Is It Safe To Do A Curette 2 Times Because There Is Still Residual Tissue In The Uterus?
I had a miscarriage and took medical treatment for a curette, after I finished it and I checked with the treating doctor, but I was still bleeding, for 3 weeks, this curette was only rare, and it wasn’t too much like bleeding, after 3 weeks I was bleeding. usg again it turns out there are still residual tissue in the uterus, because the process after curette and long time 3 weeks ago I took medicine for cleaning given by the doctor, but because the rest of the tissue is still there when the ultrasound .. I have to do a curette again .. What do you think the doctor …? can not if I do not by the action of the curette again, and the rest of the network can get out by itself .. Thank you .. Please help to answer it ..
Curettage is a medical procedure to remove tissue from the uterus. Indications of doing curettage include:
Incomplete abortion, a miscarriage in which there is still a portion of the remaining tissue in the uterus
Pregnancy hydatidiform mole (pregnant with wine)
Taking tissue in the uterus for further examination for example in cases of abnormal uterine bleeding (uterus), bleeding from the vagina after menopause. The tissue can be used to help diagnose endometrial hyperplasia, uterine polyps, and also uterine cancer
Remaining placenta in the uterus
Curettage is generally performed under local anesthesia, then the doctor uses a special tool to widen the vaginal area and clamp the cervix. Doctors use special tools with the mouth like a spoon to take the remnants of tissue in the uterus. Curettage can be assisted by ultrasound examination or hysteroscopy (a camera that is inserted into the uterus) to ensure the presence or absence of residual tissue in the uterus.
The risks of this action are:
Perforation (tear) of the uterus
Injury to the cervix
Scar tissue in the inner wall of the uterus
A small amount of tissue can generally be removed by contraction of the uterus itself. Doctors also generally give medicines that are to increase uterine contractions such as ergometrin and oxytocin. However, if there is a lot of residual tissue or there is a part that is firmly attached to the uterine wall, additional curettage is needed to remove it, especially if the residual tissue causes complaints of continuous vaginal bleeding and long pain. This long bleeding can cause anemia condition which can be dangerous for the patient if left untreated.
Further consultation with an obstetrician to determine the best course of action for your current condition. Also discuss whether there are possibilities for alternative therapies for your case. Thus the explanation from me, hopefully useful.