Most women are probably familiar with the situation when a gynecologist prescribes uterine cleaning or curettage. But at the same time, not all ladies understand what is meant by this medical manipulation, and they are completely in vain and groundlessly worried about this.
Why do they clean?
In most cases, cleaning is done to obtain samples for research. During the cleaning process, a scraping of the uterine mucosa is taken and sent for histology. This allows you to establish the correct diagnosis. Additionally
Using cleaning, tumors in the cervical canal or uterine cavity are removed.
Curettage is prescribed in the following cases:
- in the presence of long-term, heavy menstrual bleeding with clots, bleeding during the intermenstrual period, problems with conception, as well as in conditions where ultrasound cannot determine the cause;
- pathological changes in the uterine mucosa;
- changes in the cervix;
- in some cases before gynecological surgery.
Preparing for cleaning
When performing routine cleaning, it is performed before menstruation, since in this case the operation of scraping the mucous membrane coincides with the physiological process of endometrial rejection. But surgery to remove polyps during hysteroscopy is prescribed after menstruation. Before the operation, you need to take a general blood test, tests for HIV, hepatitis, syphilis, a vaginal smear, an ECG, and a coagulogram. Before cleaning, it is necessary to carry out hygiene procedures and shave off pubic hair. You need to come on an empty stomach. You must bring a long T-shirt, robe, socks, slippers and sanitary pads.
Curettage procedure
The operation is carried out in the operating room, the woman is located on a gynecological chair. General anesthesia is used. Before this, the anesthesiologist clarifies the presence of allergic reactions to medications and all previous diseases. The duration of the operation under anesthesia is about 15 - 25 minutes. The drug is injected into a vein, after which the patient falls asleep.
First, the doctor measures the length of the uterine cavity using a special instrument - a probe, which penetrates the uterus. The cervix is then dilated using dilators. They are inserted one by one into the cervix, after which the canal is expanded to the desired size to allow the curette to pass through. The curette resembles a spoon with an elongated handle with one sharpened edge. Using this tool, scraping is performed. The material for research obtained by scraping is placed in a special container.
After completing the manipulations, the doctor removes the dilators from the cervix. The cervix and vagina are treated with antiseptic agents, and ice is placed on the lower abdomen. Cold constricts the blood vessels, and they bleed less, causing the uterus to contract. The patient is transported from the operating room to the ward, where she wakes up. Within a few hours after the operation, the woman can leave the hospital and go home.
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Many girls are interested in the question - which facial cleansing is better - at home or in a salon? Where and how to cleanse the skin so that it shines with beauty and takes on a well-groomed appearance? If this is a home intervention, what tools should be used? And if the decision was made in favor of salon cleanings, which one should you choose based on considerations of benefits and savings?
Facial cleansing is an important step in skin care. Without high-quality cleansing of pores and elimination of skin imperfections, the face will not be able to look well-groomed. The question is the price of the procedure and, in fact, the type of cleaning.
There are several main cleaning methods: mechanical, manual, vacuum, laser, chemical, galvanic. All procedures have a single cosmetic goal - to make the dermis clean, eliminating all the imperfections that prevent the skin from looking good. The final choice depends on the financial and personal preferences of each individual woman.
Once you know what types of facial cleansing there are, it is much easier to choose a procedure. Many women prefer the cleaning methods that exist in a beauty salon.
This type of cleaning has the following advantages:
- A variety of ways to steam your face. At home you have to use mostly a modest steam bath. The salon provides alternative methods: from a vaporizer and paraffin masks to a mini-sauna.
- The highest level of sterility. The cosmetologist is responsible for this aspect. It will be difficult to achieve such high rates at home.
- Most salon cleanings are painless and low-traumatic.
- The quality of procedures in salons is usually at a high level. According to many women, the most effective type of cleaning is the salon type.
Which facial cleanser should you choose? Many ladies choose manual cleaning. This cleansing of the integument has been known since the time of the queens of Ancient Egypt.
At its core, manual cleansing is the removal of blackheads, wen and keratinized scales using your fingers. This method is good for almost every skin type, but is especially relevant for oily skin with a porous structure or frequent inflammation.
The disadvantages of this procedure include:
- Quite a high degree of pain.
- High risk of skin infection (when disinfection rules are not followed).
- Not recommended during menstruation.
