Endometrium is necessary so that the ovum can attach to the wall of the uterus and the vagina begins. When curettage, which can be carried out both for therapeutic and diagnostic purposes, this mucous layer is removed partially or completely. Normally, it is restored within two to three months, but sometimes this does not happen. Such a condition threatens amenorrhea, infertility, infectious diseases of the uterus, etc. What to do when the endometrium does not grow after curettage, what measures to take to speed up the recovery?
The recovery period after the procedure lasts four weeks. During it, you must follow a number of recommendations. This will help restore the mucous membrane as soon as possible and improve the patient's condition. It is important to comply with the following requirements:
- Can not enter into intimate relationships,
- It is forbidden to conduct douching, use tampons and vaginal candles,
- Any topical use of drugs is contraindicated.
- Some doctors in some cases do not recommend the use of cosmetics for hygiene,
- Eliminate weight lifting more than 4 kg by weight,
- Limit physical activity and sports for this period (especially strength exercises and those that activate blood flow to the pelvic organs),
- Hygiene more carefully than usual
- Avoid hypothermia, it is especially important to keep feet warm,
- Avoid overheating - exclude baths, solariums, saunas,
- Do not lie in the bath for a long time, it is better to do only one shower,
- Do not swim in natural waters.
If all recommended endometrial requirements are met, the patient should recover quickly after curettage. If this does not happen, then it is necessary to search and eliminate the cause of the violation in her body. Often, prescribed medication.
How to ramp up?
How to increase the endometrium after curettage, if he recovers very slowly or does not recover at all? In which cases, in general, can we say that any treatment is required? Usually, one month after curettage, the patient is assigned a diagnostic diagnostic ultrasound, which allows to assess the recovery. If the endometrium is visible on the ultrasound with a thickness of 1-2 mm or less, then we can say that it does not recover, since during this period it should grow much more.
If for some reason an ultrasound scan has not been prescribed, then the patient should consult a doctor if normal (normal in duration, regular and sufficient in volume) passage of menstruation has not recovered even after 2-3 months. This is an indirect sign of irregularities in the recovery process.
Endometrium is a hormone-dependent tissue. It changes its thickness during the menstrual cycle under the influence of the hormone estrogen, which is responsible for its growth and renewal. Therefore, most often the treatment is carried out by hormonal drugs. As an additional, to relieve severe symptoms, you must also take antispasmodics and antibiotics, in some cases, physiotherapy is prescribed. More information about how to increase the thickness of the endometrium can be found in the article "How to increase the endometrium."
Drug treatment is prescribed in most cases and has high efficacy. A patient whose endometrium does not grow after the intervention needs to undergo a study on the level of sex hormones. If estrogen in the blood is reduced, then drugs are prescribed to increase it, since it is for this reason that recovery does not occur. But if they are normal, then the problems may be different. Doctors prescribe treatment with other drugs.
An important part of the standard therapy after curettage is the intake of antispasmodics. They are also shown for problems with the restoration of the mucous. Normally, after the intervention, slight aching pain in the lower abdomen may be present for 2-3 days after the intervention. Analgesics do not eliminate them. Usually, for these purposes, the No-shpa turns out to be quite effective.
Take it one or two tablets (depending on the dosage) once or twice a day. It helps to eliminate spasm and relieve painful symptoms.
What effect does it have on the endometrium? In the case of a spasm in the uterus, its tone increases and the blood circulation and microcirculation of the blood are disturbed. As a result, not enough nutrients are supplied to the mucosa, and mucosal cell division is not very active. When the spasm is removed, the blood circulation normalizes and the endometrium begins to grow.
Restoration of the endometrium after curettage is a very important process. This is due to the fact that the mucous in the period after the intervention, in fact, injured, weakened local immunity of tissues. This leads to the fact that various infections, viruses and fungi can easily take root in the uterus. It is very important to prevent this. For this purpose, strong broad-spectrum antibiotics are prescribed, such as Amoxicillin, Metrogil, Ceftriaxone, etc.
They take a course of 5-7 days, starting from the day of surgery. The dosage is calculated by the doctor based on the weight of the patient. After this period, the mucous has time to heal, immunity is restored. At the same time, the probability of developing an infection is significantly reduced.
Sometimes for the same purpose, additional immunomodulators and immunostimulants will be used.
Physiotherapeutic methods are widely used in gynecology in the recovery process after the treatment of certain diseases. Scraping is no exception. Why is it that physiotherapy is highly effective during the rehabilitation process after the intervention?
- It improves blood circulation in the tissues, thereby accelerating their nutrition,
- It contributes to the removal of inflammation, which is still possible after the curettage procedure,
- Relieves swelling, which not only speeds up recovery, but also helps prevent the formation of adhesions,
- Some methods have an absorbing effect that helps prevent adhesions and make softer or completely eliminate existing ones.
- Accelerates the regeneration and renewal of tissues, healing through the improvement of their blood supply.
The following physiotherapy measures are used to restore the endometrium - electrophoresis with different compositions, UHF, microwave, mud therapy, iontophoresis, and some others. Procedures are carried out for 10-14 days at different intervals, one type of procedure is assigned or several parallel. Such methods have contraindications, because the presence of chronic diseases must be reported to the doctor.
Do not completely rely on popular treatment. This approach is only good as an extra. The following recipes are used:
- Licorice, clover, lovage, sweet flag and hops can be taken in any form. For example, you can brew a teaspoon of any herb with a glass of boiling water and take it in the form of tea twice a day. They are rich in phytoestrogen and help to increase its level in the body,
- Borovaya uterus and red brush are used in a mixture in proportions of 1 to 1. Also brewed as tea, which you can drink in half a glass per day. Act similarly. Influencing hormone levels, but have a more pronounced effect.
Before applying the methods of traditional medicine, you should consult with your doctor.
Types, stages of scraping
Uterine cleaning (lat. Abrasio cavi uteri) is a minor surgical intervention in gynecology, which can be done mechanically or by vacuum. Procedures for the technique of conducting almost no different from medical abortion and can be carried out in therapeutic and therapeutic and diagnostic purposes.
When mechanically cleaning the uterus (or scraping), the gynecologist with the help of special equipment and instruments expands the cervix and penetrates the uterine cavity through the cervical canal.
During the surgical procedure, a special hysteroscope device is used. With it, the physician visually assesses the cavity of the organ, determines the unaffected areas and performs immediate curettage: removes the top layer of the mucous membrane. The doctor collects the extracted tissue samples in a test tube and sends it for histological examination.
Vacuum cleaning of the uterus is considered a more benign intervention. It is carried out using a special tool - an aspiration syringe. The organ cavity, the endometrium and the cervix are less injured, the woman tolerates the procedure well and the risk of complications is minimal.
Vacuum cleaning of the uterus is used for diagnostic purposes, for abortions, aspiration of missed abortion. The procedure is considered simple, effective and gentle.
In gynecology, mechanical and vacuum curettage makes it possible to identify and treat most pathologies. The most commonly prescribed cleaning of the uterus with endometriosis and bleeding. Conditions for which vacuum aspiration is applied:
- Violation of the menstrual cycle with prolonged, massive bleeding.
- Scanty discharge from the genital tract.
- Post-abortion remains of the ovum.
- Postpartum remnants of the placenta.
- Freezing pregnancy with embryo underdevelopment.
- Abortion (up to 3 months).
Conditions for which the uterus is cleaned mechanically (curettage):
- Endometrial pathology.
- Polypous growths.
- Bleeding with menopause.
- Suspected malignant neoplasm.
- Intrauterine adhesions.
- Endometrial hyperplasia, endometriosis.
The procedure is contraindicated in women with ectopic pregnancy, tumors in the uterine cavity, and developmental defects of the organ. Scraping is not prescribed with an active inflammatory process, severe somatic diseases.
If after an abortion less than six months have passed and with massive bleeding, scraping is also not performed.
Period after scraping
After uterine cleansing, bleeding begins. How long they will continue depends on how strong the body and its hormones are.
Signs on which it can be argued that recovery after curettage is normal:
- Allocations last about a week, but not more than 10 days.
- Their volume gradually decreases and by the end acquires a smearing character.
- Soreness of medium or low intensity.
Brown discharge is a good and indicative feature. This suggests that the uterus is restored. But when they last more than 10 days, a visit to the gynecologist cannot be postponed.
