Indications for procedure:
- heavy, irregular bleedings from the reproductive tract,
- post-menopausal bleeding from the reproductive tract,
- diagnosed infertility
- questionable ultrasound picture of endometrium, uterine cavity or cervical canal,
- miscarriages when the ovum was not fully discharged
- removal of uterine polyps
Curettage of the uterine cavity is a procedure which may save not only woman’s health but life as well. Although curettage is commonly associated with miscarriage, most often it is performed in completely different cases, not related to miscarriage or abortion.
To put it simply, curettage is a mechanical desquamation of endometrium tissues (mucous membrane). Desquamation may be full (so-called evacuation of the uterus) or partial, when the curettage is performed in order to collect a fragment of endometrium for examination.
The purpose of curettage is not only to cure the uterus but also to analyse its condition. For diagnostic purposes, it provides material from the interior of the organ for histopathological examination. Such procedure is referred to as a micro-curettage of the uterine cavity.
Curettage for diagnostic purposes is performed, among the others, in postmenopausal women who still have bleedings. In such cases there is a possibility of a tumour, therefore a sample of endometrium tissue needs to be collected for examination. Curettage is also carried out in women which require diagnosis of infertility or irregular or heavy periods.
Curettage is more often performed to save woman’s health or life than for diagnostic purposes. It may, for instance, be carried out in women who have been diagnosed with a polyp of the uterine cavity. Such procedure is then used to remove it. Curettage is also advised in case of other alarming endometrium lesions, such as its increased thickness. This type of surgery is also a common procedure after labours. Curettage is recommended for women after a natural childbirth only if there is a risk that parts of placenta remained in the uterus.
Moreover, the procedure is frequently performed in case of miscarriages, when there is a possibility of post-miscarriage residuals in the uterus which have not been discharged.
Course of procedure
The curettage procedure is usually performed under short-term intravenous anaesthesia and it lasts only approximately 10 minutes. The surgeon inserts a device into the uterine cavity, a so-called curette in order to desquamate tissues. The removed tissues undergo a histopathological examination. After the uterus curettage a bleeding occurs which should cease after a few days. The patient may also suffer from pains in the uterus and reproductive tract.