What to do if you have abdominal pain during your first menstrual period after curing your uterus

Uterine curettage is an artificial drainage surgery. In the past when medical technology was not very developed, women would undergo uterine curettage for drainage. Many times, uterine curettage surgery will cause scratches on the uterus, so it is normal to have abdominal pain during menstruation. However, after the uterine curettage, the abdominal pain is more obvious and lasts longer. If this phenomenon occurs during the menstrual period, you should pay attention to it.

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.

Choose your timing

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.

Technical steps

1. Body position: lithotomy position.

2. Rinse and disinfect the vulva and vagina routinely.

3. Use cervical clamp to fix the upper lip of the cervix during uterine exploration. Send the probe along the direction of the uterine body to the fundus of the uterus to understand the size of the uterus.

4. Dilate the cervix Use a cervical dilator to dilate the cervical canal until the intrauterine suction device can pass through it.

5. During uterine curettage, insert the uterine suction device into the uterine cavity without negative pressure. Then maintain negative pressure and perform repeated scraping and suction, being gentle throughout the entire process. If the suction tip is blocked by tissue during suction, the tissue should be quickly removed before continuing suction. If there are no conditions for suction uterus, curettage and dilatation can be performed.

When suctioning 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.

Postoperative care

1. Tissue examination: Send the scrapings for pathological examination.

2. To prevent infection, take oral antibiotics for 3 to 5 days.

3. No bathing in the tub and no sexual intercourse: No bathing in the tub for 14 days and no sexual intercourse for 30 days.