Indications for the procedure:
- white and/or black dots;
- acne without obvious signs of inflammation;
- clogged pores;
- boils.
To obtain good leather as a result of manual cleaning, you need to follow the steps:
- Cleansing the skin from dirt, dust, and cosmetic residues. Produced using foams or gels. In case of severe contamination, a cleansing mask is used.
- Steaming the surface. Necessary for high-quality and more complete opening of pores.
- Cleansing. At this stage you need to do it in 15-20 minutes. After this time, the pores begin to close.
- The manual cleaning process is completed by applying masks (to narrow pores or relieve inflammation).
Mechanical cleaning at a cosmetologist or at home includes the use of a special loop or Uno spoon. The tool is used to avoid injury - at one end there is a small surface with a hole through which dirt is removed. Some spoon options have multiple holes.
The stages of mechanical action duplicate the manual method, with the only difference being that the hands are not involved in this process.
Attention! The use of a Uno spoon is unacceptable for sensitive dermis.
Immediately after the session, swelling and redness remain on the surface of the skin, which usually go away on their own in a day or two.
Many women are sure that mechanical cleansing is the best facial cleansing.
However, there are a number of contraindications:
- inflammation of the skin, especially caused by a viral infection;
- severe forms of acne;
- hypertension;
- rosacea;
- demodicosis;
- chronic skin diseases.
Ultrasonic facial cleansing for problem skin is an effective and low-traumatic elimination of many imperfections. This method is suitable for those with sensitive skin.
A special ultrasound machine is used for the procedure. This cleansing is suitable for those who have been struggling with acne, acne, and comedones for a long time and have been unsuccessful.
How to carry out ultrasonic facial cleansing, the main stages:
- Skin cleansing. It is performed by applying a special gel to the surface. It becomes a conductor of ultrasound.
Attention! No additional steaming is required before the ultrasonic cleaning procedure.
- Execution of the procedure. The cosmetologist moves an ultrasonic scrubber over the patient's skin. The procedure takes about 15 minutes and does not cause any discomfort or pain.
- Correction. Performed when necessary. A specialist assesses the condition of the skin after ultrasonic cleansing. If necessary, performs additional cleaning manually.
- Distribution of a soothing composition over the surface of the dermis.
Another type of facial cleansing performed by a cosmetologist is considered vacuum cleansing.
The main feature of the method is the use of a vacuum tube. It quickly and effectively “pulls out” the contents of the pores.
The procedures can be divided into the following stages:
- Cleansing the facial skin from dirt and cosmetic residues with special compounds.
- Opening of pores (herbal baths, paraffin masks, etc. are used).
- Using a special tool to target areas with problem areas.
- Application of regenerating agent.
Vacuum cleaning is practically painless and does not provoke complications such as redness or inflammation. Additionally, it improves skin tone, evens out color and eliminates irritation. Many people believe that vacuum cleaning in a salon is the most effective facial cleansing procedure.
Another option for the best facial cleansing in salons is laser cleansing.
In fact, this method is not cleaning in the direct sense of the word. The laser is used to renew the outer layers of the epidermis, thereby triggering regeneration mechanisms.
Indications for laser resurfacing:
- multiple acne;
- red and white pimples;
- black dots;
- uneven surface of the dermis with pronounced pores.
The procedure has a number of contraindications, including:
- allergy to sun rays;
- menstruation;
- acne in the acute stage;
- herpes;
- cancer;
- diabetes.
Attention! Laser cleaning should NEVER be done at home! The complexity of the procedure requires the required level of skill of the cosmetologist.
Laser cleaning involves treating problem areas with a special device (it is very important not to damage adjacent areas). At this time, the upper layers of the dermis seem to evaporate. Next, a period of regeneration is required, after which new skin “grows.” Cleaning time – 1 hour.
Methods for facial cleansing in the salon include a fairly large list. It also includes dry cleaning, which is equally suitable for teenage and aging dermis. This effect is recommended if you have post-acne or other skin problems.
- The name of the cleaning is justified: it uses chemicals. They are distributed over the surface of the skin and washed off after some time. There are the following types of chemical cleaning:
- Superficial. Used for sensitive dermis. For this purpose, 30% lactic acid and glycolic acid peeling are used. The recovery period is 2-3 days.
- Middle. For this type of cleaning, various types of acids are used: salicylic 30%, trichloroacetic 15%-35%, retinoic 5%. The recovery period may take up to several weeks.