If after the procedure a woman complains of severe pain and the appearance of whiter, it can be assumed that the inflammatory process begins with bleeding. This happens when an excessive amount of the germ layer is removed, and wounds have formed on the walls of the uterus.
If the discharge is abundant, accompanied by severe pain in the ovaries, fever and general weakness, the woman should be urgently hospitalized.
If scraping is carried out by an experienced and qualified specialist, then complications are a rare but possible occurrence. What pathology can develop after aspiration and curettage:
- Perforation of the uterus (puncture) as a result of mechanical curettage. Causes: technical difficulties in the expansion of the body, excessive pressure, loose or altered wall of the uterus. Minor perforations heal spontaneously, and if, for larger injuries, surgery and closure are performed.
- Tearing uterine wall. It can happen during the procedure when the clips for fixing the neck fly off. Minor injuries heal on their own; if extensive, they perform suturing.
- Violation of septic and antiseptic conditions, lack of supportive antibiotic treatment can lead to inflammation of the uterus.
- Adhesions with the formation of synechia - connective tissue growths that violate the menstrual and generative (forming) ovarian function.
- Excessive bleeding. The uterus intensive blood supply and the risk of this complication is quite high. The situation is aggravated if the woman suffers from a bleeding disorder. This is a dangerous condition that requires immediate hospitalization.
- A hematometer is a collection of blood with a spasm of the cervix.
- Allergic reaction to drugs that were used for anesthesia.
If the procedure is performed by a doctor with insufficient experience and technique, his strong and aggressive actions can cause injury to the germ cells that cover the mucous membrane. With damage, the growth of new tissues becomes impossible. After curettage in endometriosis, with excessive cleaning of the mucous membrane, an incurable adenomyosis disease often develops - complete cessation of growth or active uncontrolled growths of the base layer of connective tissue.
Women who are shown cleaning the uterus should not be afraid of the procedure. If it is performed on modern equipment by a qualified doctor, everything will pass without harm to health.
Within two weeks after curettage, the woman should refrain from sexual contact and physical exertion, not douche or take baths, not to overheat and not to overcool. And most importantly: with even minor signs of complications, it is imperative to go to an appointment with a doctor.
Rehabilitation after curettage is a long time. During recovery, a woman should follow all medical recommendations. This will help her body more quickly cope with the endometrium buildup.
After surgery, the gynecologist will recommend a woman methods:
- prevention of infection of damaged surfaces,
- endometrial capacity,
- recovery of the menstrual cycle
- normalization of psychological and physical condition.
Discharge and pain: normal
After scraping women often complain of pain in the lower abdomen. Normally, such discomfort should be moderate. They disappear within 1 week. Severe pain may indicate the development of complications. Dizziness due to anesthesia is also possible. Some women report an increase in body temperature to 37.2–37.5 degrees for 2–3 days.
In addition to the deterioration of the general condition of the body, a woman may notice the appearance of discharge after the procedure:
- within 2-3 days there is blood, which is very similar to the monthly,
- a week later there are spotting secretions resembling blood; they acquire a mucous consistency, are distinguished by a brown tint,
- the end of the rehabilitation period is accompanied by a yellow secret.
Discharge usually lasts 10–12 days. A longer duration may indicate the development of complications.
To prevent their development, a woman needs to carefully monitor their health. The appearance of the following symptoms indicates danger:
- any bleeding lasts more than 20 days,
- started scanty or heavy menstruation,
- bleeding appeared a month after curettage,
- there is an unpleasant smell coming from the secret
- Discharge began with a large amount of rejected tissue in the form of clots,
- pain in the lower abdomen lasts more than 1 week after surgery,
- there was a sharp cessation of blood discharge (this indicates their accumulation in the uterine cavity),
- The body temperature index has risen greatly,
- loss of consciousness.
When these symptoms appear, an urgent need to contact a physician. But if a woman passes each diagnostic examination prescribed by her doctor, the occurrence of the indicated symptoms is unlikely.
The first monthly after the procedure
Menstruation after scraping should come in a month and a half after the procedure. In this case, the regulations may begin with a delay, but the cycle should fully recover within 2-3 months.
Depending on the condition of the body, the first periods can be abundant or scarce. After a delay, they tend to be plentiful. At the same time, the blood is characterized by a red color, liquid structure.
If there is a delay, the body temperature rises, an urgent need to consult a doctor. Also, the trip to the gynecologist can not be postponed in the complete absence of menstruation. This is due to the fact that similar symptoms may indicate the development of complications.
After surgery, a woman should regularly visit the attending physician to monitor the effectiveness of the recovery period. Such an approach to rehabilitation will eliminate the risks of complications, speed up the process of thickening of the endometrium. Observation will allow you to track any hormonal changes, prescribe an effective therapy.
It is worth considering that the rehabilitation regime and treatment, which allows the body to quickly return to normal after the curettage process, is prescribed only by the attending physician based on the individual data of the woman, the severity of the operation. All prescribed recommendations must be observed in full.
Normally, the recovery of the uterus after surgery continues for only 1 menstrual cycle. But the whole body will recover only in 2-6 months.
After the curettage procedure, some complications may develop, for the diagnosis of which you will need to undergo certain procedures (from colposcopy to biopsy). Among them stand out:
- the addition of infection, accompanied by inflammation,
- bleeding. Most often occur in women suffering from insufficient blood clotting,
- hematometer. It is a collection of blood clots in the uterus, dangerous subsequent development of infectious pathologies,
- the remnants of the fetal particles when blindly scraping, which provokes the occurrence of inflammation in the uterus, stopping the rehabilitation process,
- formation of adhesions in the uterine mucosa. In the future, this may provoke the development of infertility, problems with conceiving a child,
- infertility. One of the rarest complications that can occur against the background of an incorrectly performed operation, the individual characteristics of a woman.
To exclude any likelihood of the above-mentioned complications, it is necessary to strictly follow all recommendations of the attending physician, to monitor the state of their own health. In the event of the onset of anxiety symptoms, an urgent need to visit the gynecological office. It is very important to remember that self-medication can adversely affect not only the reproductive function of the body, but also its general health and vitality.
When is endometrial scraping done?
Often, curettage responses with endometrial hyperplasia of the uterus among patients are ambiguous. However, doctors say that this method of treatment is most successful in this disease.
To figure out how effective it is, it is worth exploring in more detail the mechanism of action, the types of techniques and the result it provides.
In what cases and how is endometrial scraping performed?
Diagnostic and therapeutic curettage is prescribed for the detection of pathology of the inner surface of the female genital organ (the concept of endometrial cancer, which we have already written earlier). These include:
- • thickening of the functional layer up to 16 mm
- • cystic and polypous formations
- • critical cases of bleeding
Excessive growth of the internal epithelium can be caused by hormonal disruptions, abnormalities in the kidneys, liver, mammary glands, frequent abortions, diabetes. Unsuccessful operation of the genital organs or a long absence of pregnancy also contribute to the modification of endometrial cells.
The disease is more common during puberty or in menopause. At the same time, hyperplasia is diagnosed on the basis of ultrasound, and the functional surface is removed by curettage. Later it is restored thanks to the work of the cells of the basalt layer.
Gynecological curettage with endometrial hyperplasia allows you to diagnose the nature of the origin of polyps or cystic manifestations. It is important that covers the entire area of the mucous.
Even microscopic objects for research are not ignored, as is the case with the use of biopsy.
The procedure can be carried out in several ways using special tools and vacuum equipment. The method of "blind" (curettage) involves the use of a small curette.
The doctor plunges her into the uterus through the slightly open neck. The required amount of material is scraped from the walls, upper and lower parts of the organ.
Then it is laid out in a medical tray and sent to the laboratory for further diagnosis.
Manipulations with the use of a hysteroscope (a thin device with a video camera) and a special fluid will allow a more thorough examination of the walls of the uterus, as well as facilitate the procedure during the bleeding period. At the same time thickness of the removed fabric and quality of cleaning is strictly controlled.
There is a separate diagnostic curettage of the uterus with endometrial hyperplasia. It differs from the first two methods in a phased implementation. First of all, the cervical mucosa is collected and placed in a tray. Then, the tissues are scraped from the body of the uterus and spread into another container.
A thorough study of each material will provide a complete picture of the disease.
What are the effects of endometrial scraping?
