How to ensure that the palace is clean

After a woman becomes pregnant, if for some reason she cannot give birth to the baby in her belly, she needs to have an abortion, which requires a uterine curettage. Uterine cleaning can cause certain harm to the female body, and if it is not clean, a second cleaning may be required. It is best for people to go to a large regular hospital for uterine cleaning, as the probability of success is relatively high, to avoid the trouble caused by incomplete uterine cleaning. So how can we ensure that the uterine cleaning is clean?

1. Can the curettage surgery clean the uterus completely?

The success rate of uterine curettage in regular hospitals is about 90%.

Currently, uterine curettage surgery performed in regular hospitals can generally clean the patient's body in one go. Moreover, with the development of modern medical technology, clinical data from major hospitals also show that the success rate of uterine curettage surgery is around 90%. If the surgeon performs the uterine curettage surgery in accordance with the hospital's regulations, the success rate will be even higher.

2. How to improve the chances of a complete uterine curettage

1. Choose a regular hospital for surgery

Uterine curettage surgery needs to be performed in a regular and professional hospital. Because painless uterine curettage surgery requires a lot of experience. Inexperienced doctors may not only perform incomplete uterine curettage, but may also easily scrape the uterus due to excessive force during the operation. Therefore, please go to a regular hospital for the surgery and do not go to a private clinic for the surgery.

2. Uterine curettage during the best period of pregnancy

Generally, the fetus can only be removed by curettage within three months of pregnancy. Curettage is not recommended after three months. The longer the pregnancy lasts, the larger the fetus becomes. At this time, the cervix needs to be dilated to the maximum limit to scrape out the fetus, so the uterine curettage operation is more difficult and easily results in incomplete cleaning.

3. How to ensure that the uterine curettage is clean

1. Look at the size of the uterus

When cleaning the uterus, pay special attention to the uterine corners and fundus on both sides. If you feel there is still tissue, scrape it with a curette. If you feel that the uterine wall has become rough and observe bloody foam in the suction bottle, and the uterus is significantly shrunk during examination, it means that the uterus has been emptied and the operation can be ended.

2. Look at the amount of bleeding

Postoperative bleeding is a normal phenomenon. If the amount of bleeding is small and the bleeding time does not exceed 7 days, it means that the uterine curettage operation was very successful and the uterine curettage was clean. Otherwise, you must go to the hospital for a follow-up examination in time.

3. Look at the abdominal pain

In the first 1-2 weeks after uterine cleaning, women will have slight pain in the abdomen. If this pain lasts for a long time and is severe and obvious, it may be that the uterine cleaning was not complete and there are still embryos remaining in the uterus, causing abdominal pain.

4. Check for infection

If the uterus is not cleaned thoroughly after curettage, the residues in the abdomen can easily breed bacteria, leading to infection, abnormal leucorrhea, itching, abdominal pain, etc.

5. Check for early pregnancy symptoms

If you still have early pregnancy symptoms after the curettage, such as nausea, aversion to greasy food, vomiting, lower abdominal pain, continuous vaginal bleeding, etc., it means that the curettage was not completely cleaned.

4. What to do if the uterine curettage is not completely cleaned?

1. A lot of residue: Perform a second curettage

If the patient shows the above signs that the uterine curettage is not complete, then she must go to a regular hospital for a follow-up examination, and then use B-ultrasound to diagnose whether there are still a large amount of residue left in the uterus. At this time, a second uterine curettage should be performed under the doctor's judgment and advice.

2. A small amount of residue: taking medicine + diet + exercise to promote excretion

If only a small amount of residue is left after the uterine cleaning, doctors will generally prescribe some blood-activating drugs to help the patient excrete these residues as soon as possible, such as: Motherwort Granules. In addition, it is recommended that you promote the excretion of residues through some dietary adjustments and moderate exercises such as walking, yoga, Tai Chi, and vaginal exercises.

Recommended: Qing Palace Recipe

1. Shenghua Tang

Ingredients: 40 grams of angelica (whole), 30 grams of Chuanxiong, 25 grams of peach kernel (core removed), 25 grams of roasted old ginger, and 25 grams of licorice (honey licorice).