- Deep. A strong acid is used. As a result of such exposure, the dermis “gets better” for several months. Deep cleaning leaves a number of consequences - you need to use sunscreen for almost the rest of your life. This procedure is carried out in exceptional cases when other cleaning methods are ineffective. However, many ladies believe that this is the best facial cleanser, because the acids will clear the skin for the next few years!
Contraindications:
- pregnancy, breastfeeding period;
- excessive skin inflammation;
- acute form of herpes;
- cancer;
- the presence of scratches, wounds, moles.
What types of facial cleanings are there in the salon? The list of chemical, manual and hardware influences is supplemented by the disincrustation procedure (galvanotherapy).
This facial cleansing procedure is the latest word in the world of cosmetology. It is carried out through galvanization, that is, the dermis is exposed to electric current. It is able to penetrate deep into the epidermis through special chemicals applied in advance. The effect of current breaks down and removes contaminants.
What is the best facial cleansing to do at home? It all depends on the type of dermis, the girl’s skills and the availability of the necessary equipment.
Mechanical cleaning. This is done with a special spoon or loop. Requires accuracy in work.
Manual cleaning. It is carried out exclusively with clean fingers, applying a disinfectant solution. You can use a bandage or gauze to wrap your fingers.
For your information. After these 2 types of cleansing, redness will remain on the skin in one way or another, regardless of the intensity of the pressure.
Vacuum cleaning. It is enough to have on hand a vacuum device that works like a vacuum cleaner and absorbs all the contents of the pores. The effect is noticeable immediately: the face acquires an even tone, the surface is leveled.
Attention! Lack of skills in performing the procedure can cause persistent redness and even bruising.
Massage cleaning. An alternative name is exfoliation or scrubbing. It is considered the most popular, simplest, fastest way to remove contaminants. An additional bonus is the possibility of self-massage of the skin. The main disadvantage is superficial cleansing and the inability to eliminate comedones.
Acid cleaning. There is probably no more effective facial cleansing at home. The most popular is multi-acid peeling, which effectively removes the stratum corneum and accelerates cellular regeneration.
Hardware
And yet - which facial cleansing is better and more effective? Many people prefer the hardware option. These include laser, galvanic and vacuum cleaning.
Ultrasonic cleaning is also recognized as a hardware treatment option. Its essence is the effect of ultrasonic waves on the epidermis. The procedure is carried out using a device with a spatula-shaped attachment. After such exposure, the skin becomes soft, smooth and moisturized. The penetration of active components deep into the integument guarantees painless and high-quality cleansing.
Masks
Another know-how in the world of cosmetology is the so-called Hollywood cleansing. It is recommended in cases where skin problems are in remission, there are enlarged pores, or the secretion of the sebaceous glands of oily skin is impaired.
Contraindications:
- dermatological pathologies (psoriasis, eczema);
- diabetes;
- cancer;
- herpes.
The procedure includes the following steps:
- Cleansing the dermis with special means.
- Distribution of lotions with AHA and BHA acids over the skin.
- Treatment of the face with glycolate, which is left for 10 minutes. Apply phytic acid next and leave it for 10-12 minutes.
- Removing the “mask” with warm water.
- Treatment of the face with tonic.
- Applying a healing mask.
The result and condition of the dermis depend on what type of facial cleansing you choose.
Visiting salons is a very expensive pleasure. Some ladies are completely afraid of hardware technologies or do not trust salon specialists. It's no surprise that many women prefer to do facial cleansing themselves. However, this procedure has pros and cons.
Homemade facial cleansing – pros and cons
pros | Minuses |
---|---|
A preliminary steam bath has a gentle effect without causing chemical burns or allergies. | At home, you can only carry out manual or mechanical cleansing. Store-bought scrubs or peels will not have the same effect as a salon procedure. |
Home cleaning does not require the use of chemicals. | Limitations in steaming methods. Often you choose herbal baths, and occasionally – pharmaceutical masks based on paraffin. But the depth of cleansing depends on the degree of pore opening. |
The “cleaner’s” own hands are always able to stop at the right time when pain occurs. The instinct of self-preservation is responsible for this. Accordingly, home cleaning can actually be made less traumatic | Risk of infection. It is not always possible to fully distribute the disinfectant solution over the entire surface of the face. Touching your fingers often provokes infection into clean pores. |
Which facial cleansing is best?