This treatment is surgical. It is usually carried out on the eve of menstruation or on the initial day, as the patient may lose some blood during the manipulations. Exceptions are moments when the doctor has no choice (heavy bleeding, fetal dying).
Many are interested in the question: how much is blood bleeding after scraping? Most often, discharge with blood clots can be observed within a week. With each subsequent day, they will become poor. After treatment, abdominal pain, lower back pain, fatigue and dizziness are normal.
Some complications are still observed after surgery. Thus, minor tears of the cervix are possible as a result of careless use of forceps or as a result of a sharp contraction of the muscles of the organ.
Perforation of the uterine walls can also be formed due to excessive efforts of the doctor or in the case of excessive tissue looseness. Minor injuries will heal on their own. Significant damage is repaired promptly.
Sometimes there is a hematometer after curettage. Accumulation of blood mass in the uterus is formed due to a neck spasm. Blood is removed mechanically or by prescribing medication. Inflammatory processes in the body of the reproductive organ, mucosal disorders are also eliminated with the help of anti-inflammatory drugs prescribed by the attending physician.
Successful treatment of endometrial hyperplasia without curettage
If the disease does not cause serious cell changes and does not lead to complications, the doctor selects a course of medicines that will help to cope with hyperplasia.
For example, birth control pills of the combined type (Regulon, Yarin, Zhanin). They are appointed to young women, more often - not giving birth. These drugs contribute to the synthesis of progesterone.
Accepted within six months on an individual scheme.
Medicines with synthetic substitutes for natural progesterone (Duphaston, Norkolut) are effective for women of any age. They are used to normalize the menstrual cycle and reduce the intensity of pain.
The disadvantages include the probability of minor discharge between menstruation. The course is 3-6 months. Such treatment does not exclude the possibility of sexual activity.
It is known that sex after scraping will have to be postponed for 7-14 days.
Depending on the evidence, the specialist may prescribe drugs that inhibit the production of estrogen (AGNRG). This is usually an injection or spray into the nasal cavity. They slow down the growth and division of cells, which leads to a slight atrophy of the endometrium. Against the background of their use, the patient is not threatened with infertility or removal of the uterus.
How to restore the endometrium after curettage
Mucosa uterus needs additional therapy after cleaning. This is facilitated by physiotherapy sessions (electrophoresis, mud therapy, acupuncture, ozone treatment). In addition, doctors recommend a course of anti-inflammatory drugs, which can last from 4 days to several weeks.
Hormonal drugs help to level the balance of hormones necessary for the body. During the rehabilitation period, their level is carefully monitored, especially the indicative rate of tg in women.
Comprehensive treatment of endometrial hyperplasia after curettage involves the restoration of the body as a whole.
It is advisable to take vitamins and trace elements to improve the functions of the immune system.
After 2 weeks, you must pass a gynecologist examination. And after six months, make a control procedure to eliminate the likelihood of recurrence, especially if the disease was accompanied by the discovery of polyphonic formations.
As a rule, pregnancy after curettage of the endometrial polyp occurs in a short time after rehabilitation without significant complications.
And to the burning question: is it possible to get pregnant after scraping, doctors often answer in the affirmative.
Surgical gynecological cleaning is not used in cases of detection of viral diseases. A preliminary blood test, in which there is an increased white blood cell count, signals this fact. Infectious diseases (pneumonia, flu, sore throat) can cause serious complications and unpleasant consequences. Scraping is prescribed only after complete recovery of the patient.
In inflammatory processes and viral infections in the reproductive organs, it is also contraindicated to have surgery. For example, clear signs of genital herpes require paramount treatment.
Scraping may be ineffective in detecting fibroids, atypical, mutating cells in the body of the uterus. After studying and diagnosing their nature, more serious combination therapy is not excluded.
About what anesthesia is done when scraping
Performing the procedure requires the use of general anesthesia to relax the muscles and eliminate pain. For this an intravenous injection is made. The operation takes up to 30 minutes. Local anesthesia is required with a slight thickening of the endometrial layer or in the absence of the need to use a hysteroscope.
Overnight, the patient's intestines are cleaned with enema. It is not allowed to eat or drink before scraping. After successful completion and with positive dynamics without complications, a woman can be discharged home in a few hours. Full sex life is recommended no earlier than 14 days.
Treatment after surgery
For treatment, after removal of a dead fetus surgically, with a frozen pregnancy, use antibacterial drugs. Most often, they are prescribed by a doctor before surgery, and they should start drinking right away. They are designed to reduce the risk of various complications and inflammatory processes after surgery, as well as prevent the occurrence of hyperplasia.
In addition, quite often during missed pregnancies, various hormonal disorders in the female body are observed. For their treatment, you should use special drugs, having completed a full course of hormone therapy. In each case, the treatment regimen is chosen by the doctor individually, based on the patient's condition.
For the treatment will require and various vitamins, which must also be prescribed by a doctor. Physiotherapeutic procedures should also be carried out to avoid the process of adhesions and hyperplasia.
After the period of immediate treatment is over, the woman needs to begin recovery. This period is divided into early and late. It is required to strengthen the general condition of the body, normalize the reproductive capacity of a woman, stabilize hormonal levels. All this is required for the subsequent pregnancy.
During the recovery period, women are not recommended to perform heavy physical exertion, take hot baths and have intimate relationships. In addition, you should not swim in different waters and sunbathe, especially in the solarium.
The menstrual cycle after the “scraping” procedure, as a rule, comes on time and there are no delays. But sometimes it happens that due to irregularities in the hormonal background and hyperplasia, this period may increase. Often, after performing such a surgical procedure, the attending physician prescribes regular birth control pills for women for at least 3 months, and most often up to 6 months.
It was established during medical observations that the probability of successful conception, childbearing and successful delivery after a missed abortion increases significantly after the correct treatment. But one should not hurry with conception, since one has to wait until the full recovery of the organism takes place. The endometrium should also recover, especially if there was hyperplasia.
The first days after discharge
You can return home after the “curettage” procedure, with a missed abortion, immediately, if your health condition does not cause the doctors concern. Most often, after cleansing should take painkillers.
On returning home, you need to rest more and avoid physical exertion, which can cause bleeding.
Pain after curettage, with missed abortion, can be for a couple of days. You should not tolerate it, even if it is not too big. It is better to resort to the help of painkillers, which the doctor prescribed.
Blood discharge that accompanies this procedure can be observed within a couple of weeks. Tampons should not be used at this time, as they can cause inflammation. Gaskets should be used.
For two weeks, a woman should refrain from intimate relationships. If during this time the bleeding does not stop, you should consult a doctor so that he prescribed additional treatment. Having sex, a woman needs to remember about the means of protection. This is primarily due to the fact that it is possible to plan the conception of a child when the doctor decides that you have recovered. Premature pregnancy can be unsuccessful and harm your health.
It often happens that during pregnancy the fetus dies due to hyperplasia and this can happen more than once. If this happened more than two times, then doctors suspect that the woman has any pathology, including at the genetic level.
After the “scraping” procedure, women are recommended to undergo a thorough and thorough examination to determine the causes of the failures. Otherwise, re-pregnancy can end just as pitiable. Most often, to clarify this, you must first establish the cause of missed abortion and hyperplasia.
For these purposes, you should perform the following studies:
- Swabs should be taken to determine cytology, hyperplasia and flora.
- To identify the presence in the body of a woman the amount of titer of immune rhesus antibodies. This is necessary for the reason that a Rh-positive embryo in a woman with a Rh-negative factor can stop in its development.
- Determining whether a woman has sexually transmitted diseases.
- Examination of the hormonal state of a woman. It should be carried out in dynamics.
- Search for phospholipids and antibodies in order to confirm or exclude APS.
- After the death of the fetus should conduct a genetic analysis. This is required for subsequent successful pregnancy. An example is the fact that modern genetics are able to resist diseases such as hemophilia.
As everyone knows, a healthy mother usually gives birth to a healthy baby. Although, of course, there are exceptions. But much, nevertheless, is connected with woman's health.
In order to recover as soon as possible and after the “curettage” during a frozen pregnancy, and also in order for the endometrium to recover soon, after possible hyperplasia, it is necessary to quit all the bad habits that previously existed. A woman, in the recovery period after the procedure of getting rid of a dead fetus, should try to lead a healthy lifestyle.
