Uterine bleeding is a serious he alth disorder in the female body. With such a symptom, the patient should urgently visit a gynecologist. The doctor in this case must identify the cause of the disease and prescribe treatment to eliminate it. Sometimes a patient needs a uterine cleansing when bleeding.
Uterine bleeding: causes
The reason for this kind of violation in women in the genital area are:
- gynecological diseases of various kinds;
- abnormal pregnancy;
- postpartum abnormalities;
- impact on the genitals of mechanical injuries;
- severe disturbances in the work of the hematopoietic system of the body.
What to do?
With uterine dysfunction, it is dangerous to ignore the symptoms and procrastinate. First of all, a woman should pay attention and sound the alarm if:
- bleedingappeared in the middle of the menstrual cycle;
- discharge is profuse and lasts more than 7 days;
- there is severe weakness, fatigue, chronic malaise;
- there are pains in the form of cramps in the lower abdomen, radiating to the lumbar;
- low hemoglobin for no specific reason.
If these symptoms are present, the doctor prescribes a set of measures, depending on the patient's condition. The main task is to stop blood loss and prevent the onset of serious consequences. Then the specific reason that served as such a pathology is already revealed. The simplest is the medical method of treatment, but it is used in simple cases. In some cases, a woman needs to clean the uterus during bleeding in order to avoid serious consequences, including death.
Diagnosis of disease
During the examination, the specialist should identify the psychosomatic state of the patient, whether there are hereditary diseases of this kind in the family, what are her working and living conditions in general, as well as the level of physical activity recently. To prescribe competent treatment, the doctor conducts an examination of the patient, attracts narrower specialists to obtain a complete picture of the state of he alth and identify the cause of this disease.
Series of diagnostic procedures
In order to determine the exact cause of the disease, the gynecologist takes the following measures:
- Inspection of the cavityvaginal gynecologist.
- Taking smears from the urethra and vagina for microscopic examination of biomaterial for flora.
- Visual examination by colposcopy of the cervix for neoplasms.
- Taking a tissue biopsy in the presence of erosion in the cervix.
- Examination of the endometrium of the uterus through ultrasound, radiography.
- If necessary, clean the uterus during bleeding to study endometrial tissue.
- Blood sampling for analysis to determine the patient's hormonal status at the time of treatment.
Treatment of disease
Given diagnostic studies, the doctor selects the optimal treatment. The approach to treatment should be based on the elimination of dysfunctional abnormalities and the complete restoration of the patient's reproductive system.
Menstrual function in a woman's body is an important manifestation of the full functioning of the body as a whole. To improve the functioning of the female reproductive organs, a doctor may prescribe:
- symptomatic hemostatic drugs;
- hormonal drug therapy;
- vitamin complexes;
- aromatherapy and physiotherapy courses;
- acupuncture;
- herudotherapy course;
- surgical impact - cleaning the uterus with bleeding in order to take a biopsy for histological examination.
When prescribing hormonal drug therapy, the patient should be patient. Suchtherapy is usually carried out for a long time (up to 3 months). Then a break is made and an additional examination is carried out, which will help evaluate the effectiveness of the treatment.
Self-treatment is dangerous
Absolutely any uterine bleeding should not be attempted to be treated on its own, it requires a visit to a doctor. Only a professional is able to identify the cause of the disease and most competently build a treatment strategy. The gynecologist takes into account the tests, ultrasound results, examination results, recommendations of other narrow specialists.
If heavy bleeding after cleaning the uterus does not stop within the first 2-3 hours after the operation, then the doctor takes measures to stop it. Therefore, it is important to be in a medical facility for the first 5 hours after the procedure.
It is important to know that ignoring symptoms, untimely treatment can provoke the appearance of cancer.
Is it possible to do without surgery
Menopausal women often undergo uterine curettage to check for cancer. Young girls who have testimonies are also subject to this procedure.
Should I clean the uterus when bleeding? It is impossible to answer unequivocally, a competent doctor should deal with this issue. The procedure is prescribed if the previously tested methods of treatment did not help to completely get rid of the disease. The cause of the disease in young girls is usually internal endometriosis,which is removed by scraping. After this manipulation, medications are prescribed to patients in order to prevent relapses. If the gynecologist has decided to prescribe a curettage procedure for the patient, then you should not panic. Unfortunately, often only surgery can cure gynecological diseases.
Uterus scraping procedure: features and nuances
Many who are going to have the procedure ask questions about how much bleeding occurs after cleaning the uterus, what are the consequences, etc. Curettage of the uterus is a gynecological procedure that is performed using special tools or a vacuum system. The purpose of its implementation is not only the removal of the upper layer in the uterine mucosa, but also the taking of samples for histology. Currently, in combination with this manipulation, hysteroscopy is performed - an examination of the uterine cavity. This makes it possible to see unaffected areas and carry out the procedure more thoroughly.
