How long does it take to get menstruation after curettage?

Curettage is actually what we often call curettage. This is a very common way of abortion. But now it has been replaced by more advanced methods that have less impact on the body. But sometimes, some female friends still need to undergo uterine curettage. At this time, someone will ask: How long will it take for menstruation to come after a uterine curettage? Experts tell us that at the fastest, it would take a month.

Curettage is also known as dilation and curettage, which is the most commonly used method for early induced abortion. Although curettage does not require surgery, it is also a gynecological surgery and must be performed under strict disinfection. The operation is divided into two steps. The first step is to dilate the cervix to a sufficient size, and the second step is to use a curette to extend into the uterine cavity and scrape out the embryo. The longer the pregnancy lasts, the larger the fetus will be. At this time, the cervix needs to be dilated to the maximum limit to scrape out the fetus, so scraping the uterus becomes more difficult. At the same time, the longer the pregnancy lasts, the softer the uterus will become, and the chance of piercing the uterus during surgery will naturally increase.

Once incomplete abortion, delayed abortion, or hydatidiform mole is diagnosed, uterine curettage can be performed if there are no special contraindications (including visceral diseases such as heart and lung, blood diseases, infections, etc.); if artificial termination of pregnancy is required, it should be performed within 12 weeks of pregnancy.

complication

1. Cervical laceration is common in infertile women and usually occurs on both sides of the cervix. For such patients, the operation should be gentle. Small lacerations can be blocked with iodine gauze to stop bleeding; larger lacerations should be sutured under direct vision to stop bleeding. If vaginal hemostasis is ineffective, a laparotomy is required to find the bleeding blood vessels and ligate the bleeding. Occasionally, a hysterectomy is required.

2. Uterine perforation Pregnancy and tumors (such as hydatidiform mole) can make the uterine wall fragile, which can easily cause uterine perforation during curettage. For uterine perforation with less bleeding, conservative treatments such as anti-inflammatory and hemostatic treatments can be used; if the perforation is large and complicated by heavy bleeding, laparotomy is required to stop bleeding, repair the perforation wound, or perform a hysterectomy.

3. Adequate preoperative preparation, strict aseptic operation, and preventive antibiotic treatment after surgery can reduce the occurrence of infection.

4. Uterine cavity adhesions may occur if the scraping is excessive during uterine cleaning, with consequences such as infertility, miscarriage, amenorrhea, dysmenorrhea, etc. Adhesions can be separated under hysteroscopy.