When planning a subsequent pregnancy, a woman should be aware that this is a crucial step and she should do everything in her power for the pregnancy to be successful. Especially if before that, there were two missed pregnancies.
By fulfilling all the recommendations of her attending physician, having passed all the necessary tests and having passed all the required research, a woman is able to become a mother of a healthy and strong baby, even despite past failures.
Scraping the uterus (and in the scientific language - curettage) has certain indications. The procedure is performed most often under intravenous anesthesia. If for any reason this is not possible, local anesthesia with lidocaine solution and tranquilizers can be used.
After the anesthesia began to act, the doctor dilates, expanding the cervical canal with special tools. Then, the actual curettage of the canal and uterus is performed. The following diseases and conditions can be indications for such a procedure:
- Neoplasms on the top layer of the endometrium (for example, polyps). It is important to analyze the remote education and determine how dangerous it is from the point of view of oncology.
- Intrauterine bleeding. With the help of scraping you can stop the process and determine the cause. In addition, scraping when bleeding will almost completely eliminate the development of the inflammatory process.
- Abortion. В случае, если аборт проходит не полностью, в полости матки определяются остатки плодного яйца. Чтобы их удалить, проводят выскабливание. Часто такое состояние наблюдается при выкидыше. Полость матки необходимо оперативно прочищать.
- Гиперплазия эндометрия.
Endometrial scraping may be repeated if a source that bleeds is detected. This can be when perforating the walls of the uterus or their ruptures.
What is the procedure
Scraping is performed exclusively by a doctor in order to remove the functional surface of the endometrium. Also during the operation, the cervical canal is cleaned. All formations of a pathological nature in the process of curettage must be removed.
In some situations, the manipulation is carried out for diagnostic purposes. Confirm or refute any disease can only analysis of the contents of the uterus. The procedure of diagnostic curettage can be done in different ways:
- RDV (separate diagnostic curettage of the uterus). It is called separate, as it is carried out in several stages. First, scraping the cervical canal, then directly the uterus. The resulting endometrium after curettage is subject to mandatory histological examination. Only it can reveal the presence of pathology and its appearance. When conducting RDVs for medicinal purposes, endometrial polyps or enlarged endometrium are most often removed.
- Hysteroscopy. This is a type of curettage, which is accompanied under the control of a hysteroscope - a special medical camera inserted into the uterine cavity through the cervical canal. This method is very effective, as it allows the doctor to act blindly. The higher efficiency of the procedure with respect to traditional curettage is explained by the possibility of adjusting the course of the operation immediately at the time of its conduct. In addition, you can conduct a survey, which will result in obtaining information about the state of the organ: the presence or absence of polyps, endometrial dysplasia. High precision of operation becomes possible thanks to the hysteroscope.
In the event that the patient is given an RDV using a hysteroscope, the risk of complications, relapses and repeated interventions is reduced to a minimum. However, the procedure has contraindications:
- acute heart failure
- renal dysfunction,
- deviations in the work of the urogenital system,
- the presence of infections.
In some cases, despite the contraindications, the cleaning procedure is still carried out, because the condition of the woman inspires strong fears. This happens with severe uterine bleeding.
How is the recovery
When carrying out the curettage procedure, a part of the material removed from the uterus is sent for examination. After waiting for these tests, a woman must visit a doctor and receive a prescription of medications, with which she will correct her condition within a certain time.
It will not be superfluous to undergo a series of laboratory studies aimed at obtaining information about the condition of the woman after the procedure. A doctor who knows how to restore the endometrium after curettage may prescribe:
- hormone analysis (estrogen and progesterone),
- smear on microflora,
- Ultrasound of the ovaries, uterus.
In no case can not go to the laboratory on their own and pass tests. Their purpose should depend solely on the patient's condition and the purpose of curettage. The list of required laboratory tests for a woman who has undergone RDV due to endometrial hyperplasia and a patient who has removed the remains of a gestational sac may be completely different.
If the procedure was carried out qualitatively, the technique of the operation was fully observed, the manifestation of concomitant diseases does not show to the woman’s condition, then the risk of serious complications is minimized. If the appointment of the manipulation was associated with concomitant diseases of the reproductive system, the doctor should be extremely careful and prudent. He will have to anticipate all possible risks.
The recovery process takes several weeks. It is considered normal if a woman feels mild pain of a pulling character in the lower abdomen. This is a signal that the muscles of the uterus take their former size. If no other concomitant abnormalities are observed, recovery after curettage takes place during one menstrual cycle. You should not deliberately think about how to increase the endometrium after curettage. This will happen in a small amount of time.
In order for the recovery period to be short, you need to follow some rules that will not only shorten the recovery period, but also avoid complications:
- sexual relations can be resumed after the first menstruation after the procedure,
- douching is prohibited,
- It is not recommended to use gels and ointments,
- antibiotics are not recommended because the vaginal microflora is already vulnerable in this period,
- instead of tampons it is better to use pads,
- playing sports and lifting weights in the first month is better to exclude,
- Special attention should be paid to the issues of genital hygiene,
- do not supercool
- during the first month to avoid sudden changes in temperature, including in the bath and sauna, which is contraindicated,
- instead of a bath you must take a shower.
Compliance with the above recommendations is a prerequisite for a quick recovery of a woman after a curettage procedure. It should not be afraid. Most patients report an improvement after such treatment. Modern high-tech equipment reduces the risk of complications to a minimum. however, in some cases, especially if the patient does not follow the doctor’s instructions, they are still possible.
Scraping endometrial menopause
The transitional period in a woman's life from reproductive age to a stable menopause is called menopause. The work of hormonal organs goes to another program - a life without reproduction of offspring. This process is not always adjusted correctly when its course goes beyond the framework of physiology — pathological states and diseases can develop.
Under conditions of unstable hormone production, growths of the endometrium, uterine fibroids, ovarian tumors, adenomyosis, uterine bleeding can occur. In these situations, curettage of the uterus is required to clarify the diagnosis. What are the consequences of this manipulation during menopause?
- 1 Diseases
- 2 Indications
- 3 Preparation
- 4 Procedure
- 5 Consequences
Just want to say that a woman in such a situation should not blame herself. Scraping even resembles an abortion, but there is a fundamental difference. During an abortion, a woman gets rid of a live and healthy embryo, which upon further development would be born into a full-fledged child. And in the case of scraping the body rid of the already dead fetus, which will never be born, it is by no means impossible to call it an abortion, in fact, this is the first stage of treatment of the body.
The procedure itself is still similar to an abortion, done under general anesthesia and takes from thirty to forty minutes. Cleaning is done in an instrumental way, sometimes resorting to the method of vacuum suction. But here are all the unpleasant moments behind, and the following questions arise before a woman: when will the new menstruation take place, how is it better to restore the affected body, when you can have sex and, of course, the most important one - and can she even have children in the future?
How to restore the body after cleaning?
The procedure of curettage doesn’t do anything to your body, the reasons that the embryo refused to develop are in a completely different area. And the recovery process after scraping must begin immediately. After the procedure, if everything went without complications, the woman is discharged on the same day. The doctor prescribes the necessary anti-inflammatory and painkillers (pills, suppositories, hormonal ointments), because in the first days after curettage, abdominal pain can be disturbed, and infection is also possible, because the uterus is open and very vulnerable at first.
When you come home, you should spend the first day in bed to avoid possible bleeding. On average, the pain disappears in two or three days, these days you need to take painkillers prescribed by the doctor. Discharges usually last up to two weeks and are quite strong. You can only use gaskets with them, but not tampons, because once inside, a tampon can cause disease.
For the same reason, sex is also prohibited within two weeks after the operation, but if the discharge continues further, then it is necessary to wait for their complete cessation. The next menstruation comes in a period of two to six weeks, with the resumption of sexual contact, it is necessary to protect ourselves strictly, pregnancy in the current state of the uterus is possible almost immediately, and for a fragile body this is fraught - the situation may recur. In the future, the doctor will tell you about when you can plan conception again.
Anxiety symptoms after curettage
You will need to urgently contact a specialist in those cases if:
• discharge began to produce an unpleasant putrid odor,
• bleeding has become more frequent, and you have to change the gasket at least once an hour,
• you have a fever (38 and above),
• abdominal pain does not go away after taking medication.
Before planning a new pregnancy, it takes time to recover from curettage. After six months after the procedure, it is necessary to undergo an examination. Our medical center has all the conditions for every woman to become the mother of a healthy child. We have the most modern equipment installed, the best doctors work. Come, we are at your service!