The choice of facial cleansing method is very individual. Whether it will be cosmetic cleaning or it is better to do everything at home depends on the preferences and financial capabilities of the lady. It is worth considering that hardware procedures are usually effective, but short-lived. Frequent visits to a cosmetologist can undermine the family budget. Mechanical action can cope with even the deepest stains. But this method is recognized as the most painful and risky from the point of view of infection.
Incredible! Find out who is the most beautiful woman on the planet in 2020!
Endometrial scraping often causes anxiety in patients, because they do not always fully understand how it is carried out, why it is needed and what it is fraught with. In addition, like any operation, cleaning is performed under anesthesia and poses some risk. Also, its outcome without complications largely depends on the qualifications and professionalism of the gynecologist who will carry out the cleaning. In this article we tried to talk in detail about the features of curettage.
What it is
As a rule, curettage is carried out before the onset of menstruation, when the cervix opens easily. The operation is performed on an empty stomach. The patient is given intravenous general anesthesia, which lasts up to half an hour; it does not provoke the appearance of dreams and hallucinations.
Cleaning procedure:
- A speculum is inserted into the vagina.
- The neck is secured with forceps.
- The internal size of the uterus is measured with a special instrument.
- Using expanders (metal sticks of varying thickness), the cervical canal is expanded to the size of a curette (a spoon-shaped instrument).
- Cleaning occurs, and material for analysis is collected in a specially designed container.
- It is possible to insert a hysteroscope into the uterus to examine the walls; if incomplete removal occurs, then the curette is used again.
- The tongs are unfastened, processing occurs and ice is placed.
- The patient is assigned to a ward, where she must lie for some time to ensure that there are no acute negative consequences.
Recovery period
The first time after curettage, there will be a significant release of blood clots, which will gradually decrease to spotting. This will go on a week and a half. If the discharge stops much earlier with the appearance of a strong tugging in the lower abdomen, you need to urgently contact a gynecologist.
After the operation, you must follow a certain regimen for a couple of weeks, in which the following is contraindicated:
- perform sexual acts;
- application
- douching;
- swim in the pool, open reservoirs, visit saunas;
- take medications based on acetylsalicylic acid;
- drinking alcohol.
After curettage, menstruation will begin with some delay; when they are absent after two months, you must definitely contact a gynecologist.
Did you know? In a calm state, the average depth of the vagina is about 10 cm; during sexual intercourse it can increase almost three times. It has also been established that each vagina has its own characteristic odor, which, moreover, can change during the day. A disease of a bacterial nature, for example, is indicated by a “fishy” smell.
Possible complications
When anesthesia is performed by an experienced anesthesiologist and curettage by a professional gynecologist, cleaning is tolerated quite easily, complications are extremely rare. But still, endometrial curettage is not safe, because it can lead not only to complications during surgery or immediately after it, but also to negative consequences much later. The main ones are:
- uterine perforation(it is possible to pierce an organ with dilators or a probe due to poor dilation of the neck or loose tissue; minor perforations heal on their own, large ones are sutured);
- cervical tear(this happens due to laxity of the neck, which leads to the slipping of the forceps when tension is applied and damage to the tissues of the organ; depending on the degree of damage, the tears heal on their own or are sutured);
- inflammation of the uterus(an inflammatory process is possible if: cleaning is carried out when there is already existing inflammation, the level of antiseptic measures is insufficient, a course of antibiotics is not prescribed after cleaning);
- hematometer(during the postoperative period, the uterus bleeds, but if the cervix is tight, it may close and will not be able to pass normally, which contributes to the formation of clots, inflammatory processes with pain);
- curettage more than normal(if a layer thicker than necessary is scraped out, damage to the germ cells is possible, which can cause the inability to correct the condition and growth of new mucosa, its renewal - and, as a result, infertility).
With careful and competent cleaning there are no complications.
Important!Half a month after cleaning, you should definitely be examined by a doctor again.
Is pregnancy possible after the procedure?
After scraping a woman can become pregnant within a few weeks. But it is recommended to wait a few months to give the body, including the uterus, the opportunity to recover and get stronger. When it is not possible to get pregnant for six months or more, consultation and examination by specialists is required. Impaired ability to become pregnant is rarely detected after cleansing.