There are cases when it is necessary to carry out an emergency cleaning of the uterus in case of bleeding that threatens a person's life. Along with emergencies, there are also planned operations. In a planned manner, it is customary to carry out such a surgical intervention before the onset of menstruation. This is done so that the cleaning of the uterine cavity coincides with the rejection of the mucosa for physiological reasons. But in the event that the operation is performed to remove the polyp, it should be prescribed immediately after menstruation, then the endometrium will be the mostthin so that the doctor can see the exact position of the polyp.
When is the best time to have the procedure
Carrying out curettage at the beginning or middle of the cycle will lead to complications such as prolonged bleeding. This reaction of the body is due to the fact that the growth of follicles in the ovaries occurs simultaneously with the growth of the uterine mucosa. Accordingly, when the uterine mucosa is removed much earlier than the due date, the hormonal background created by the ovaries conflicts with the fact that the mucosa is absent and does not allow it to fully grow. The hormonal background will return to normal only after the synchronization between the uterine mucosa and the ovaries comes again.
Why, according to reviews, is it better not to clean the uterus during bleeding without evidence? It's simple: the scraping obtained in this case will be almost non-informative, because the mucous membrane undergoes necrotic changes during this period.
How is the curettage of the uterus
This surgical procedure is performed on a patient on a gynecological chair. How is the uterus cleaned during bleeding? The process itself is quite painful, so it is most often carried out under general anesthesia. The duration of the operation is on average 30 minutes. Without anesthesia, curettage is done only in individual cases, for example, after childbirth. The cervix is dilated by itself at this point.
Now the anesthesiologists agreed that the most suitable in this case is anesthesia, whichputs the patient into a deep sleep. With such anesthesia, there will be no pain during the manipulations, and upon completion, the person will quickly come to his senses.
The procedure begins with the introduction of a dilator into the vagina, which allows you to straighten the walls and see the cervix. Next, the doctor needs to dilate the cervix. Using a special tool, the doctor holds her and inserts a probe into her canal.
When the doctor has achieved a sufficient expansion of the cervix, he performs a hysteroscopy, which allows you to more accurately see the condition of the uterine mucosa. Next, the gynecologist performs scraping with the help of special tools. In general, the whole procedure takes about 40 minutes.
Why choosing a clinic and a doctor should be taken seriously
The price of cleaning the uterus with bleeding in Moscow averages from 7 to 30 thousand. It all depends on the clinic and the experience of the doctor. If possible, this surgical intervention should be carried out only in a trusted clinic with an experienced doctor. This is due to the fact that if you perform this operation unprofessionally, you will have to do it again.
Features of the postoperative period
After the mucosal scraping procedure, the uterus contracts. Physiologically, this process helps to stop bleeding after cleaning the uterus. With a planned competent surgical intervention, the full restoration of the functions of the female genital organs occurs as quickly as during normal menstruation.
Immediatelyafter the procedure, the patient may feel general malaise, drowsiness, weakness, headache - all this is nothing but the consequences of anesthesia. In the first hours, there will be a discharge from the vagina of blood clots.
In some, the postoperative period is characterized by symptoms such as:
- Severe pain in the lower abdomen, in the lower back. This pain can last for hours or days. It feels like pain during menstruation. With such complaints, the patient is advised to take an anesthetic.
- Copious bloody discharge. This phenomenon is normal if it lasts no more than 10 days. If, on the contrary, they quickly ended, then this is not a very good sign, which indicates that a spasm of the cervix has occurred, which leads to the accumulation of blood clots in its cavity.
The results and consequences of cleaning the uterus during bleeding are the normalization of the hormonal background of the female body and the restoration of the menstrual cycle.
After cleansing, a woman's period usually comes with a delay of 4-5 weeks. This is absolutely normal and should not be cause for concern. If menstruation does not occur within 2, maximum 3 months, then you need to visit a gynecologist.
Possible complications after surgery
If you did a cleaning of the uterus, should there be bleeding? Yes, of course, this is an absolutely normal phenomenon, but it is important to understand that if it is very plentiful and prolonged, thenyou should definitely contact the medical facility for help. After all, a large blood loss can lead to very bad consequences, even death.
Cleaning the uterus when bleeding increases the chances of infection entering the body, which often causes endometritis. If possible, the doctor prescribes a course of antibiotics.
Another rather unpleasant complication is hematometra. It is a blood clot that has accumulated in the uterine cavity. Spasm of the cervix is the cause of such an ailment. To avoid this, the doctor prescribes drugs from the antispasmodic group.
A rare but very unpleasant complication is perforation (rupture) of the walls of the organ. Injury to the uterus is possible due to illiterate, unprofessional actions of a doctor who overdid it when removing the endometrium. When the uterus is perforated, a woman needs urgent surgery.
In extremely rare cases, a woman's ability to conceive is reduced or completely lost.