In the normal course of menopause against the background of the processes of restructuring that occur in the body of a woman in the menopausal period, diseases of the female genital organs undergo a reverse development. Uterine fibroids are reduced in size, the blood supply to fibromatous nodes is depleted, they undergo atrophy. What happens with the pathological production of female hormones?
Submucous fibroids of the uterus. During menopause, the location of interstitial myomatous nodes on submucous may vary relative to the uterine cavity. Such a shift causes uterine bleeding.
Endometrial hyperplasia. Against the background of elevated estrogen levels and the absence of progesterone, endometrial growth and hyperproliferation, the inner layer of the uterus, occurs. The degree of cytological transformations of cells can range from glandular hyperplasia to atypia. Endometrial hyperplasia is manifested by bleeding in menopause.
Malignant neoplasms. During this period, the peak of the incidence of female genital mutilation. Oncologists have determined the average age of patients with endometrial cancer, it is 60 years old, at sixty years of age, they often suffer from ovarian cancer, at 50 years old - with cervical neoplasms.
Endometrial cancer. Atypical cell multiplication develops with the hyperproduction of estrogen against the background of endometrial hyperplasia. Endometrial cancer is diagnosed based on the results of a histological examination of the scraping of the uterus, obtained during diagnostic curettage.
The danger of malignant cell transformations consists in the absence of complaints at the initial stages of the process, 5% of patients with endometrial pathology do not present them. Therefore, postmenopausal women are recommended every six months to carry out an ultrasound of the pelvic organs, and if necessary, an aspiration biopsy of the endometrium and curettage of the uterus are prescribed.
Causes of hyperestrogenia in menopause can be a violation of carbohydrate metabolism, diseases of the adrenal glands, overweight, ovarian tumors. This violation is manifested by bloody discharge from the genital tract, bleeding. Ultrasonography of the pelvic organs reveals signs of polyps, thickening of the endometrium, and the presence of submucous myomatous nodes.
Detection of such changes on ultrasound, even in the absence of clinical manifestations, is the reason for the deep diagnosis and exclusion of intrauterine pathology. Such patients are recommended hysteroscopy or separate diagnostic curettage of the uterus, followed by scraping by histopathologist. In menopause, there must be a special vigilance for malignant diseases.
The slightest bleeding during menopause should be the reason for the visit to the gynecologist. The doctor collects anamnesis, conducts an examination, collects vaginal discharge for flora and atypical cells, colposcopy, conducts sonography of the pelvic organs, sends it for additional examination.
Laboratory methods of diagnosis include general clinical blood and urine tests, Wasserman reaction, examination of the hormonal background of a woman, blood coagulation system, its biochemical parameters, analysis of hepatitis and HIV. Examination of the therapist, FLG and ECG are required.
This intervention is carried out on the basis of gynecological departments under intravenous anesthesia. Using a set of tools, a careful dilatation of the cervix is performed to introduce the curette into the cavity. With this surgical instrument, a gradual scraping of the endometrium is carried out.
The resulting material from the uterus and the cervical canal is collected in separate containers, labeled and sent for histopathological examination. In the direction they describe in detail the gynecological status of the patient and the intended diagnosis.
After the procedure, the woman is recommended to keep the cold in the lower abdomen for up to 30 minutes, antibiotics are prescribed for the prevention of bacterial infections and monitoring in the hospital for a day with a favorable outcome. This manipulation refers to small surgical operations.
A histological examination response can be obtained within 10-14 days, at this time, in the presence of bleeding, hemostatic therapy is performed.
Curettage of the uterus during endometrial hyperplasia during menopause is a short-term therapeutic measure that removes the result of hyperproduction of female sex hormones - an enlarged endometrium or polyp, but the cause of the disease remains.
Subsequent therapy relies on the result of histology. Hormonal disorders are corrected conservatively - HRT is prescribed, submucous fibroids of the uterus is surgically removed, malignant diseases are treated in several stages, depending on the stage and extent of the process.
After curettage of the uterine cavity of women is observed by a gynecologist - the timing of follow-up is regulated by the protocols for the management of patients with different gynecological diseases, a separate time interval is allocated for each pathology.
The prognosis depends on the pathology of the endometrium, the speed of tissue proliferation. Recurrences are more common in atypical forms of hyperplasia and endometrial polyps. This indicator is affected by ovarian structures that produce hormones.
Endometrial curettage and possible effects
Scraping, curettage or cleaning of the endometrium is a procedure used to diagnose and treat a number of diseases of the female reproductive system (curettage of a uterus polyp or her cervix, an embryo during a frozen pregnancy, abortion, curettage of the endometrium during hyperplasia, endometritis, etc.) in the instrumental removal of the upper layer of the mucous membrane of the uterus.
This manipulation is carried out after medication or instrumental dilation of the cervix.
Often used in conjunction with hysteroscopy (endoscopic examination of the uterus with a special device - hysteroscope), which allows to evaluate the effectiveness of the curettage itself and inspect the uterus to detect defects in the organ. After scraping the endometrium, the obtained tissues are sent for histological studies to exclude structural disorders in the cells, which may indicate the development of cancer.
Normal effects after curettage
Normally, after curettage, the following symptoms may occur:
- monthly periods may come with a delay of 1-2 weeks, and maybe a delay of 8-10 weeks, it all depends on the individual characteristics of the woman, but with a favorable postoperative course, the cycle should recover within a maximum of 12 weeks. It should also be understood that menstrual periods after curettage of a missed pregnancy or, for example, abortion often require maximum periods for recovery, and this is the norm.
- pains are observed in the lower abdomen and in the lumbar region, in many respects they may resemble menstrual ones. Such pains last from several hours to several days. To eliminate them, it is often enough to take non-steroidal anti-inflammatory drugs with a pronounced anesthetic effect (Bofen, Ibuprofen, Arviproks, Diclofenac, Diclorapid, and others besides preparations containing acetylsalicylic acid, which in this case should not be taken at all ).
- vaginal discharge - begin to be observed within 2-3 hours after the curettage. Характеризуются они своей высокой обильностью и значительным количеством кровянистых включений. В течение последующих 10-12 часов выделения становятся всё более скудными и сохраняются ещё полторы недели в виде небольшого количества вязких истечений с красным, коричневатым или желтоватым цветом.
Tip: These symptoms do not require medical intervention and often go away on their own, but if they are observed for a longer time than described (2-3 weeks), then this is a reason to go to a doctor. If we talk about secretions, then their earlier cessation or high profusion within 2-3 days are a sign of pathology. Then you should consult a doctor.
What are the consequences of endometrial curettage - Home treatment
A fairly common gynecological surgery is curettage of the endometrium, the consequences of such a procedure can be very diverse. The proportion is very often assigned for diagnostic purposes.
Not all women are told about the essence of this operation and its consequences, so patients may have some concerns. Do not hesitate to ask the doctor in detail about the features of the operation before it is performed. If scraping is performed by an experienced doctor, complications rarely occur.
But not everything depends on the doctor; it is worthwhile to take into account the individual characteristics of the woman’s body and the fulfillment of all the doctor’s recommendations.
What is scraping
The uterus is an organ composed of muscle tissue that has a pear shape. A fertilized egg enters the cavity, and the unborn child grows and develops in it.
From the inside, the uterus is lined with endometrium - a layer consisting of epithelial and glandular cells. During the menstrual cycle, the mucous membrane undergoes some changes.
During curettage, the doctor removes only the upper, functional layer of the endometrium. His recovery after surgery occurs at the expense of the base.
There are 2 ways of scraping: regular and separate. With a separate first whiskered the cervix, then into its cavity. The resulting material is sent for histological analysis for diagnosis. Hysteroscopy is a more modern method of diagnostic curettage. This is a more convenient and less traumatic procedure that is performed under video control.
Normal cleaning is done blindly, which can lead to certain complications, such as damage to the uterus. Hysteroscopy allows not only to control the process of conducting, but also to evaluate the results of the procedure. Cleaning is usually done a few days before the expected menstruation. This contributes to faster endometrial recovery.
Back to the showShow to clean
Scraping for endometriosis is carried out for both diagnostic and therapeutic purposes. The main indications for curettage are: deviations in the structure of the endometrium, visible with ultrasound.
