If the pregnancy is terminated after a miscarriage or for other medical reasons, it may be necessary to scrape the uterus. You can find all information here.
Scraping, also known as abrasio uteri or curettage, is an operation in which the lining of the uterus is completely or partially removed. Most of the surgery is now performed on an outpatient basis.
Scraping is the routine procedure most often performed by gynecologists. Still, it’s an operation because of which many are Women To worry. We clarify the most important questions.
1. How safe is a scraping?
Curettage is far less painful today than it was in the past: under local or general anesthesia, the operation performed by a gynecologist takes an average of 5 – 10 minutes. The risk of post-operative complications is very low.
2. How does a scraping work?
As a rule, the curettage is performed on an outpatient basis and under general anesthesia. Depending on why scraping is necessary, there are sometimes small differences. On average, it often only lasts 5 to 10 minutes.
If the lining of the uterus has to be removed for diagnostic reasons (e.g. for cancer diagnosis, examination of irregular or excessive bleeding), the doctor carefully scrapes out the cervix and uterine cavity with the help of a curette (a kind of metal loop with sharp edges). The ablated tissue is collected and preserved for further investigations.
After an abortion, for example, the ablated tissue becomes the uterus sucked off with the help of a device – this is also known as suction curettage.
3. When is a scraping carried out?
A scraping is done when a pregnancy for one reason or another does not go to term and the entire contents of the uterus are not naturally excreted. This is necessary because any tissue that would remain in the uterus can cause infection and bleeding.
Scrapings are carried out after abortions, miscarriages, a so-called “Windei” (a pregnancy without an embryo), interrupted pregnancies, etc.
Curettage can also be done if the uterus has a problem or a deformity. In the case of bleeding disorders, i.e. excessive or irregular bleeding, scraping can even be a therapy.
4. Does scraping hurt?
Very often the main pain during a curettage is of a psychological nature: a prematurely terminated pregnancy is a difficult event. A miscarriage or an abortion are not easy experiences.
The physical pain caused by curettage is certainly present, but thanks to the anesthesia and suction techniques, it is relatively minor. However, different women experience pain differently.
5. How long does it take after scraping until you can get pregnant again?
In contrast to other operations, the risk of post-operative complications is extremely low. However, it is possible that certain (largely tolerable) pain or even bleeding may occur for some time after the scraping. This pain, which occurs in the hours after surgery, is often compared to menstrual pain.
If you have severe and persistent bleeding or severe pain, you should not hesitate to visit the gynecologist again.
After the operation, you should take it easy for a week to regain your strength. After waiting for two cycles (the time it takes for the uterus to regenerate), you can try to get pregnant again if you want to have children.
Important note: The content of this article is for informational purposes only and is not a substitute for a doctor’s diagnosis. If you are unsure, have urgent questions or have complaints, you should contact your doctor.
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