Many women have to deal with rather unpleasant gynecological procedures. But not everyone is aware of the peculiarities of such manipulations, and how the body should react to them. So, curettage of the uterus is considered a fairly common type of gynecological intervention, in which the uppermost layer of the mucous membrane of this organ is eliminated. Today we are talking about what happens after this: how much blood flows after cleaning, what can not be done after this manipulation.
Curettage of the uterus can be diagnostic or therapeutic, and it can also be performed during an abortion. This type of gynecological intervention is carried out exclusively blindly using a number of instruments. Therefore, the likelihood of various complications after its implementation is quite high. Readers of "Popular about Health" need to have information about the features of natural secretions after it is carried out and about the likely manifestations of pathology.
How long does bleeding occur after curettage of the uterus?
In the vast majority of patients, spotting occurs after curettage. After all, during such a procedure, the surface layers of the endometrium are eliminated, in other words, the uterine cavity becomes like a continuous wound ... Accordingly, after cleansing, the blood is not something surprising, since the wound will bleed for some time.
In fact, this phenomenon is not considered dangerous, it is similar to menstrual bleeding, when the functional layer of mucous membranes is naturally torn off.
The duration of bleeding after a curettage event may vary from patient to patient. The occurrence of moderate discharge within five to six days (maximum ten) is considered absolutely normal, which is not accompanied by a specific unpleasant odor.
Over time, the severity of the discharge should decrease, they become as if smearing, and then completely stop.
In addition to the appearance of discharge, it is normal for pain in the lower abdomen, as well as the lower back.
Abnormal discharge of blood from the uterus after curettage
Pathological bleeding can be distinguished from normal, focusing on several signs.
So, we can talk about complications if the discharge lasts more than ten days. Such symptoms are possible with hormonal imbalance, curettage that occurred in the middle of the cycle, and also if there is a remnant of pathological tissue in the uterus.
If after the procedure there is a discharge with an unpleasant odor and abnormal color, then this indicates the development of a complication. So, with the development of the inflammatory process, the discharge looks like specific meat slops, but the intensity of the discharge can be different (minimal sanious discharge or significant bloody discharge is possible). Inflammation is accompanied by fever and pain in the lower abdomen.
Sometimes bleeding, on the contrary, stops ahead of time, which may also indicate a pathology, for example, an accumulation of blood in the uterine cavity. This situation occurs when blood clots cannot leave the uterus due to the closure of the cervical canal. At the same time, spotting disappears sharply, pains appear in the lower abdomen, which are cramping and rather strong, and temperature indicators increase.
When to go to the doctor?
You should immediately seek medical help:
If, after scraping, the discharge continues for more than ten days;
If the bleeding becomes profuse and remains so for several hours (the pad is filled in an hour or two);
If the discharge stops abruptly a day or two after the intervention, abdominal pain occurs;
If the temperature rises;
If the discharge smells bad;
If there is severe pain in the lower abdomen, which is not stopped by analgesics;
If there is a feeling of dizziness and weakness.
What can not be done after curettage of the uterus?
For one month after the curettage, it is necessary to refrain from sexual intercourse. Also, do not use vaginal tampons to absorb secretions, it is advisable to use pads, and even better, homemade gauze pads. Within a month after the procedure, it is also necessary to refuse to perform douching. It is also forbidden to visit a bath or sauna, as well as taking a bath.
Also, within four weeks after scraping, you should not lift weights and give up all kinds of serious loads.
For this period, it is better to avoid taking any medications, except for those prescribed by the doctor. Under a special ban is the use of drugs with acetylsalicylic acid, as they can provoke bleeding.
For six months after the curettage has occurred, it is necessary to carefully protect yourself using contraceptives recommended by your doctor.
For successful recovery after curettage of the uterine cavity, it is necessary to follow the recommendations of a specialist and take the drugs prescribed by him. A sudden deterioration in well-being is an occasion for immediate medical attention.
Curettage is a fairly well-known medical procedure carried out with special surgical devices, which in essence is an operation accompanied by all the characteristic features of the postoperative recovery period. Curettage is performed by instrumental opening of the cervix, causing severe pain, so this procedure is carried out under the influence of general anesthesia.