The procedure is carried out in the detection of tumors or seals. If the endometrium has a thickness that exceeds the norm, they say about its hyperplasia. An indication for curettage is the presence of polyps in the uterus.
Usually, after removal, polyps no longer appear.
Cleaning and in violation of the menstrual cycle. Scraping is carried out with prolonged heavy periods, infertility, bleeding that is not associated with menstruation. Postmenopausal hemorrhages are considered indications for the procedure. Cleaning and diseases of the cervix uteri.
If during the inspection revealed deviations in the structure of this part of the body, especially if a malignant tumor is suspected, diagnostic curettage is prescribed. A share after a spontaneous abortion is necessary to remove the remaining parts of the fetus and placenta.
Pregnancy does not always end in childbirth, in some cases, fetal development may stop. During pregnancy, frozen need to clean.
Indications for this operation may be adhesions in the uterus, unsuccessfully ended medical abortion, the presence of placenta residues in the uterus after childbirth.
Return to the pains scraping effects
Complications after the procedure are rare. The most common among them are: cervical rupture. The reason for the development of such a complication is the displacement of tools. Small tears heal by themselves; large tears require stitching. Damage to the body of the uterus often occurs during the cleaning blind. Large tears require stitching.
After curettage, cervical spasm can occur, which contributes to the accumulation of blood in the organ cavity. This can lead to the development of infection and general blood poisoning. Inflammation of the uterus may begin if the asepsis rules are not followed during the operation.
Inflammation of the uterus causes symptoms of intoxication and requires immediate treatment with antibiotics. Damage to the base layer of the endometrium is a serious complication that is difficult to treat.
The upper layer of the endometrium after removal may not recover, which threatens the woman with infertility.
Parts of the removed tumor can remain in the uterus, which leads to the need to re-perform the procedure. Neoplasms after brushing may reappear, forcing the physician to resort to re-curettage. When hysteroscopy such complications practically do not occur.
The first periods after the procedure usually begin after 4-5 weeks. After a surgical abortion, these periods may increase. After an abortion, the body needs more time to recover.
Bleeding of varying intensity after curettage is a reason for seeking medical attention. The same applies to the appearance of pain in the abdomen, accompanied by fever.
To establish the menstrual cycle takes about 3 months.
After removal of polyps, miscarriage, or missed abortion, prolonged or heavy menstruation may occur. If they do not start on time, we are talking about the presence of pathology. Immediately after the procedure, bleeding can last up to 7 days - like regular menstruation.
An increase in the duration of blood discharge may indicate complications of the operation. Complications are also indicated by too rapid cessation of bleeding after cleansing, the appearance of severe abdominal pain and high fever. Raising the temperature to 37.5 ° C is considered normal.
After surgery, women may have a discharge of a different nature. Brown discharge occurs when blood clotting, soon they stop. Abundant bloody discharge with an unpleasant smell indicate the development of infection.
If the infection can appear and discharge yellow. Such conditions require immediate antibiotic treatment.
If there are no complications after surgery, after the cessation of bleeding, natural vaginal discharge is restored.
After the anesthesia is terminated, there are nagging pains in the abdomen, similar to menstrual pains. They can last from a few hours to a week. Special treatment in this case is not necessary, in some cases, the patient is prescribed painkillers.
Back to the Pregnancy after curettage
Pregnancy after curettage may occur within 3-4 weeks. It passes, of course, without complications and ends in childbirth on time.
If a woman fails to conceive within a year after the procedure, it is necessary to consult a doctor.
Infertility after scraping develops extremely rarely. When planning a pregnancy, a woman should undergo a full examination before it occurs.
From sex, should be abandoned for 2 weeks after surgery. The cervix is open, and the endometrium is injured. Vaginal intercourse contributes to the penetration of the infection into the uterine cavity, which can cause severe complications.
Scraping the endometrium can backfire. At first, a woman may experience pain during intercourse. If these pains last more than 2 months, you should consult a doctor.
Most women have painful periods after curettage. When they appear, it is necessary to take antispasmodics. These drugs contribute to the removal of blood clots from the uterus.
Very often, to prevent the development of infections after cleansing, a course of taking antibacterial drugs is prescribed.
To prevent the development of severe bleeding, the patient can undergo a course of intravenous administration of oxytocin. A month after the operation, the woman must undergo a re-ultrasound. During this time, not recommended heavy physical exertion, as well as the use of tampons.
What is giving away
Mama is an organ of muscular materials, having a pear-shaped figure. A fertilized egg caters to its cavity, and the future baby grows and unfolds in it.
From the inside, the mother is lined with endometrium, a sheath consisting of epithelial and glandular cells. During the movement of the monthly cycle, the slimy shell experiences separate configurations.
At the time of scraping, the doctor removes only the high, active, endometrial membrane. Its repair after the operation is due to the base.
There are 2 methods of scraping: ordinary and clear. When a separate first otdraivaya neck of the uterus, then its cavity. The acquired source is allowed for histological analysis for diagnosis. Hysteroscopy is the current diagnostic curettage method. This is more calm and less traumatic procedure performed under video control.
Ordinary cleaning is done in the dark, which can bring to some complications, for example, the defect of the uterus. Hysteroscopy allows not only to experience the process of implementation, but also to evaluate the results of the operation. Cleaning usually create for many days before the permissible menstruation. This contributes to the more rapid resumption of the endometrium.
News for cleaning up
Separation in endometriosis is done both in research and in healing targets. The main evidence for curettage appears to be: differences in the texture of the endometrium, visible in the Study.
The procedure is shortened when new growths or seals are detected. When the endometrium is thicker than normal, it will report its hyperplasia. Evidence for the execution of curettage seems to be the presence of polyps in the uterus.
Usually after pulling out polyps are no longer.
Cleaning is done and at the breakdown of the monthly cycle. Separation is slowed down with long abundant blood, infertility, bleeding that is not associated with blood. Hemorrhages in the postmenopausal period are considered to be evidence of the operation. Cleansing and in diseases of the cervix of the uterus.
When on examination there are differences in the construction of a given organ lobe, especially when there is no confidence in a thin swelling, diagnostic otdraivanie is determined. Cleaning after a causeless abortion is needed to pull out the remaining lobes of the fruit and placenta.
Not always pregnancy ends with families, in some cases the formation of the fruit can become. With a faded pregnancy, cleaning is needed.
Evidence of the initial operation may be adhesions in the uterus, an unfortunate drug-induced abortion, and the presence of fragments of the placenta in the uterus after childbirth.
Scraping likely results
Burdens after surgery rarely find out. The most common among them are: rupture of the neck of the uterus.
The primary cause of generating a similar burden is the dismissal of devices. Small breaks close the samochka by themselves, huge ones ask for a suture.
Damage to the uterus is often the result of cleaning in the dark. Large gaps ask for a suture.
After curettage, the contraction of the uterine neck can be released, which contributes to the accumulation of blood in the organ cavity. This can lead to infection and universal blood infection. Suppuration of the uterus will be able to start with the failure of the laws of asepsis at the time of the operation.
Suppuration of the uterus excites signs of intoxication of the body and asks for immediate treatment with antibiotics. Damage to the base shell of the endometrium - a positive burden, problematic amenable to healing.
The high endometrial membrane after pulling out can not be reborn, which threatens the girl with infertility.
The shares of the eliminated neoplasm will be able to remain in the uterus, which leads to the origin of the need for a secondary execution of the operation. The neoplasms after cleaning can appear again, which forces the doctor to come to secondary curettage. When hysteroscopy similar complications are absolutely not clear.
Initial monthly after surgery usually start in 4-5 months. After performing a surgical abortion, these periods will be able to grow. After an abortion, the body is asked for more time to resume.
Bleeding of varying intensity after curettage seems to be a reason for appeal to the doctor. Also referred to and the emergence of ailment in the abdomen, accompanied by fever.
For institute of a monthly cycle it is asked about 3 months.
After pulling out polyps, miscarriage, or a faded pregnancy, long or abundant menses can be noticed. When they do not start on time, the style is about the presence of pathology. Specifically, after the operation, the expiration can last up to 7 days - as ordinary menstruation.
Increasing the duration of bleeding will be able to report complications of the operation. Complications are also indicated by the very early cessation of bleeding after cleaning, the emergence of powerful ailments in the abdomen and a high temperature. An increase in temperature to 37.5 ° C is considered normal.
