Curettage of the uterine cavity

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Uterine curettage, or curettage, is a surgical procedure that is prescribed for diagnostic or therapeutic purposes. The doctor inserts a special instrument called a curette through the cervix into its cavity and carefully scrapes off the upper layer of the mucous membrane. The procedure is performed under general or local anesthesia.

At Oxford Medical, curettage is performed by experienced gynecologists under hysteroscopy control. An endoscope equipped with a miniature video camera is inserted into the uterine cavity and transmits the image to a monitor screen.

The advantages of curettage under hysteroscopy control are:

• high accuracy - visual control allows you to remove all pathological areas of the endometrium and minimize the risk of damage to healthy tissues;
• safety - reduces the risk of complications such as uterine perforation or incomplete removal of pathological tissues;
• quick recovery – the procedure is less traumatic, as it eliminates damage to deeper tissues.

Curettage involves the removal of only the functional layer of the endometrium. It undergoes cyclical changes: it grows in the first phases of the menstrual cycle and, if conception does not occur, is rejected and excreted from the body. Due to this property, after curettage and removal of damaged areas of the endometrium, the functional layer is quickly restored.

Diagnostic curettage of the uterine cavity is prescribed to take a tissue sample for histological analysis. It allows you to assess their morphological structure and detect changes characteristic of various diseases. In particular, the procedure can be prescribed in the case of:

• abnormal uterine bleeding - to determine the cause of the pathology (more often prescribed to postmenopausal women);
• suspected endometrial cancer - to obtain tissue samples and their subsequent histological examination;
• endometrial polyps - to exclude malignant changes;
• endometrial hyperplasia - to determine the type of hyperplasia (simple or atypical) and exclude precancerous conditions;
• infertility - to assess the condition of the endometrium and find out the causes of problems with conception.

Often the procedure is performed simultaneously with a therapeutic and diagnostic purpose, that is, in addition to taking a tissue sample for analysis, endometrial curettage is performed to alleviate the patient's condition and eliminate the pathological focus.

As a therapeutic procedure, curettage is performed to:

• stop heavy uterine bleeding and remove excess endometrium;
• terminate an unwanted pregnancy;
• cleanse the uterine cavity of remnants of the fetal egg and placenta after a spontaneous miscarriage;
• perform polypectomy - remove polyps that can cause bleeding, discomfort and pain;
• remove excess endometrium and prevent its further development in the treatment of hyperplasia;
• cleanse the uterine cavity before performing other surgical interventions.

Curettage is prescribed after a gynecological examination, tests and ultrasound, when it is necessary to clarify the diagnosis or perform a procedure for therapeutic purposes.

Before curettage, the following are usually performed:

• bacteriological smear culture;
• oncocytological examination (Pap test);
• ultrasound examination of the pelvic organs (USG);
• complete blood count;
• biochemical blood test;
• coagulogram;
• urinalysis;
• electrocardiogram (if general anesthesia is planned).
• 2 weeks before the operation, it is recommended to stop taking drugs that affect blood clotting.

On the day of the procedure, it is necessary to carry out hygiene procedures and shave the hair in the groin area.

If general anesthesia is planned, the operation is performed on an empty stomach, and a few days later it is recommended to follow a diet to cleanse the intestines and prevent gas formation.

The recovery period after curettage usually lasts from several days to several weeks. At this time, it is important to follow the doctor's recommendations and carefully monitor your condition.

In the first days after the procedure, you may experience:

• Aching pain or cramps in the lower abdomen - to eliminate discomfort, the doctor may prescribe painkillers;
• Spotting - moderate bleeding may continue for several days;
• General weakness and fatigue.

Until complete recovery, the patient is recommended to avoid physical exertion and heavy lifting, take antibiotics and painkillers prescribed by the doctor, carefully monitor intimate hygiene, but do not use tampons.

«Oxford Medical» – is a modern medical center equipped with the latest equipment. It allows for accurate diagnostics and surgical operations of any complexity.

Cure treatment for endometrial hyperplasia and other pathologies is performed by experienced gynecological surgeons. To ensure maximum accuracy and safety of manipulations, the procedure is performed under the control of hysteroscopy.

The cost of curettage of the endometrium may vary depending on the purpose of the procedure - diagnostic or therapeutic. You can find out the prices here. A gynecologist will advise you more precisely on this issue during a preliminary consultation. Make an appointment at the «Oxford Medical» clinic in Kyiv at a time convenient for you.