The desire to have a child is inherent in a woman by nature.
The question of procreation is solved quite competently by modern couples. But not always the most well thought-out plans and vivid desires bring results. On the way to the birth of a baby, a woman can face many obstacles.
One of these problems is scraping.
Confronted with cleaning procedure, a woman is concerned about the possibility of becoming pregnant again. When planning a new pregnancy, it is necessary for a happy outcome to find out what time it is necessary to wait, and how the pregnancy will proceed after curettage?
Ability to get pregnant after scraping
Scraping refers to a small gynecological surgery, during which the doctor removes its mucous layer from the uterus. The operation is performed under general anesthesia and lasts no more than 20 minutes.
Despite the invasiveness of such an intervention, curettage is indispensable for some pathologies of pregnancy.
It is carried out:
• during missed abortion;
• for cleaning after spontaneous miscarriage;
• as a medical abortion in case of pathologies and defects of the fetus or in case of danger to the life of the mother;
• to get rid of unwanted pregnancy;
• with complications after childbirth.
For the removal of pathological formations in the uterus, as well as for diagnostic studies, today there are safer methods in the form of hysteroscopy and laparoscopy. However, to address these issues, physicians often resort to scraping.
During surgery, the cervix is dilated with medical instruments, less commonly with drugs. After that, instruments are inserted into the uterus, which remove the contents and endometrium.
Uncomplicated scraping does not disturb reproductive performance. Therefore, a woman is able to become pregnant after scraping literally within the next month.
But it should be borne in mind that the cleaning procedure significantly thinns the endometrial layer, injuring the uterine cavity. Therefore, pregnancy immediately after curettage is associated with significant problems of gestation. In addition, the operation provokes hormonal disruptions, the restoration of which requires a certain time.
In order for pregnancy after curettage to proceed without complications, a competent consultation of a gynecologist is required, who will recommend acceptable terms based on the condition of the woman and the reasons that led to curettage:
1. After abortion with the use of scraping, it is recommended to take at least three months for the recovery period. The duration of the recovery of the female body depends on the time at which the interruption was made. When performing curettage at a later date, the endometrium becomes thinner more. Without a complete recovery of the endometrium during a new pregnancy, problems may arise with the attachment of the ovum, which is fraught with ectopic pregnancy or placenta previa.
2. Scraping for the removal of polyps requires not only a recovery period, but also time to obtain histology results. Being confident in the good quality of the extracted materials, you can start planning pregnancy after curettage.
3. Cleaning with endometriosis and hyperplasia significantly violates the mucous layer. After the procedure, additional treatment and recovery time is necessary.
4. Scraping after miscarriage and missed abortion requires careful examination and, if necessary, treatment. Only by excluding the cause of the pathology, can the risk of its recurrence be minimized during subsequent pregnancy after curettage.
5. Postpartum curettage further depletes the strength of the woman. Doctors recommend to allocate a recovery period of up to 18 months.
The well-being of pregnancy after curettage directly depends on the physical and emotional state of the woman, as well as the stability of the hormonal background. In some cases, additional examination and serious therapy is required. Therefore, physicians decide on the feasibility of pregnancy after scraping individually. Most often, the recovery period is not less than six months.
Preparing for pregnancy after scraping
Scraping is a huge stress for the body, both physically and emotionally. Until the moment of new conception after cleansing, a woman will have to:
• comply with recommendations related to postoperative rehabilitation;
• monitor and follow up with a doctor to rule out complications;
• be screened for undesirable pathologies and abnormalities that threaten a future pregnancy;
• to undergo a course of rehabilitation, therapeutic and preparatory treatment.
Postoperative rehabilitation
Rehabilitation after curettage is very important and eliminates the likelihood of complications, speeding up the recovery period. Immediately after scraping recommended:
• eliminate physical exertion for up to six weeks;
• establish sexual rest for up to a month to prevent the entry of infections;
• take hormonal contraceptives for a period of up to three months, which will enable the reproductive system to rest and recover;
• to carry out control examinations at the gynecologist and ultrasound examinations to exclude postoperative complications.