So, curettage of the uterine cavity is not a procedure with significant hazard. But this is still a surgical operation, the success of which depends on the qualifications of the surgeon and anesthesiologist, as well as on the physiological characteristics of the woman herself and many other nuances. Therefore, the issue of carrying out this operation must be approached with full responsibility.
What is the most effective facial cleansing? What procedures will relieve you of painful sensations and give you perfectly clean skin that you can enjoy?
In the article we just Let's look at the types of cleanings that are offered in salons: ultrasonic, atraumatic, vacuum, laser, Hollywood, chemical, galvanic and others.
We will also analyze what types of procedures should be used for cleansing blackheads, acne, pimples, blackheads, comedones, red and white pimples.
Why is it beneficial to use cleaning in a salon setting (rather than doing it at home)?
Don't forget about the disadvantages: the same ultrasonic cleaning will cost you 1,000 – 3,000 rubles. To completely cleanse your facial skin of acne and blackheads, you will need approximately 5 sessions.
Types of facial cleansing by a cosmetologist
Mechanical or ultrasonic facial cleansing: which is better?
Mechanical cleaning is a thing of the past (although it is quite cheap). During the procedure, you simply squeeze out acne and blackheads (of course, everything happens under sterile conditions, the rules of hygiene and sanitation are observed).
The result is numerous redness of the skin, damage, and the inability to go outside.
Ultrasound is more gentle in this regard: during its implementation you do not feel pain, the skin does not change color or condition, but after a while pimples, comedones, and acne disappear.
Before carrying out the procedure, you need to pay attention to the condition of the skin and all its features, consult with a cosmetologist, since the procedures have contraindications.
Mechanical (manual, manual) cleaning should not be carried out if you have:
After a session of mechanical facial cleansing, the surface becomes smooth. The number of comedones, wen, milia, sebaceous plugs is noticeably reduced.
But after the procedure the skin will be inflamed(even if a specialist uses cooling and soothing compounds), there is a risk of discomfort and irritation.
- For 12 hours after mechanical cleaning, do not allow contact with water.
- Do not use decorative cosmetics for another 1 day after the procedure.
- Avoid visiting beaches, saunas and swimming pools for 3 days after mechanical cleaning.
- Protect the surface of the skin from exposure to ultraviolet rays for 3 weeks after mechanical cleaning.
- There may be pain within 2 days after surgery.
The duration of a session with a cosmetologist is up to 2.5 hours. If you have problem skin, mechanical cleaning is recommended once every 2-3 months.
Answer the question about what is the most effective facial cleansing, what procedure to do for your skin is difficult.
It all depends on the condition, age, characteristics of acne, reasons for appearance and others.
A professional preliminary consultation with a cosmetologist/dermatologist will allow you to find answers to all your questions.
How is it carried out and what features does Hollywood cleansing of the face, back, chest, and décolleté have?
You should not use the procedure if you have:
The operation with phytic acid takes 40 minutes, the sequence of actions looks like this:
- The skin is cleaned using special degreasing agents.
- A lotion with AHA and BHA acids is applied to its surface.
- The face is treated with glycolate and left on the surface for about 10 minutes.
- Apply phytic acid to the surface, then leave it for about 10-12 minutes.
- Wash off with warm water.
- The face is treated with a special tonic.
- Apply a mask to the skin to speed up the healing process, reduce the risk of irritability and pain.
- Wash off this mask after a certain time.
Course – 1 time every 7-14 days. For treatment you need 3-8 sessions (depending on the condition of the skin, acne).
The price of 1 procedure in a beauty salon is 2,000 – 4,000 rubles. This means that for the full course of treatment you will have to pay approximately 20,000 rubles.
Ultrasonic facial cleansing in the salon is an atraumatic procedure even for sensitive skin
Ultrasonic treatment of the facial surface(using special tools and devices) is an excellent solution for those who have long been tired of dealing with acne, numerous red and white pimples, comedones, and acne.
The procedure for ultrasonic facial cleansing looks like this:
- Facial cleansing. There is no need to steam before ultrasonic cleaning!
- Application of a special gel (another chemical composition), which will become an ultrasound conductor.
- Execution of the procedure. The skin surface treatment is prepared in such a way that the cosmetologist carefully moves it over the face ultrasonic scrubber for approximately 15 minutes. At the same time, you do not experience any painful sensations, you do not feel awkward.