In our center, this kind of procedure is carried out with great success, which will help you get rid of many health troubles. Professional doctors will provide you with moral, and most importantly, medical assistance, thanks to their wide knowledge and skills in this area.
Successful surgical intervention depends on a large number of factors, among which the professionalism of the doctor, the quality of performance, as well as the characteristics of your body and concomitant diseases, stand out. It will depend on the qualifications of the doctor and how the patient will follow the recommendations of the doctor whether complications will arise after curettage or not. The natural results of such an operation are the presence of secretions. Each of those women who have undergone such a procedure should be aware of the duration and nature of such secretions in order to recognize the onset of inflammation or other pathologies in time.
There are two types of curettage - separate diagnostic and treatment-diagnostic. According to the technical methods of performing this procedure, it is similar to a medical abortion. Regardless of the purpose of cleaning, its essence is to remove the functional mucous membrane of the uterus, after which the cavity becomes a bleeding wound.
Discharge after the procedure
What kind of discharge after scraping is considered the norm? The state of the uterine cavity after cleaning is similar to the state after the completion of menstruation, during which the functional layer is also rejected. The duration of menstruation for any of the women is individual and is regulated by the pituitary gland and hormonal levels.
With a normal outcome of the operation, the discharge of blood does not have an unpleasant odor and can take about a week. After that, they become smearing, and then completely stop. The discharge with blood should not exceed ten days and may be combined with mild pain in the lower abdomen (evidence of uterine contractions).
"Alarm Calls"
Allocations after curettage, which indicate complications:
Strong sanious discharge means complications provoked by violations of antiseptic procedures during surgery and particles of the fetal egg in the uterine cavity. Such secretions containing clots have a disgusting odor and are accompanied by a high temperature. If such symptoms are detected, the doctor may prescribe a secondary cleaning.Yellow discharge indicates that an infection has entered the body. This condition needs medical treatment.
What is forbidden to do after gynecological cleaning?
Within two weeks after curettage, you can not:
Use tampons (it is worth replacing them with pads);Engage in intimate relationships;
Douche;
Visit a bath / sauna, take a bath (only a shower is allowed);
Apply heavy physical labor;
Take drugs that include acetylsalicylic acid.
When can I plan a pregnancy after curettage?
When a woman has undergone an abortion procedure, which consists in the removal of the ovum with cleaning of the uterus, the next pregnancy must be planned taking into account many aspects:
The longer the gestation period was, the more trauma was caused to the body. Accordingly, this will affect the rate of recovery of the body after surgery.After an abortion, inflammation and depletion of the endometrium can be provoked, and this can cause infertility, and if fertilization is successful, complications. The curettage procedure can contribute to the incorrect formation of a child's place, the formation of adhesions. All this can be a factor in the occurrence of an ectopic pregnancy or the development of placenta previa. Given the previous indicators, the doctor may allow pregnancy only six months after the gynecological cleaning.
When curettage is performed due to a miscarriage or an undeveloped pregnancy, then the next attempts should be preceded by rehabilitation and multiple studies. All these manipulations are necessary in order to determine the cause of the miscarriage and avoid a repetition of such a situation. Usually, recovery after this kind of procedure takes from six months to a year. During this time, the female body is resting, and both spouses can do the necessary tests. A man should also do this, because in many cases it is the violation of his health that is the cause of the miscarriage. If a disease is detected that requires long-term treatment with potent drugs, the timing of the next pregnancy is postponed for the required period.
Therapy after curettage
Almost all women after a gynecological cleaning feel pain in the lower abdomen as during menstruation. This situation is quite common, so experts prescribe an antispasmodic to reduce pain and prevent the accumulation of blood clots.
Antibiotics are often prescribed after gynecological cleaning in order to prevent the penetration of various infections into the body. 2 weeks after the procedure, you must definitely visit a doctor for an examination.
