How many days after diagnostic curettage to stop bleeding

How many days after diagnostic curettage to stop bleeding

In daily life, every woman will experience some conditions as she ages and her body changes. A woman's uterus is the place where new life is nurtured. During sexual intercourse, the uterus will also undergo a series of significant changes. When abnormalities occur in the uterus, you should go to the hospital for treatment. The purpose of diagnostic curettage 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 segmented diagnostic curettage.

Introduction

The purpose of diagnostic curettage 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.

Folding curettage classification

Diagnostic curettage scrapes the endometrium for pathological examination to determine whether the ovaries have ovulated and what the ovarian hormone levels are. When there is abnormal uterine bleeding, curettage can not only play a diagnostic role, but also a therapeutic role, because curettage often achieves the purpose of stopping bleeding. When should you do a curettage? If you want to know whether your ovaries have ovulated, you should do it before your period or within 12 hours of your period. If it is abnormal uterine bleeding, you can do a curettage at any time depending on the situation.

Folding inspection method

The method of judging the results of pathological examination is: the secretory phase of the endometrium indicates ovulation, and the proliferative phase of the endometrium indicates anovulation. Sexual intercourse is prohibited before and within one week after curettage to prevent infection. Antibiotics can be taken to prevent infection if necessary. You should rest for 1 week after the curettage.

Fold to edit this section Indications

1. Determine the type of menstrual disorder

Anovulatory functional uterine bleeding (to understand whether the ovaries have ovulated): before menstruation or within 12 hours of menstruation.

Luteal insufficiency: within 12 hours of menstruation.

Luteal atrophy: Day 5 of the menstrual cycle.

2. Check the cause of infertility (understand ovarian function and whether ovulation occurs): before menstruation or within 12 hours of menstruation.

3. 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.

4. 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. Irregular vaginal bleeding or heavy bleeding: at any time, and a comprehensive curettage is required to achieve the purpose of hemostasis.

Fold to edit this section Diagnostic examination

1. Abnormal uterine bleeding, to confirm or exclude endometrial cancer or cervical cancer;

2. Menstrual disorders, those who need to understand the changes in the endometrium and its response to sex hormones;

3. Infertility: It is necessary to know whether there is ovulation;

4. Suspected of endometrial tuberculosis;

5. For patients with prolonged and heavy bleeding due to residual tissue in the uterine cavity or incomplete shedding of the endometrium, it not only plays a diagnostic role, but also a therapeutic role. [1]

References:

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