- After the procedure, the cosmetologist looks at the condition of the skin surface. If required, he carries out additional manual (mechanical) cleaning for particularly difficult areas. For example, this may be required for the wings of the nose and the temporal region.
- Final application of a soothing gel or mask to the skin surface.
Ultrasonic facial cleansing in a salon costs approximately 2,000 – 3,000 rubles. For complete treatment you need approximately 3-8 procedures (+ an additional preventive treatment will be required once every 6 months).
Cosmetologists recommend this procedure if you have ugly oily skin, blackheads, pimples, acne, comedones. The main feature of the technology is the use of a special vacuum tube, which “pulls out” the contents of the pores.
The procedure to follow looks like this:
- Clean the skin of cosmetics and disinfect it using special compounds.
- Open the pores (paraffin masks, special herbal infusions and much more are used).
- Apply over the inflamed areas with a special instrument for hardware cleaning.
- Apply a soothing and healing composition to the surface.
The vacuum cleaning procedure is painless, has no side effects, does not cause redness and inflammation (as happens with manual/mechanical cleaning).
It is known that the procedure not only cleanses the skin, but also improves its tone, elasticity, makes the color even, and relieves irritation.
The price of a procedure in a beauty salon is 1,000 – 1,500 rubles. To eliminate acne you will need a course of 4-10 procedures. This means that getting rid of acne will cost you approximately 40,000 rubles.
Will laser cleaning (resurfacing) help you get rid of acne and acne?
Laser resurfacing is not cleaning in the usual sense.
The laser is used to renew the outer layer of skin, to launch the regeneration mechanism.
You should use this solution if:
- there are a lot of blackheads, red and white pimples, and blackheads on the skin;
- you have uneven skin with pronounced pores;
- Black dots are visible on the surface of the skin.
Avoid laser resurfacing if you have a congenital allergy to sunlight, menstruation, herpes on the surface of the skin, active acne, cancer, diabetes or severe tanning.
Laser cleaning is NEVER performed at home! The reason is the complexity of the procedure, as well as the unavailability of certain devices on the market.
The essence of laser resurfacing is that the cosmetologist precisely treats problem areas with a laser (here it is important to be careful so that neighboring areas are not damaged).
During the procedure, the upper layer of the epidermis seems to evaporate. Next, a difficult recovery period is required, after which new skin appears in place of the “old skin”.
The procedure lasts up to 1 hour. The cost is high: approximately 6,000 rubles; to get rid of acne you need approximately 1-8 procedures. This means that you will have to spend about 50,000 rubles to restore your beauty.
Cleaning is carried out no more than once a month! Otherwise, you risk damaging the surface of the skin and causing an allergic reaction.
Dry cleansing is suitable for both teenage and mature skin; recommended for post-acne and other dermatological problems. The name of the procedure justifies itself: it uses chemicals and acids (they are applied to the surface of the skin and then washed off).
There are 3 varieties:
Contraindications to dry facial cleansing are: pregnancy, inflammation of the skin, lactation period, acute herpes, cancer, the presence of open wounds and moles.
Manual or mechanical facial cleansing should be carried out under the supervision of a specialist. Of course, there are procedures that can be carried out at home (manufacturers even offer “home” cosmetology devices for the same ultrasonic cleaning).
We recommend that you first discuss all the details of the procedure with a dermatologist and cosmetologist and calculate your budget (for severe acne and a large number of blackheads, you will have to take a course of 3-8 procedures).
All we have to do is wish you beautiful skin.
The situation when a woman is prescribed an operation to clean the uterus occurs very often. It almost always causes fear and unfounded worries, because there are a lot of different rumors about this surgical intervention, which is necessary in order to cleanse the uterus of an unwanted pregnancy or medical pathologies.
The fear from words such as “we will clean the uterus,” uttered by the attending physician, comes from ignorance of what this procedure is. This operation, which is otherwise called curettage of the uterine cavity and is prescribed for quite a few medical reasons, raises many questions.
Cleansing: what is it?
Gynecological curettage is a minor operation that is performed under anesthesia, as it causes unpleasant and painful sensations. There are two types of such intervention: therapeutic and diagnostic.
Therapeutic cleansing is based on medical indicators. It is performed not only for abortion, but also for ectopic pregnancy or miscarriage, endometritis, fibroids and to remove polyps.
Cleaning for diagnostic purposes is used when it is necessary to determine exactly the cause of symptoms indicating that the woman’s genital organs have begun to function incorrectly. The material obtained after this is sent to the laboratory for research.