After the operation, girls will be able to have discharge of a different nature. Brownish secretions are when screwing up the blood, in a quick time they are interrupted. Abundant bloody discharge with an unpleasant odor suggests infection.
When an infection can appear and the allocation of a golden tone. Equivalent in capital ask for immediate healing with antibiotics.
When, after the operation, they do not find out the burdening, after the bleeding stops, the natural discharge from the vagina is reconstructed.
After that, as the effect of anesthesia is interrupted, there are dragging pains in the abdomen, similar to menstruation. They can last from some times to a week. Special healing in this case is not asked, in some cases, the patient is determined by painkillers.
Coming pregnancy after curettage
Pregnancy after curettage can come closer in 3-4 weeks. She studies, as usual, without complications and ends with the families on time.
When a girl fails to burn into motion for the year after the operation, you need to rush to the doctor.
Infertility after scraping unfolds very rarely. When planning a pregnancy, the lady is obliged to enter the whole study before her coming.
Sex lessons will flow out of the discard for 2 weeks after the operation. The cervix will open, and the endometrium will be injured. Vaginal physiological document contributes to infection in the uterine cavity, gifted to require serious burdens.
Separating the endometrium will be able to own annoying results. The initial time the lady will be able to try painful feelings during the sexual act. When similar pains continue for more than 2 months, you need to rush to the doctor.
Many girls after curettage observed weak menstruation. When they appear, antispasmodics should be obtained. These substances contribute to the removal of blood clots from the uterus.
Very often, to eliminate the generation of infections after cleaning, the course of the method of antibacterial substances is determined.
To eliminate the production of powerful bleeding, the patient will be able to conduct a course of parenteral entry of oxytocin.
Through the moon after the operation, the lady is obliged to enter the secondary Study. In the movement of this time is not recommended severe physiological overload, but in addition the use of tampons.
What to do to prevent recurrence
There are several ways, as usual. How close are you to hormone treatment or are you more of a supporter of a natural approach and influence on the causes - choose you. You can combine these two options. What exactly can not be done for reasons of self-preservation - to pretend that this is an accident and continue to eat and relate to the process of cleansing the body of toxins, and your nervous system as before.
In this article of the Sokolinsky Center, you will find an unusual approach. Gynecologists do not often talk about this, preferring to simply prescribe hormones after curettage.
The reasons "why she returns"
Оба процесса (гиперплазия эндометрия и полипы шейки матки) напрямую связаны с повышенной продукцией эстрогенов – женских половых гормонов (Манухин И.Б., Тумилович Л.Г., Геворкян М.А. Клинические лекции по гинекологической эндокринологии. М.: МИА, 2001). Для многих женщин становится «неприятной неожиданностью», что поле хирургического лечения, призванного полностью избавить их от болезни, врачи назначают гормоны для предотвращения рецидива. Давайте разберемся, для чего это нужно, и какие побочные явления могут возникать.
Влияние метаболического синдрома
First, it is worthwhile to elaborate in greater detail why endometrial hyperplasia and polyps are most often among women of advanced age or suffering from obesity. It is all about the metabolic syndrome - a complex of metabolic disorders occurring with an excess of visceral fat in the body (Gambacciani M., Ciaponi M., Cappagli B et al.J Clin Endocrinol Metab 1997). Described the "triad of death" in this state:
- Increasing the concentration of insulin and reducing the sensitivity of cells to this hormone (a consequence - an increase in blood sugar). Adipose tissue is always well supplied with blood and is practically the “independent organ” of a person. Not only fat deposition processes take place in it constantly, but also lipolysis with the rapid flow of fat molecules into the bloodstream. This is the main cause of insulin resistance and high insulin in the blood, which “works” in the same way as the luteinizing hormone of the pituitary gland and stimulates the production of estrogen by the ovaries.
Many hormones, in particular progestins, used in the treatment of hyperplasia and polyps, reinforce the phenomena described. This most often explains their adverse reactions.
Accordingly, if you want to defend against hyperplasia:
- in the diet, be sure to reduce the overall calorie content of the products (exclude heated animal fats, smoked meats, frankly unnatural products with a high content of preservatives, dyes, flavor enhancers, palm oil and cook only in olive oil, significantly reduce the sweet and flour, pork and beef)
- start to move more actively, buy yourself a pedometer or a fitness bracelet and control how many steps a day have gone.
- from the point of view of the correction of metabolic disorders, the greatest effect is the support of the liver and an increase in dietary fiber + microflora correction. This problem is perfectly solved by the main product in the “Sokolinsky System” - the Complex for deep cleansing and nutrition with NutriDetox.
Why is it important to detox and maintain the nervous system
Because in the end we want to achieve self-regulation of hormonal and antitumor immunity. And they are most influenced in percentage terms by the quality of the liver (involved in the exchange of estrogens and androgens), the level of internal intoxication, the stability of the nervous system. This is the physiological regulation.
Therefore, whatever the best means with a resorptional action (for example, Curcuminum Q10 complex from Europe) or activating antitumor immunity (Meisha, Immunarium), you did not use, if you do not first detox course, they may not have a pronounced effect.
Complicating factors. It happens that with long-term impaired microflora, chronic inflammation, excess weight, stagnation of bile, too active influence on the immune system leads to skin rashes. Excretory system is simply not ready! Take your time and start with detox. There is no natural remedy as fast as hormones. This is a completely different philosophy aimed at the causes. Therefore, there is no remedy for hyperplasia or polyps - there is a system for the restoration of women's health.
Do not forget about the nerves. With constant stress - its negative effect on hormones must be compensated. Read what Biolan is and try. The complex of amino acids with neuropeptides has helped many feel better. You will like it, first of all, because, unlike chemistry, it does not give drowsiness or addiction.
It is imperative to restore a normal sleep depth of at least 7 hours a day and no more than 9. Fall asleep no later than 24 hours. It is important. Otherwise, hormonal background and antitumor immunity get off!
How to take natural remedies. Scheme after scraping
Immediately after returning home, you can use the Complex for deep cleansing and nutrition with NutriDetox
If the doctor prescribed antibiotics, Zosterin Ultra is not yet drinking (until the end of antibiotics), and Unibacter. A special series, on the contrary, we start from the first month to 2 caps. in a day.
You can also immediately add to the course a natural remedy for harmonizing the state of the nervous system — Biolan, 1 caps each. 2 times a day BULK under the tongue for a course of 20 days.
We use Complex with myoma, hyperplasia, endometriosis.
It includes both the Meisha mushroom polysaccharide (export version) and the natural estrogen form corrector Indogrin and natural tocopherol. Blood purification also continues.
In autumn and winter, it makes sense to enrich your diet with polyunsaturated omega-3 acids. In the Sokolinsky System, this Megapolinol - 35% omega3 1400 mg per capsule.
With regard to PUFA in hyperplasia, there are several studies.
Here is one of them.
From the American Journal of Clinical Nutrition, which states that long-chain omega-3 acids with long-term use reduce the risk of uterine cancer.
The study was conducted on the material of about 1000 case histories and surveys of gynecologically healthy women.
When to evaluate the result
Evaluate the benefits or lack of benefit from natural products can be after 2 cycles past from curettage. If the hormonal background improves, the cycle is established, the endometrial mucosa is normal, then you are lucky to find your way and a reasonable gynecologist may agree not to prescribe chemistry.
Can I drink natural remedies with the recommendations of the doctor
Natural chemicals will not interfere with chemistry, but it is pointless to take indole at the same time as a hormonal drug. Fine tune fails.
How long to take
To be sure that the topic is closed - up to 4 months in a row. Do not forget to do an ultrasound at the end and it is possible to pass tumor markers if they were violated. Continue to eat reasonably with the restriction of products - provocateurs on hyperplasia. Detox twice a year, regularly replenish the level of antioxidants, such as NutriDetox, in the winter - Megapolinol as a source of omega-3 (from October to March)
Drug treatment of hyperplasia and polyps
Stimulation of excessive proliferation of endometrial cells occurs under the influence of elevated levels of estrogen, which normally “prepare” the uterus for implantation of the embryo and the restoration of the endometrium after cyclic bleeding. Therefore, if after curettage do not resort to hormone anti-estrogen therapy, the doctor believes that the process will resume in 100% of cases. Progestins, androgens, gonadotropic releasing hormone analogues are used for treatment (Chernukha, GE. Adenomatous and glandular hyperplasia of the endometrium at reproductive age (pathogenesis, clinic, treatment, 1999).
