Table of contents:
- Knowing the Curette Function
- Understanding the Curette Procedure
- Various Risks and Side Effects of Curettage
Curettage is commonly known as a medical procedure performed on women when they have a miscarriage. However, in fact curettage can also be done in other conditions. If you are recommended by a doctor to undergo a curettage, there is some important information about curettage that is important for you to know
A curette is the name of a surgical instrument used to remove tissue from the uterus. This procedure is known as curettage. The curettage or curettage procedure generally takes about 10-15 minutes, and the patient will be under general anesthesia while undergoing the procedure.
Knowing the Curette Function
The following are some conditions or medical needs that require a curettage procedure:
Cureette for Examination
Not only to clean the uterus after a miscarriage, a curettage can also be done to find out the cause of complaints, such as:
- Bleeding outside the menstrual cycle
- Vaginal bleeding that is severe or in larger amounts than usual during menstruation
- Vaginal pain and bleeding during intercourse
- Bleeding after menopause
Curettage can also be done as a follow-up examination when the doctor finds abnormalities in the results of other examinations, such as pap smears and uterine ultrasound.
When a curette is used as part of the diagnosis process, the doctor will collect a sample of tissue from the uterus for examination in the laboratory.The results of this test can be used to diagnose various conditions, such as uterine cancer, uterine polyps, or thickening of the uterine lining.
As an examination procedure, curettage is often combined with hysteroscopy. If abnormalities are found, such as fibroids, tumors, or polyps in the uterus, the doctor may take action to remove these abnormalities in the uterus.
Cureette to handle certain conditions
If the curettage for examination is only done by taking a sample, curettage as a treatment generally aims to remove abnormal tissue in the uterus. Examples are:
- Cleaning the remaining tissue in the uterus to prevent heavy bleeding or For example, after a miscarriage or after an abortion procedure
- Removing polyps on the uterus or cervix (cervix)
- Removing blood clots and tissue in the uterus caused by molar pregnancy or molar pregnancy
- Cleaning the rest of the placental tissue left behind and attached to the uterus and dealing with excessive bleeding after delivery
- Removal of benign fibroid tumors that form on the uterine wall
Understanding the Curette Procedure
Before performing a curettage, the doctor or midwife will first conduct an examination to confirm the patient's condition and medical history. During the examination, tell the doctor if you:
- Allergy to certain drugs, including anesthetics, antibiotics, or pain relievers
- Pregnant or breastfeeding
- Are taking certain drugs, such as blood thinners
- Has a history of certain diseases, such as blood disorders or blood clotting disorders
If your condition is declared good and can undergo curettage, the doctor may ask you to fast for 6–8 hours before this procedure is performed.While waiting for curettage, you can also ask your doctor about the side effects and risks of curettage that may occur.
Before the curettage process begins, you will be asked to lie down with your legs open and raised. Then, you will be sedated so you don't feel pain. The type of anesthesia you will be given depends on the type of curettage you have and your condition.
After you are sedated, the doctor will insert a speculum into your vagina and clean your cervix using an antiseptic solution. Furthermore, the curettage procedure can be started with the following 2 steps:
This is a cervical dilation process to make the curettage process easier. Dilation is usually done using medication or placing a device called a laminaria that can soften the cervix and make it widen.
After the cervix is opened, the doctor will remove the contents of the uterus using a curette similar to a spoon. A device called a cannula can also be used to suck out any remaining tissue in the uterus.
However, if a curettage is performed for examination purposes, the doctor will only take a small amount of tissue as a sample to be tested in the laboratory.
After the curettage procedure is completed, your condition will be monitored for several hours by a doctor or nurse. This is important to ensure that you are fully recovered from the effects of the anesthetic and to detect any complications, such as heavy bleeding or infection after curettage.
If there are no dangerous side effects or complications, the patient is usually allowed to go home and does not need to be treated. Normally, patients can return to their normal activities after 24 hours post-curettage.
Various Risks and Side Effects of Curettage
Curettage is generally safe to perform. However, just like any other medical procedure, this procedure can also cause side effects. After undergoing curettage, you may feel some side effects, such as:
- Cramping or stomach pain
- Spots or light bleeding in the vagina
- Dizziness, nausea and vomiting, especially if you are under general anesthesia
In certain cases, curettage can also cause more severe side effects or complications, such as:
- Heavy bleeding
- Destruction of the cervix
- Perforation or tear formation in the uterus
- uterine infection
- Formation of scar tissue on the uterine wall (Asherman's syndrome)
If after undergoing curettage you experience fever, severe bleeding that makes you need to change pads every hour, severe abdominal pain, foul-smelling discharge from the vagina, and abdominal cramps for more than 2 days, immediately consult a doctor to get proper treatment.