Pictures of the endometrium scraped out by curettage

Many women will find that their uterus is abnormal during physical examinations. Many women will undergo diagnostic curettage of their uterus due to lack of attention to daily hygiene or just after giving birth. This situation has a great impact on women. So, does diagnostic curettage mean scraping the endometrium?

Is diagnostic curettage a scraping of the endometrium?

The so-called uterine wall puncture biopsy is diagnostic curettage. Most of the time, curettage can be performed within the 6th to 12th hour of menstruation. The scraped uterine wall is sent for pathological examination, and the final clinical diagnosis is based on pathological diagnosis. If there is prolonged menstrual bleeding or irregular vaginal bleeding, and ultrasound examination suggests that there is a disease in the uterine wall, a diagnostic curettage can be performed at any time. The scraped tissue should also be sent for pathological examination. The pathological results will be available within 5 working days after the diagnostic curettage. Finally, corresponding treatment will be given based on the pathological diagnosis. In addition, you must rest after the diagnostic curettage, increase nutrition and keep the private parts clean. You cannot take a bath or have sex for one month.

The purpose of diagnostic curettage is to activate blood circulation and confirm pathological changes in the uterine wall. Patients who are over 35 years old, have failed medication, or have high-risk factors for endometrial cancer and have abnormal uterine bleeding should undergo diagnostic curettage to confirm changes in the uterine wall. If the ovulation period and corpus luteum function of the uterus and ovaries are uncertain, curettage should be performed before menstruation or within 6 hours of menarche. If there is irregular vaginal bleeding or heavy bleeding, curettage can be performed at any time.

During curettage, the entire uterine cavity must be scraped, especially the uterine corners on both sides, and attention should be paid to the size and shape of the uterine cavity, whether the uterine wall is smooth, and the nature and quantity of the scraped material. If endometrial cancer is suspected, a diagnostic curettage should be performed. For patients without a sexual history, if hormone treatment is unsuccessful or if they are suspected of having an organic disease, diagnostic curettage can be considered after obtaining the informed consent of the patient and his or her relatives.

Side effects of diagnostic curettage

Diagnostic curettage is a very common curettage surgery in clinical medicine. The main purpose of this surgery is to send the materials scraped out of the uterine cavity for physiological diagnosis, so that it can more accurately detect what type of gynecological disease it is. Therefore, women with abnormal uterine bleeding after menopause, women with irregular menstruation and women with infertility need to go to the hospital for diagnostic curettage in time. This type of surgery can provide better auxiliary treatment. However, many women still worry that diagnostic curettage will affect themselves.

Diagnostic curettage is the scraping of the woman's uterus. If the curettage is only performed once or the frequency is low, the impact on the uterus is not very large. However, if the curettage is performed frequently, it will seriously damage the woman's uterus. Because the woman's uterine wall is only a thin layer, if the diagnostic curettage is performed frequently, it will cause great irritation to the uterine wall. In severe cases, it may also affect the woman's successful pregnancy. Therefore, it is best to consider pregnancy half a year after the diagnostic curettage to avoid impact and harm to yourself and the fetus.

Adhesion of the cervix or endometrium If the scraping is too rough during hysterectomy, causing injury or inflammation of the cervix or endometrium, it may cause adhesion of the cervix or endometrium after the operation and cause irregular menstruation, such as amenorrhea or too little menstrual flow.

Incomplete abortion: If the surgical treatment is not carried out thoroughly, a small amount of fetal tissue will remain in the uterus, which may affect uterine contractions and cause continuous bleeding or cause adhesions, infection, etc. It is best to have another careful surgical treatment to remove the remaining tissue.

Bacterial infection: If the equipment is not thoroughly sterilized, or the surgeon himself does not pay attention to the sterility testing process, it may cause intrauterine infection, and even further infect the fallopian tubes and pelvis, which may lead to ectopic pregnancy or infertility in the future.

Endocrine imbalance: Functional imbalance uterine bleeding is caused by neuroendocrine dysfunction, and there is no systemic or reproductive organic disease. Except for single women in puberty, curettage is the most common way to treat menorrhagia. Its advantage is that it can not only examine the uterine wall, but also completely scrape off the functional layer of the endometrium that bleeds in the uterine cavity (without scraping off the dermis to avoid loss of fertility), thereby achieving the two-way effect of diagnosis and blood circulation, and has an immediate effect, but the harm of curettage should not be underestimated.