On the day of the procedure, it is not recommended to drink alcohol or smoke a lot - this affects the speed of recovery of your skin. After cleaning, you can not go to the bath or sauna, visit the solarium and wash your face with hot water - all this injures the skin. Be sure to use a sunscreen, and if possible, try not to go out in the sun immediately after cleansing. Also, do not expose your delicate, freshly cleansed skin to a strong wind.
Laser face cleaning
The procedure is effective, but quite traumatic. And it's not even that the laser is dangerous for your skin. Modern medical devices do not cause any harm, but do not forget that the procedure completely removes the top layer of the skin, making it very sensitive and vulnerable. Be prepared for the fact that the first 2-3 days the skin will itch and peel off, and after the procedure there is a feeling of tightness. This is completely normal, because under the action of the laser, the skin flap is slightly reduced and acquires tone.
The first three days after laser cleaning it is better not to leave the house - the skin is too exposed to dirt, sunlight and pathogens. During this period, it is necessary to apply special anti-burn and antibacterial agents to the face and wash with soft gels or foams. For 5-6 days, medical ointments can be abandoned, replacing them with moisturizers. In general, discomfort and redness after laser cleaning last about a week. But the end result will pleasantly surprise you.
Mechanical face cleaning
Of all types of cleansing, mechanical cleaning is the most effective, but also the most traumatic. The doctor removes comedones, keratinized cells and other imperfections of your skin using mechanical action with the hands using special tools. After the procedure, redness, small bruises or even microscopic wounds may remain on the face. For skin care and restoration, use intensive moisturizing gels or masks, as well as alcohol-free lotions.
Usually, redness and spots disappear within an hour, but if this does not happen, treat your face with aloe vera gel or any soothing agent. If after cleansing you have acne, apply a drying corrector cream on them and make spot masks from cosmetic clay.
Salon facial cleaning carried out by a professional does not bring additional problems to a woman, while the careless actions of novice masters often end in the appearance of inflammation or even scars on the delicate skin of the face. How to be - not to risk at all, or can you somehow reduce the risk of consequences after cleansing your face?
Minimize the likelihood of consequences!
Before you decide on a salon cleaning, make inquiries, ask your friends, in a word, choose the master whose work did not cause complaints from regular customers - this way you will avoid the consequences after cleaning your face.
Do not be afraid to overpay a little more and choose the hardware method, it gives much fewer side effects than the hand of a master! In any case, be aware that after the cleansing behavior, the master should always make a special mask that will soothe the skin, relieve inflammation and saturate the skin with moisture and nutrients!
In addition, the master should advise you on how to properly care for after cleansing your face.
Proper care and emergency care
In the first days after cleansing, it is necessary to use gels or foams - they do not need to be rubbed, and they perfectly moisturize the skin. Later, you can use moisturizers, which include antioxidants and protective substances.
Removing peeling, or applying scrubs, in the hope that the peeling will pass faster - is categorically contraindicated! It is necessary to give the skin time to restore its protective barrier, no aggressive influences - otherwise you can get scars and cavities!
Masks and compresses can be done if there is no pronounced inflammation on the skin - otherwise, you can only prolong the regeneration process.
If not everything went as smoothly as you expected, and scabs began to form on the skin, it hurts and itches, then you need to contact the master who did the procedure, or a dermatologist. Even if the procedure was carried out with high quality, then in this case there are often slight inflammations and peeling - as a natural reaction to the invasion "from outside". Then use chlorhexidine solution as an antimicrobial agent, and cold compresses to relieve inflammation.
What to do after cleansing the face if the pores are very enlarged, although the inflammation has almost disappeared?
Do a few procedures aimed at narrowing the pores - you can buy a special pore-tightening tonic or wipe the skin with an alcohol lotion, which includes calendula or other useful healing herbs.
You can also use lemon juice - only not in its pure form, but diluted in a 1: 1 ratio with pure boiled or mineral water. Apply the composition to the skin with a soft swab and let dry without wiping (do not unnecessarily irritate the skin with friction, and, drying in the air, the composition will be well absorbed into the skin). While the skin does not dry out, the procedure may be accompanied by a slight burning sensation, which will disappear after you wash off the composition with clean running water. This procedure can be carried out two to three times a week until the expansion of the pores is completely gone.
