Curettage of the cervical canal is performed in cases where it is necessary to examine the transitional zone of the cervix. The procedure is performed when it is not possible to perform a cervical biopsy.
Usually, in the transition zone, the degeneration of normal cervical cells into atypical cells begins. The main purpose of this procedure is to exclude the presence of malignant changes in the cervix.
Cervical curettage is a modern diagnostic procedure. In the process of performing it, the gynecologist uses a special spoon "curette" to remove the top layer from the cervical mucosa. The obtained material is sent for research.
Quite often, cervical curettage is performed simultaneously with hysteroscopy for a more detailed examination of the internal cavity and to assess the quality of the curettage.
The operation can be prescribed by a gynecologist in the following cases:
Histological examination of the material taken during the operation helps to accurately establish the diagnosis and provide adequate treatment.
Before the procedure, patients undergo a general blood and urine test, a biochemical blood test, and tests for HIV, syphilis, hepatitis B and C. Ultrasound, ECG, smears for flora and cytology are also performed.
The procedure is performed a few days before the start of the menstrual cycle to reduce blood loss and accelerate the rehabilitation process.
The procedure is considered not only a diagnostic method, but also an effective way to treat certain gynecological ailments:
Cervical curettage is performed under anesthesia, so it causes minimal discomfort. The procedure has a minimal recovery period and is performed on an outpatient basis.
A few days before the operation, you should stop taking medications, refuse to use vaginal contraceptives and sexual intercourse.
If the procedure is planned, it is usually performed in the morning to ensure maximum safety of anesthesia.
Curettage is performed on a gynecological chair. A special dilator is inserted into the vaginal area, while the cervix is removed from the pelvic organs, dilated and fixed with the help of special probes. Then, using a curette, the doctor removes the upper layer of the endometrium for research.
After the operation, patients may experience bleeding for three to four weeks. Menstruation usually starts on time, but a slight delay is allowed. If you experience any discomfort, you should consult a doctor for additional advice.
During the period of bloody discharge, sexual intercourse is contraindicated. You are also not allowed to visit baths, saunas, or swimming pools. You should not use vaginal tampons, play sports, or take medications that thin the blood.
The following are considered contraindications to the procedure:
After the procedure, in rare cases, complications develop that manifest themselves against the background of high fever.
The procedure lasts 30-45 minutes.
The procedure allows you to obtain accurate information about the development of tumor processes in the body, detect gynecological pathologies at early stages, and accurately identify the nature of neoplasms.
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