Preparation method: Add medicinal materials to 700 ml of rice wine (which has been boiled and the alcohol has evaporated), cover and simmer over low heat for about 1 hour, until about 200 ml is left. This is the first time, pour out the medicinal wine and set aside; add 350 ml of rice wine for the second time, and cook in the same way as the first time, until about 100 ml is left; add the first and second times of medicinal wine together to a total of 300 ml and mix well.

Efficacy: Shenghua Tang has the effect of promoting blood circulation and dispelling cold, and can relieve abdominal pain caused by blood stasis and lochia after childbirth. It has a good conditioning and warming effect after curing the uterus.

2. Boiled eggs with motherwort

Ingredients: 30-60 grams of motherwort (available at pharmacies), 2 eggs, and appropriate amount of brown sugar.

Method: Add water and cook together. After the eggs are cooked, remove the eggshells and continue cooking for a while. Remove the residue and add brown sugar to season. Eat the eggs and drink the soup. Take 1 dose daily for 5-6 days.

Efficacy: Motherwort is a good medicine used by Chinese medicine in the past dynasties to treat gynecological diseases and improve health and beauty. It has the effects of diuresis and swelling, promoting blood circulation and removing blood stasis, regulating menstruation, and contracting the uterus. It is suitable for women who have abortions when combined with brown sugar and eggs.

5. Precautions before uterine curettage

1. Do a good job of preoperative examination

Objective: To confirm the patient's gestational age and the safety factor of the operation.

Examination items: Routine gynecological examination, body temperature, B-ultrasound, HCG blood test, urine test, liver function, electrocardiogram, blood routine examination, etc. are required before the uterine curettage operation. Some people only need a gynecological examination and B-ultrasound examination. Postpone surgery if:

(1) If the body temperature exceeds 37.5 degrees Celsius twice before surgery, surgery should be postponed.

(2) Patients with poor physical condition, such as those with acute inflammation or acidosis caused by severe vomiting during pregnancy that has not been corrected, are not suitable for surgery and need to wait for treatment to improve before surgery.

(3) Painless abortion requires understanding of the heart condition to ensure the safety of anesthesia. Patients with poor heart function should choose surgery according to doctor's advice.

Note: After completing the relevant examinations, you can usually make an appointment for surgery the next day.

2. Fasting and no drinking

Patients undergoing painless uterine curettage should not eat any food, including water, for about 6 hours before the operation.

This is to avoid gastrointestinal reactions after the patient undergoes general anesthesia during uterine curettage. If the patient has eaten food, he or she may vomit the food, and the vomited food may easily enter the trachea and cause suffocation.

Recommendation: You can bring some high-calorie foods, such as chocolate, bread, and stewed chicken soup to replenish your body's nutrition after the operation.

3. Pay attention to personal hygiene

(1) Sexual intercourse is prohibited

Patients who undergo uterine curettage should not have sex again before the operation just for the sake of momentary pleasure, because after this intercourse, a large amount of secretions will flow out of the female's uterus, which may increase the patient's inflammatory infection rate and is not conducive to the operation and postoperative physical recovery.

(2) Take a bath and wash your hair before surgery

Since patients cannot take a bath or wash their hair immediately after uterine curettage, it is best for patients to take a bath and wash their hair on the day before going to the hospital before the operation, keep clean and hygienic, and be careful not to flush water into the vagina when taking a bath. It is best to just take a shower.

(3) Carry sanitary products

In addition, remember to bring the necessary hygiene products you need before going out, such as: toothbrush, clean and hygienic paper towels, cotton towels, sanitary pads or sanitary napkins, etc. The doctor will check before the operation and paper towels will be needed. You may need to be hospitalized after the operation. There is a small amount of normal vaginal bleeding, so sanitary napkins and other products will be needed.

4. Pay attention to your personal attire

No matter what surgery you are going to have, you must wear underwear and outer pants that are easy to put on and take off in advance. It is recommended that patients go in pajamas, which will facilitate various pre-operative examinations and surgical operations.

5. Prepare your personal information

(1) Whether there is a history of illness or drug allergy

The doctor will ask you whether you have any other medical history. The patient should answer truthfully in this regard, such as: gynecological inflammation, allergy to any medicines, etc.

(2) Is this the first time to have a uterine sac

Secondly, the patient should also explain whether this is her first uterine curettage. If she has a history of multiple uterine curettages, she needs to explain this. This will help the doctor confirm the safety of the operation and the patient's chances of infertility in the future.