Which are included in the care after cleansing the face, it is easy to prepare at home: for example, based on heavy cream, protein and olive oil.
You can also bring this one: mix protein and lemon juice - this combination will perfectly tighten the pores and a little, which after cleaning is characterized by increased susceptibility.
In general, big amendments should be made in the direction of improving hygiene: do not wash your face with ordinary water, which contains chlorine, which irritates sensitive skin. Replace it with mineral or melted water (freeze and melt ordinary water), add a couple of drops of lemon juice or apple cider vinegar to it to create an acidic environment that resists the growth of bacteria.
Protect your skin from UV rays, nourish with vitamin cocktails and try not to use decorative cosmetics for the entire recovery period - right now, when the skin is deprived of a protective barrier, there is a high risk of developing increased skin sensitivity, which will later be very difficult to get rid of!
And the last tip: if you want to clean your skin, try homemade cleansing recipes first, which do not give any complications and discomfort!
Content
What do doctors forbid to do after cleaning (curettage) of the uterus and why? The answer to this question will be relevant for all women who have undergone or are preparing for this gynecological manipulation.
For several hours after curettage of the uterus, a woman experiences heavy bleeding. The appearance of secretions in the form of clots is not excluded. This cannot be avoided, since this is the physiological response of the body to the injury received during cleaning.
A few hours after the curettage, the discharge becomes less abundant, but can last up to 14 days.
What can not be done during this period? Gynecologists give standard recommendations for the next two postoperative weeks.
Forbidden:
- use of sanitary tampons - only pads are allowed;
- sexual intercourse (including with a condom);
- visiting baths and saunas, bathing in a bathtub with immersion in water;
- douching (irrigation of the vagina);
- taking medications containing acetylsalicylic acid without a doctor's prescription;
- engage in hard work, do exercises, giving the body a significant physical load.
Hygienic tampons
After curettage of the uterus, the woman begins to bleed. This is a physiological process, since cleaning the organ is accompanied by injury to the mucous layer lining it. The discharge is similar in strength and character to menstruation. But what you can’t do after scraping is to use hygienic tampons.
All kinds of varieties of this hygiene product can be found in all pharmacies. The advantages of tampons over sanitary napkins are obvious, but they only apply to the period of menstruation and only to healthy women.
After curettage of the uterus, the type of bleeding is completely different: along with the blood, pieces of exfoliated mucous come out. They should not linger inside the vagina. Do not forget that tampons absorb only liquid secretions. The clots will remain inside.
There are other explanations for this as well. The blood flowing from the uterus and vagina becomes an excellent breeding ground for pathological microorganisms. Tampons should not be used because they will prevent the free outflow of secretions. Thanks to this, ideal conditions are created inside the vagina for infection of the injured uterus - the likelihood of developing an inflammatory process increases significantly.
The use of tampons after curettage can lead to infection, fever, and increased pain associated with cleaning the uterus.
The ban on the use of tampons during the recovery period after cleaning is also explained by the composition of the product. It definitely contains dioxin. It helps make tampons white as it acts as a bleach.
Dioxin is extremely dangerous for the female body. It is very toxic, can reduce local immune defenses, and also adversely affects the state of the reproductive system as a whole. In addition, dioxin can provoke the development of toxic shock syndrome in sensitive individuals.
The use of tampons after cleaning the uterus further reduces local immunity, provoking serious complications - vaginosis, candidiasis, various inflammations.
The absorbent component of the product is viscose. And although it is made from a natural component - wood - it still causes some harm to the condition of the vagina. Its microscopic particles remain on the walls of the vaginal tube and can provoke irritation of the mucosa.
sexual relations
Sexual intercourse is the next thing not to do after cleaning the uterus. The duration of abstinence is determined by the gynecologist individually in each case after examining the patient. The duration of recovery of the uterus depends on the cause of curettage and the general health of the woman. In the vast majority of cases, the recovery period lasts 1 menstrual cycle.
You can have sex after scraping no earlier than 2 weeks later. This is the minimum period during which the uterine mucosa after cleaning is completely replaced. It is advisable to use a condom and avoid casual sexual intercourse.