You can learn more about uterine curettage from this video:
Best time for this procedure
Such operations are usually done before a new menstrual cycle is due to begin. The only exceptions are emergency cases, such as severe bleeding. This is necessary in order not to disrupt the biological rhythm of the woman’s body by intervention.
In addition to this, hysteroscopy is performed, which allows the doctor, upon completion of the procedure, to examine the results of the work using a hysteroscope. This device is also necessary to improve control over the doctor’s actions during the operation.
Provide hysteroscopy after surgery
Carrying out surgery
The operation begins with dilation of the cervix using instruments or special medications. After the cervical canal has increased to a size that allows the curette to pass through, the uterine mucosa located in its cavity is cleaned with the sharp side.
Once the procedure is completed, the dilators are removed, and the entire surgical field is treated with an antiseptic solution. Ice must be placed on the stomach, since the blood vessels stop bleeding precisely under the influence of cold.
When the anesthesia wears off, the woman can begin her normal life with minor physical restrictions. A hospital stay is not required. But to monitor the postoperative period, specialist supervision is necessary, because the cervix will be slightly open for about a month.
Reasons why surgery is prescribed and contraindications for it
Such surgical intervention in a woman’s body is prescribed and performed both for the purpose of therapy and diagnosis, and for therapeutic indications, which include the following:
- The presence of polyps in the uterus and its cervix;
- Development of myomatous nodes;
- Endometrial hyperplasia and pathological processes in it;
- Continuous bleeding;
- Suspicion of a malignant tumor;
- Miscarriage or frozen pregnancy;
- Complications after abortion or childbirth.
At its core, curettage is the removal of the top layer of mucous membrane located in the uterus. But it is not always possible to carry it out. This minor operation has a number of contraindications.
Curettage during a frozen pregnancy
These can be both infectious and sexual diseases that are in acute form, and periods of exacerbation of their chronic forms. With such indicators, surgical intervention is possible only in the most urgent cases, which include heavy bleeding after childbirth.
Rules of conduct after cleaning
After the cleansing is done, the norm is spotting that continues for up to 10 days. Their absence is dangerous, indicating a spasm of the cervical canal in the cervix.
It is necessary to follow all the gynecologist's instructions to avoid possible consequences. Mandatory for preventive purposes is short-term use of antibiotics to prevent possible inflammation in the uterine cavity, as well as antispasmodics.
All physical activity should be reduced to a minimum. Bed rest is not necessary, but the woman will need rest after this surgery. Sports activities, douching, visiting the sauna, taking a bath and lifting weights are completely prohibited.
For the next month after this operation, you should avoid all sexual intercourse, since the cervix is in a slightly open state, and you should also avoid using vaginal tampons. The genitals should be treated daily with antiseptic solutions.
Consequences of cleaning that may occur
Although this operation is classified as the safest, its implementation can cause certain consequences. The most common ones include:
- Infection and inflammatory processes occurring in the genital organs;
- Greater blood loss;
- Menstrual irregularities;
- Perforation of the uterine wall.
If after curettage there is no obligatory spotting, and pain appears in the abdominal area, you should immediately contact a gynecologist, since the presence of these signs suggests that the cervix has undergone spasm, and a hematometer is formed in the uterine cavity, in which blood fills it. If the temperature rises, consultation with a specialist is also necessary.
More information about cleaning the uterus can be found in this video:
Memo for women undergoing this operation
Cleaning, which is carried out on a planned basis and not on an emergency basis, requires the woman to comply with several specific rules:
- A medical examination must be completed to identify any contraindications, as well as laboratory tests;
- The perineal area and pubis are completely shaved. This procedure is best done independently at home;
- You should wear a long T-shirt under your robe, and in some medical institutions socks are also required;
- Don’t forget about comfortable underwear, which is essential after surgery, as well as pads. Vaginal tampons are strictly prohibited;
- You should not eat in the morning on the day of surgery;
- In the postoperative period, mandatory compliance with the therapy prescribed by the doctor is required;
- Sexual relations are excluded for approximately a month after the operation.
And you should not be afraid of infertility, which supposedly occurs after this operation. If it is performed by an experienced doctor, there will be no negative consequences in the uterine cavity. Pregnancy can occur as early as the first month and proceed normally, without any pathologies.