How long does it take to get your period after a curettage?

Diagnostic curettage is actually a very traditional abortion procedure. Compared with other abortion surgeries, diagnostic curettage is very harmful to women's bodies, so women are advised to choose appropriate abortion methods based on their physical conditions. So, how long does it take for menstruation to come after curettage? If the recovery is good, menstruation will return to normal in one to two months.

Termination of pregnancy by artificial or medical methods within 3 months of pregnancy is called early pregnancy termination, also known as artificial abortion. It is used as a remedy for unexpected pregnancy due to contraceptive failure. It is also used for those who need to terminate pregnancy due to illness or to prevent congenital malformations or genetic diseases. Artificial abortion can be divided into two methods: surgical abortion and medical abortion. Commonly used methods include vacuum aspiration abortion, forceps curettage abortion and medical abortion.

1. Vacuum aspiration

Suitable for use in the uterus within 10 weeks of pregnancy. The method mainly uses negative pressure electric aspiration to suck out the early pregnancy products, namely the embryonic sac and decidual tissue, which is called artificial abortion negative pressure aspiration or simply negative pressure aspiration. This method was first invented in my country. The operation is relatively safe and simple, and is therefore a commonly used means of terminating early pregnancy in clinical practice.

(1) Indications: ① Those who wish to terminate pregnancy within 10 weeks of pregnancy and have no contraindications; ② Those who are not suitable to continue the pregnancy due to certain diseases or genetic diseases.

(2) Contraindications: ① Acute stage of various diseases: acute myocardial infarction, acute cerebral infarction, acute hepatitis, acute blood system diseases, acute kidney diseases, acute surgical diseases, etc. 1. Patients with untreated genital inflammation, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute or chronic pelvic inflammatory disease, sexually transmitted diseases, etc.; 2. Patients who are unable to assume lithotomy position due to illness or trauma; 3. Patients who are in poor general condition and cannot tolerate surgery; 4. Patients whose body temperature is above 37.5℃ twice before surgery should postpone surgery.

2. Anesthesia and analgesia technology to implement negative pressure aspiration

That is often called painless artificial abortion:

(1) Indications: ① Patients who voluntarily request anesthesia and analgesia for termination of pregnancy within 10 weeks of pregnancy; ② Patients who are not suitable for continuing the pregnancy due to certain diseases (including genetic diseases) and voluntarily request anesthesia and analgesia for termination of pregnancy; ③ Patients who have no contraindications to vacuum aspiration, anesthetics, or general anesthesia; ④ Patients who meet the American Society of Anesthesiologists (ASA) preoperative assessment criteria level I-II.

(2) Contraindications: ① The acute stage of various diseases; ② Genital inflammation, which has been treated; ③ Those with poor general health and cannot tolerate surgery and anesthesia; ④ Those with contraindications to anesthesia (allergic constitution, allergic asthma, anesthetics and multiple drug allergies); ⑤ Those who did not fast or drink before surgery; ⑥ Those whose gestational age is greater than 10 weeks or for whom surgery is estimated to be difficult.

3. Curettage

Anyone who is between 10 and 13 weeks pregnant and wishes to terminate the pregnancy, or who is not suitable for pregnancy due to special circumstances such as illness or has failed other abortion methods. Generally, a combination of clamping and negative pressure aspiration is used to terminate pregnancy. The scope of clamping is generally recommended to be within 14 weeks. In recent years, due to the clinical application of mifepristone, prostaglandins, etc., clamping and curettage have gradually been replaced by medical induction of labor.

(1) Indications: ① Those who are between 10 and 13 weeks pregnant and wish to terminate their pregnancy or are not suitable for pregnancy due to special circumstances such as illness; ② Those who have failed other abortion methods.

(2) Contraindications: ① Acute stage of various diseases; ② Inflammation of reproductive organs, such as vaginitis, acute suppurative cervicitis or subacute cervicitis, acute and chronic pelvic inflammatory disease, sexually transmitted diseases, etc., surgery can be performed after treatment; ③ Those who are in poor general condition and cannot undergo surgery can consider hospitalization for surgery after improvement after treatment; ④ Those whose body temperature is above 37.5℃ twice before surgery.