Hysteroscopic Curettage Has 4 Side Effects on the Uterus. Although the Harm Is Small, It Cannot Be Ignored.
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Hysteroscopic curettage is a surgical procedure that involves removing tissue from the lining of the uterus (the endometrium). It is typically performed to diagnose and treat abnormal uterine bleeding, such as heavy periods or bleeding between periods. While hysteroscopic curettage is generally a safe procedure, it can have some side effects, including:
Uterine perforation: This is a rare but serious complication that occurs when the surgical instrument perforates the wall of the uterus. Uterine perforation can cause bleeding, pain, and infection.
Infection: Infection is another rare but potential complication of hysteroscopic curettage. Symptoms of infection include fever, chills, and pelvic pain.
Asherman's syndrome: Asherman's syndrome is a condition that can develop after hysteroscopic curettage. It is characterized by the formation of scar tissue in the uterus, which can lead to infertility.
Bleeding: Bleeding is a common side effect of hysteroscopic curettage. It typically lasts for a few days after the procedure.
Risk Factors for Side Effects of Hysteroscopic Curettage
The risk of side effects from hysteroscopic curettage is increased in certain women, including:
Women who have had a previous uterine surgery: Women who have had a previous uterine surgery, such as a cesarean section or hysterectomy, are at increased risk of uterine perforation during hysteroscopic curettage.
Women who are obese: Obese women are at increased risk of infection after hysteroscopic curettage.
Women who have a history of pelvic inflammatory disease (PID): Women who have a history of PID are at increased risk of infection after hysteroscopic curettage.
Women who are taking anticoagulants: Women who are taking anticoagulants are at increased risk of bleeding after hysteroscopic curettage.
Preventing Side Effects of Hysteroscopic Curettage
There are a few things that can be done to reduce the risk of side effects from hysteroscopic curettage, including:
Choosing an experienced surgeon: The risk of side effects is lower when the procedure is performed by an experienced surgeon.
Taking antibiotics before the procedure: Taking antibiotics before the procedure can help to reduce the risk of infection.
Avoiding aspirin and other blood thinners before the procedure: Aspirin and other blood thinners can increase the risk of bleeding after the procedure.
Following the doctor's instructions after the procedure: Following the doctor's instructions after the procedure can help to reduce the risk of side effects.
Treatment for Side Effects of Hysteroscopic Curettage
The treatment for side effects of hysteroscopic curettage depends on the specific side effect.
Uterine perforation: Uterine perforation is typically treated with surgery to repair the perforation.
Infection: Infection is typically treated with antibiotics.
Asherman's syndrome: Asherman's syndrome is typically treated with surgery to remove the scar tissue.
Bleeding: Bleeding is typically treated with medication to stop the bleeding.
Conclusion
Hysteroscopic curettage is a safe and effective procedure for diagnosing and treating abnormal uterine bleeding. However, it is important to be aware of the potential side effects of the procedure and to take steps to reduce the risk of these side effects.
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