To convince the doctor that changing the diet, detox, the use of natural hormonal correctors can replace hormone therapy, many more tests are needed. While there are dissertations confirming the effectiveness of plant indoles and antioxidants, as well as omega-3 acids.
In each case, the health belongs to the woman herself and she has the right to decide how to heal after scraping. Natural remedies are not a cure. Their goal is harmonization, influence on the causes of failures.
Analogues of progesterone. They inhibit the production of follicle-stimulating and luteinizing hormones of the pituitary gland, resulting in a decrease in estrogen release by the glandular cells of the ovaries. But at the same time, progestins cause the replacement of ovarian tissue with connective tissue (fibrosis), the endometrium of the uterus becomes thinner and loses its ability to recover (Serov VN, Prilepskaya VN, Pshenichnikova T.Ya. Gynecological Endocrinology. M .: Meditsina, 1993 ). Endometrial atrophy leads to undesirable effects such as spotting or even uterine bleeding.
Hormones possess androgenic and residual glocorticosteroid activity. Therefore, women often see a decrease in sexual desire, weight gain and engorgement of the mammary glands, nausea, vomiting. Mood can change, up to depression.
GnRH (gonadotropinrearing hormone agonists)
Estrogens are the end product of the "work" of the hypothalamic-pituitary-ovarian system. If the receptors of the pituitary gland are “stimulated” for a long time (several hours continuously), their sensitivity decreases and eventually the blockade (Emons G., Schroder B, Ortmann O. et al., Hormone releasing hormone analogs in human endometrial cancer cell lines // J. Clin. Endocrinol. Metabol. 1993). This is how GnRH works, but unlike progestins, it does not interfere with the metabolism: lipid metabolism and insulin sensitivity of cells.
On the other hand, when a woman uses these hormones, an artificial menopause occurs with all the unpleasant symptoms in the form of "hot flashes" and other vegetative reactions. The most dangerous is the premature formation of osteoporosis, which severely limits the allowable duration of treatment (OA Slusarev // Is it proven or not? Modern ideas about the treatment of endometrial hyperplasia // 2013).
The described side effects require careful use of hormones in patients with obesity and other manifestations of the metabolic syndrome. Be sure to parallel with their use appointed a special diet aimed at reducing body weight. Given the increased risk of atherosclerosis due to the accumulation of low-density lipoproteins in the vessels, it is important to monitor the blood lipid spectrum and, if necessary, prescribe statins (drugs to lower cholesterol).
This is the biggest problem in the treatment of endometrial hyperplasia and cervical polyps: on the one hand, obesity is an important provocateur of this pathology, on the other, it is during obesity that the positive effect of hormonal drugs can be completely "neutralized" by their side effects, which increase with increased body weight.
Affect the causes! C using toxin cleansing and reloading of microflora, start improving well-being
Here you will get acquainted with a very convenient system of health promotion with the help of natural products, which are sufficient to add to the usual diet.
It was developed by the famous Russian nutritionist Vladimir Sokolinsky, the author of 11 books on natural medicine, a member of the National Association of Nutritionists and Dieticians, the Scientific Society of Medical Elementology, the European Association of Natural Medicine and the American Association of Practicing Nutritionists.
This complex is designed for a modern person. We focus our attention on the main thing - on the causes of poor health. It saves time. As you know: 20% of exactly calculated efforts bring 80% of the result. From this it makes sense to start!
In order not to deal with each symptom separately, start with cleansing the body. So you eliminate the most common causes of feeling unwell and get results faster.
Start with cleansing
We are busy all the time, often break the diet, suffer from the highest toxic loads due to the abundance of chemistry around and are nervous.
Impaired digestion leads to the accumulation of toxins, and they poison the liver, blood, unbalance the immune system, hormones, open the way for infections and parasites. Exemption from toxins, restart friendly microflora and support proper digestion provide a complex effect.
This system is suitable for everyone, safe, simple to perform, based on an understanding of human physiology and does not distract you from ordinary life. To the toilet you will not be tied, in hours you do not need to take anything.
“Sokolinsky's System” - gives you a convenient opportunity to influence the causes, and not just deal with the treatment of symptoms.
Thousands of people from Russia, Kazakhstan, Ukraine, Israel, the United States, European countries have successfully used these natural products.
The Sokolinsky Center in St. Petersburg “Health Recipes” has been operating since 2002, the Sokolinsky Center in Prague since 2013.
Natural products are made specifically for use in the Sokolinsky System.
Not a medicine
Always - complex!
"The complex of deep cleansing and nutrition + normalization of microflora" It is universal and very convenient in that it does not distract from ordinary life, does not require binding to the toilet, is taken in hours and acts systemically.
It consists of four natural remedies that sequentially cleanse the body and support its work at the level of: intestines, liver, blood and lymph. Reception within a month.
For example, from your intestines either nutrients can be absorbed, or “blockages” toxins, products of inflammation due to irritable bowels.
Therefore, the “Complex of Deep Cleansing and Nutrition” first of all helps to normalize the digestion of food and establish a calm daily stool, maintains friendly microflora, and creates unfavorable conditions for the reproduction of fungi, parasites, and Helicobacter. Responsible for this phase is NutriDetox.
NutriDetox - powder for the preparation of "green cocktail", not only deeply cleanses and soothes the intestinal mucosa, softens and debris and fecal stones, but also provides at the same time a rich set of bioavailable vitamins, minerals, vegetable protein, unique chlorophyll with anti-inflammatory and immunomodulatory, anti-aging effect.
Take you need it once or twice a day. Just dilute in water or vegetable juice.
Ingredients NutriDetoksa: Psyllium seed powder, spirulina, chlorella, inulin, papain plant enzyme, cayenne pepper microdose.
At the next level Laver 48 (Margali) supports enzymatic activity and activates liver cells, it protects us from the penetration of toxins into the blood, reduces cholesterol levels. Improving the performance of hepatocytes immediately increases the level of vitality, supports immunity, improves skin condition.
Laver 48 (Margali) is a secret Megrelian recipe for herbs in combination with iron sulphate, which was tested by classical medicine specialists and showed that it is really able to maintain the correct bile structure, the enzymatic activity of the liver and pancreas - to cleanse the liver.
You need to take 1 capsule 2 times a day with meals.
Active ingredients: milk thistle fruit, nettle leaves, large plantain leaves, ferrous sulfate, sandy immortelle flowers, milk thistle extract.
And already completely unique in depth makes this complex the third level of purification - using Zosterin Ultra 30% and 60% . Toxins from the blood and lymph are removed at this level. Natural hemosorbents can neutralize toxic substances from food and drug residues, internal toxins resulting from poor-quality digestion, allergens, prostaglandins, histamine, waste products and pathogenic bacteria, viruses, fungi, parasites.
From the first days it reduces the toxic load and helps to restore self-regulation of the immune and endocrine systems.
Zosterin’s effect on heavy metals is so well understood that even methodological guidelines for its use in hazardous industries are officially approved.
It is necessary to take Zosterin only in the first 20 days, first ten days for 1 powder 30%, then another ten days - 60%.
Ingredients: Zosterin - seagrass extract Zoster Marina.
The fourth component of the methodology is a complex of 13 probiotic strains of beneficial bacteria. Unibacter. Special Series. It is included in the Sokolinsky System, because resetting the microflora - rebioz is one of the most modern ideas about the prevention of so-called. "diseases of civilization". Proper intestinal microflora can help regulate cholesterol levels, blood sugar, reduce the inflammatory response, protect the liver and nerve cells from damage, increase the absorption of calcium and iron, reduce allergies and fatigue, make stools daily and calm, adjust immunity, and have many other functions.
We use probiotics with perhaps the most profound effect on the organism as a whole, the formula of which has been tested for decades.
The goal of the entire program is to eliminate the deep causes of poor health, restore self-regulation, which then would be easy to maintain a healthy diet and an adjusted lifestyle. And using the complex, you simultaneously act in different directions to support your health. It is reasonable and profitable!
Thus, for 30 days you carry out cleansing on three levels at once: intestines, liver, blood, remove toxins and activate the most important organs on which your well-being depends.
On the site you will find even more information. Read more about this unique system of cleansing the body!