Scraping procedure worked by doctors to the smallest detail. However, as any surgical intervention does not exclude complications. A woman needs to carefully monitor her state of health and consult a doctor if any deviations occur.
Medical care after scraping requires:
• with prolonged increase in temperature;
• if pains in the lower abdomen and lumbar region do not pass;
• in case of unnatural discharge and bleeding;
• in the absence of monthly for two months.
Treatment after curettage may include:
• therapy with antibiotics in the form of Doxycycline, Azithromycin, Trihopol, Macropene, to avoid possible inflammatory processes;
• receiving hemostatic drugs such as Ditsinona, Vikasola, Calcium chloride;
• antiviral treatment with Aktsiklovir;
• hormonal drugs such as Duphaston;
• sedative medications and antidepressants in the form of Phenazepam, Adaptol, Melitor, Fluoxetine are used for the treatment of psycho-emotional state.
Surveys when planning pregnancy after curettage
Additional examinations are especially relevant if the scraping was carried out due to a missed abortion, miscarriage, or abnormalities of the fetus.
The first and main examination is carried out immediately after cleaning. To do this, the resulting material is sent to histology, which allows to identify pathologies in the form of mutations, genetic abnormalities, hormonal disorders, infectious and chronic ailments of women.
In the future, after primary rehabilitation, additional diagnostic examinations will be needed in the form of:
• gynecological examinations and ultrasound examinations of the female genital organs;
• examinations for hidden infections;
• blood tests for the establishment of hormonal abnormalities;
• semen for men;
• smears on flora.
The doctor may send a couple for additional consultations of relevant specialists: genetics, infectious diseases specialist, urologist, cardiologist, endocrinologist.
Based on the results of the obtained data, if necessary, individual therapy is prescribed. It should be borne in mind that treatment may be necessary not only for a woman, but also for her sexual partner.
It is advisable to return to the issue of pregnancy after scraping only after a full course of treatment. Do not forget that some drugs are removed from the body within two months, so to get pregnant in this period is also undesirable.
With favorable forecasts, pregnancy occurs within a year. If it is impossible to get pregnant, deeper examinations are needed to find out the reasons.
Conducting pregnancy after scraping
Any pregnancy requires monitoring by a gynecologist and careful monitoring. If a woman after scraping followed all the recommendations of doctors, the occurrence of recurrent pathologies during pregnancy is minimal. However, there are a number of features that threaten gestation:
1. When pregnancy occurs immediately after curettage, when the endometrial layer in the uterus has not fully recovered, the likelihood of placenta and the risk of miscarriage is high. In this case, besides constant observation, supportive therapy may be necessary to maintain pregnancy.
2. If the scraping was carried out in an unborn woman, the risk of injury to the cervix is high, which violates its holding capacity and during pregnancy can cause miscarriage.
3. Last but not least is the psychological factor. A woman, fearing a recurrence of problems with pregnancy, herself provokes pathological conditions. In difficult cases, to avoid habitual miscarriage, you have to resort to the help of a psychologist.
How to avoid failures during pregnancy after scraping?
When preparing for a new conception after curettage, it is necessary to pay attention not only to the main therapy aimed at restoring the female body and treating pathologies, but also to general health promotion. This will help:
• balanced diet;
• walking in the air;
• permissible physical activity;
• positive emotions;
• taking recommended vitamin complexes.
The psychological state of a woman is sometimes restored much longer than the physical. Therefore, home understanding and participation during this period are very important and sometimes help faster than counseling psychologists and sedatives.
To avoid failures during pregnancy, you must:
1. When planning and during pregnancy, act in tandem with the doctors.
2. Before conceiving, start taking folic acid, which will reduce the risk of fetal abnormalities.
3. Get rid of bad habits that harm the child.
4. Weighted attitude to the methods of medicines that can affect the condition of the fetus.
5. Avoid contact with carriers of viral and bacterial infections.
6. Follow the recommendations on the mode and load.
Scraping in no way impairs reproductive abilities. The chance of getting pregnant after curettage is very high.
Adhering to the recommendations for planning conception and carrying, you can reduce the risks of repeating negative experiences to a minimum and give birth to a great baby.