If the endometrium has not yet fully recovered, then the risk of infection increases significantly. There are many diseases that occur in a latent form and are not dangerous for a healthy body. But as a result of a weakened immune defense, the likelihood of infection and the implementation of the disease increases significantly.
And there is also a risk of damage to the walls of the vagina, which can increase the power of bleeding. And this is another reason why you should not have sex after cleaning.
After the onset of sexual activity, a woman may feel a little pain, feel a burning sensation and dryness in the vagina. You do not need to do anything, since such symptoms are considered a conditional norm and pass on their own.
If the discomfort does not go away, then it is necessary to consult a gynecologist. After a vaginal examination and based on the results of the transvaginal ultrasound examination, appropriate treatment will be prescribed.
Bath and sauna
The next thing not to do after scraping the uterus is to visit a bath or sauna. Until the moment of complete cessation of discharge, you can only take a warm shower.
Why can't you go to a hot bath after cleaning? The answer to the question lies in physiology. The uterus, injured by curettage, bleeds heavily, which explains the bleeding that accompanies the procedure.
Sudden changes in temperature - a cool dressing room and a hot bath room - can cause additional blood flow to the organ damaged by the procedure. This causes an increase in discharge up to the development of serious bleeding requiring medical attention.
Hot baths are especially dangerous. in the first few days after curettage.
What else can't be done? After scraping, saunas are also banned. As a rule, these are public places. After cleaning, a woman's body is especially susceptible to various kinds of infections: an open cervix and an injured mucosa greatly simplify the process of penetration of pathological bacteria to the wound surface. It is not possible to ensure the sterility of wooden coverings (benches, benches and sunbeds), and in conditions of heat and humidity, pathogenic bacteria multiply very quickly.
If visiting a bath or sauna after cleaning the uterus cannot be avoided, then the following rules must be observed:
- the maximum time spent in the bath (not too hot) - 25 minutes;
- time spent in the steam room / sauna (at a temperature not exceeding 70 ° C) - 10 minutes;
- It is not recommended to take off your underwear.
douching
Normally, the cervix is closed, but after cleaning it remains open. Thanks to this, its cavity is cleansed and blood clots are released unhindered. And it is at this moment that the body is especially vulnerable to various pathogenic microflora.
During the recovery period after the performed curettage, no irrigation of the vagina should be done. Douching is allowed only in exceptional cases. They can only be done on an outpatient basis or as prescribed by a doctor.
In addition to the risk of penetration into the uterine cavity of pathogenic microflora, it is impossible to exclude getting a burn. Indeed, during irrigation, soda, lemon juice or medications can be added to the water.
The walls of the organ after scraping are a wound, and if an irrigating liquid containing aggressive components gets on its surface, a chemical burn may be caused. Such lesions require a long and complex treatment, so douching after cleaning is impossible.
Acetylsalicylic acid
If we talk about what else cannot be done during the recovery two-week period, then this is taking drugs based on acetylsalicylic acid, in particular, aspirin. The drug may cause bleeding disorders. The medicine makes it more liquid, which increases and prolongs bleeding after cleaning the uterus.
Changes in the hormonal background, which occur as a result of the forced removal of the endometrial layer, initially reduce blood viscosity. In a woman's body, the amount of thrombin and fibrinogen produced decreases.
Taking even a small amount of aspirin reduces blood clots, increases bleeding and its duration.
To relieve pain after curettage, paracetamol, ibuprofen and other nonsteroidal agents should be used, since they do not affect blood clotting processes. You can use aspirin only two to three days after the end of bleeding.
Physical exercise
After cleaning the uterus, it is also impossible to do exercises or physically load yourself in any other way.
Light exercise is allowed after the end of bleeding, and the resumption of regular sports - after 1 menstrual cycle.
Significant loads after scraping can only increase the pain and activate the discharge, increasing their volume. As a result, there is a high probability of a large loss of blood.
The gynecologist who performed the procedure should tell the woman about what can and cannot be done after cleaning the uterus. To avoid postoperative complications, all recommendations must be observed especially strictly.
