How strong is the echo to be?

Although pregnancy is a happy event, many women will have abortions due to reasons such as not being mentally prepared or not liking children. Women can choose medical abortion or surgical abortion according to the length of time the fetus is in the womb. Both methods of abortion have their own advantages and disadvantages, but both will leave residues in the uterus. At this time, it is necessary to judge by a slightly stronger echo. When the slightly stronger echo is larger than 1 cm, a curettage should be performed. If it is less than 1 cm, it can be discharged by itself. After all, curettage can cause considerable harm to the body.

How strong is the echo to be cleaned?

For most women, pregnancy is a good thing, but there are also a small number of women who do not like children. Regardless of whether a woman likes children or not, sometimes surgical or medical abortion is unavoidable. If the embryo develops abnormally or is underdeveloped, then even if you don't want to, you have to choose to terminate the pregnancy. As for choosing surgical or medical abortion, it depends on the gestational age of the fetus.

Medical abortion is an option for women before 12 weeks of pregnancy, while surgical abortion is the only option after 12 weeks of pregnancy. We all know that medical abortion does not cause much harm to women's bodies, so those who can choose medical abortion will not choose surgical abortion. However, medical abortion often requires uterine cleaning, because medical abortion is only responsible for killing the embryo, not for cleaning out the residues in the uterine cavity. Generally speaking, if the slightly stronger echo exceeds 1 cm and there is vaginal bleeding, then uterine curettage is necessary.

Of course, medical abortion has improved a lot nowadays, and it can also clean up the residues in the uterine cavity. As for whether it is clean or not, it needs to be observed again. Normally, if the slightly stronger echo is within 1 cm, and there is no vaginal bleeding or the amount of bleeding is very small, you can take medication and observe for the time being. After taking the medicine for seven days, if there is still no bleeding, continue to observe and check again after the menstruation comes again and is over. If there are any residues at this time, it is necessary to perform a uterine cleaning. Generally speaking, the residue will flow out along with the menstrual period when it comes again.

In fact, whether you have a surgical abortion or a medical abortion, for your own safety it is best to go to the hospital for an ultrasound examination to see how big the slightly stronger echo is. Sometimes, even if the slightly stronger echo is less than 1 cm, after taking the medicine, the menstruation still fails to expel all the residues in the uterine cavity, so it is still necessary to perform uterine cleaning. We need to know that the residue will still develop in the uterine cavity. In order to avoid causing unnecessary harm, we must perform uterine cleaning in time.

So, in general, uterine curettage is required if the slightly stronger echo is greater than or equal to 1 cm. However, sometimes the slightly stronger echo is less than 1 cm. After taking the medicine and observing, when the menstruation comes, all the residues in the uterine cavity are not discharged from the body in time, uterine curettage is also required at this time. Although the slightly stronger echo is not large, our main purpose is to clean up the residues in the uterine cavity. Therefore, if the slightly stronger echo is less than 1 cm, but the residues are not cleaned up in time, uterine curettage is still needed.

What is the difference between curettage and curettage?

Uterine curettage means that medical abortion is not completely clean and the remaining embryonic tissue in the uterus needs to be cleaned out mechanically. Curettage is a surgical procedure to scrape the endometrium or uterine cavity contents. It is a common minor surgery in obstetrics and gynecology and is one of the methods of artificial abortion. Curettage is divided into two categories: diagnostic curettage and therapeutic curettage. Diagnostic curettage is divided into general diagnostic curettage and segmented diagnostic curettage. Therapeutic 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.

Indications for therapeutic curettage:

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 or after induced abortion; for those who need to empty the uterine cavity due to 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. The doctor must be skilled in the technique to avoid various unnecessary complications, such as uterine perforation, heavy bleeding, incomplete curettage, postoperative uterine adhesions, infection, etc.

How long does uterine curettage surgery take?

Curettage refers to scraping the uterus, which is both a traditional abortion procedure and a remedial measure when the abortion is not complete. Uterine curettage is only suitable for pregnancy of less than three months. If the pregnancy is more than three months, other surgical methods are needed. Although uterine curettage is performed under sterile conditions, it also has great risks and there is the possibility of complications such as postoperative infection and postoperative bleeding.

In most cases, uterine curettage requires intravenous anesthesia for the patient. The waiting time for anesthesia is 30 minutes, and the time for uterine curettage is 5-6 minutes, so the total operation time is about 40 minutes. Therefore, uterine curettage is a minor operation. The operation is divided into two steps. The first step is to dilate the cervix to its maximum so that the uterine key can be inserted into the uterine cavity. The second step is to insert the uterine spoon deep into the uterus and scrape out the embryo. An ultrasound examination must be performed before a uterine curettage to avoid accidents during the operation. Since uterine curettage surgery has high requirements for the doctor's experience, skills and the safety of the equipment, if the operation is improper or excessive force is used, it will cause heavy bleeding and infertility to the patient. Therefore, uterine curettage should be performed in a regular hospital.

Careful care is required after uterine curettage to ensure that the patient receives adequate care. First of all, in order to avoid postoperative infection, anti-inflammatory drugs should be injected or the patient should take anti-inflammatory tablets after the operation. The medication can be stopped after the condition stabilizes after 2-3 days. After the operation, try to rest in bed, avoid strenuous exercise, and it is best not to have sexual intercourse within two months. You should also improve your nutrition in your diet and eat more foods high in protein, such as milk, soybeans, etc.