage, there will be vaginal bleeding within two weeks after the operation. Generally, the amount of blood is less than or similar to the menstrual amount, which is normal.

Diagnosing menstrual disorders

Menstrual disorders are common gynecological diseases, manifested by abnormal menstrual cycles or bleeding volume, or abdominal pain and systemic symptoms before and during menstruation. The cause may be organic disease or functional disorder. Many systemic diseases such as blood diseases, hypertension, liver diseases, endocrine diseases, miscarriage, ectopic pregnancy, hydatidiform mole, reproductive tract infection, tumors (such as ovarian tumors, uterine fibroids), etc. can cause menstrual disorders. Curettage can be used to check the type of menstrual disorders and to understand the changes in the endometrium and its response to sex hormones.

Check ovulation

The medical definition of infertility is the failure to achieve pregnancy after one year of normal sexual life without any contraceptive measures. It is mainly divided into primary infertility and secondary infertility. Primary infertility refers to the inability to conceive; secondary infertility refers to infertility after having been pregnant. According to this strict definition, infertility is a common problem, affecting at least 10% to 15% of couples of childbearing age. The causes of infertility are divided into male infertility and female infertility. Curettage can help understand ovarian function and whether ovulation has occurred. It is usually performed before or within 12 hours of menstruation.

Diagnosis and treatment of abnormal uterine bleeding

It refers to abnormal bleeding originating from the uterine cavity that is inconsistent with any one of the normal menstrual cycle frequency, regularity, menstrual period length, and menstrual bleeding volume. Abnormal uterine bleeding (abnormal bleeding after menopause), highly suspected malignant lesions: As soon as possible, but if the scraped tissue is highly suspected of malignant lesions after macroscopic examination, stop the operation in time, and do not over-curettage to avoid heavy bleeding, uterine perforation, and the spread of malignant lesions. Curettage can confirm or exclude endometrial cancer and cervical cancer;

Diagnosis of endometrial disease

Endometrial tuberculosis is an inflammation of the endometrium caused by Mycobacterium tuberculosis. It is often a part of pelvic tuberculosis and also a part of systemic tuberculosis. The main source of infection is pulmonary or peritoneal tuberculosis. Endometrial tuberculosis accounts for 50% to 60% of genital tuberculosis, often spreading from fallopian tube tuberculosis to the uterus, and the lesions are mostly confined to the endometrium. Curettage can be used to understand whether there is adhesion in the uterine cavity and the shape of the uterine cavity: at any time, if conditions permit, the operation can be performed under B-ultrasound monitoring, which makes it easier to understand the situation in the uterine cavity.

5. Precautions for curettage

1. Sexual intercourse should be prohibited before uterine curettage, because if you have sex, it may increase the chance of infection, which will be detrimental to the woman's physical recovery.

2. Pay attention to keeping the vulva clean. It is best to take a shower before going to the hospital, but women should also be careful not to let water enter the vagina.

3. It is better to have someone accompany you, because it will be more convenient for two people to go between the registration office, outpatient clinic, laboratory, payment office, and pharmacy.

4. Before going out, be sure to bring the necessary hygiene products with you, because the doctor will use disinfectant to disinfect the vulva during the examination.

5. Keep the vulva clean and hygienic, and avoid sexual intercourse. After curettage, the cervix has not yet closed and the endometrium also has a repair process. During this period, special attention should be paid to keeping the vulva clean and hygienic. Do not take a bath in a tub within half a month after the operation to prevent unclean water from entering the vagina, leading to bacterial invasion and infection. Avoid sexual intercourse within one month after curettage.

6. On the day of the curettage, the patient cannot eat breakfast and cannot drink water for 6 hours - this will help them better prepare for the operation. This is because: there may be gastrointestinal reactions after anesthesia. If there is food in the stomach, it will be vomited out and enter the trachea, causing suffocation. But you can bring some high-calorie, easily digestible food and water and eat them after the operation.

7. Before the operation, you must use cervical softening drugs and follow the doctor's instructions.

8. If you are under anesthesia, do not eat or drink water 4 hours before the operation. Without anesthesia, you can eat some high-calorie foods to replenish your body's energy.

6. Health Tips

Curettage is divided into two categories: diagnostic curettage (abbreviated as DCT) and therapeutic curettage. Pathological examination after curettage is also called diagnostic curettage. The purpose is to scrape the contents of the uterine cavity for pathological examination to assist in diagnosis. If cervical lesions are suspected, the cervical canal and uterine cavity need to be examined in steps, which is called segmental diagnostic curettage. 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 range of the cancer. However, it should be noted that not all women undergo curettage to treat diseases and facilitate pregnancy. Some curettages performed to terminate pregnancy will affect the development of the uterus, damage the uterine cavity, and are not conducive to pregnancy. Therefore, women should try not to undergo curettage unless the disease requires it.