Discharge after curettage of the uterine cavity: how many days does the bleeding last?

Often, women who are about to undergo a curettage procedure wonder how long after cleaning the uterus there is bleeding, and how serious and painful this procedure is. Let's figure it out.

Cleaning of the uterus (curettage, curettage) is carried out for therapeutic and diagnostic purposes. The procedure is performed in a hospital using general anesthesia. During cleaning, the endometrial layer is removed from the uterine cavity using special gynecological instruments or using a vacuum unit. Curettage is considered a rather traumatic method.

Peculiarities

If the operation is performed at the beginning of the cycle, then after cleaning the uterus there will be copious and longer discharge. There may also be large clots in the blood. When curettage is performed on the eve of menstruation, the bleeding will not be as profuse, and the endometrium will recover faster.

Factors influencing the nature and duration of bleeding:

• hormonal imbalance in the body;
• poor blood clotting;
• concomitant diseases of the pelvic organs;

Vacuum aspiration

Advantages of cleaning using vacuum aspiration:

• the method is less traumatic;
• bleeding after cleaning with the vacuum method is not so heavy;
• the endometrial restoration process is faster;
• the likelihood of inflammatory reactions in the uterus is reduced.

Indications for vacuum cleaning:

• pathological course of pregnancy up to 12 weeks;
• after spontaneous abortion, to remove parts of the fertilized egg;
• to remove the remnants of the placenta from the uterine cavity after childbirth or cesarean section; unwanted pregnancy (up to 3 months)

On average, bleeding after cleaning the uterus using a vacuum method lasts about 7-10 days. Brown spotting begins as early as 3-5 days and lasts for about 3 days.

Symptoms that require the woman’s attention and subsequent consultation with a doctor:

• bleeding is very profuse, the need to change the pad occurs within an hour;
• the recovery period lasts more than 3 weeks;
• the intensity of the discharge does not decrease over time, but on the contrary, either increases or is the same as after cleansing.
• increased body temperature, severe abdominal pain;
• the discharge has an unpleasant odor (possibly a microbial infection) and there is a complete absence of discharge.

If there is no discharge at all, this does not exclude the presence of internal bleeding and requires special attention from a doctor.

These symptoms may indicate that the uterine cavity may not have been sufficiently cleaned or injured during manipulation. It is necessary to consult a doctor and conduct an ultrasound examination (ultrasound).

In order to prevent the development of a bacterial infection, a woman may be prescribed antibacterial drugs after curettage of the uterine cavity.

If an unwanted pregnancy is terminated, there may be incomplete removal of the embryo from the uterine cavity and severe pain in the lower abdomen. In this case, the bleeding will be very heavy and prolonged and the woman will have to undergo repeated cleaning.

A possible complication after curettage is an inflammatory process of the inner surface of the uterine cavity, the so-called endometritis. Its main symptoms are prolonged brown bleeding that does not decrease. The occurrence of endometritis after abortion is facilitated by the addition of pathogenic microflora.

The abundance of uterine bleeding after curettage and its duration will be influenced by the stage of pregnancy at which gynecological cleansing will be carried out. The likelihood of severe bleeding is especially high if curettage is performed in the later stages. Trauma to the cervix and inner layer of the uterus increases, this affects the intensity and duration of bleeding after the abortion procedure.

Bleeding after curettage of the uterine cavity is a natural process due to this procedure.

However, women should pay attention to the duration and nature of the discharge, the appearance of dangerous signs during the recovery period after surgery, and promptly consult a doctor with any questions that cause concern.

Discharge after curettage is normal; another thing is how long it lasts and what consistency it has. This procedure involves cleaning the uterine cavity with a special instrument to remove the upper mucous layer of its lining. It is otherwise called gynecological cleansing, or curettage.

The uterus is a pear-shaped muscular organ consisting of a cervix, isthmus and fundus. The cervical canal is located in the cervix, through which menstrual blood is excreted and sperm penetrate. The endometrium lines the cavity of the organ; this mucous membrane differs from others in that it has the ability to secure a fertilized egg. During the curettage procedure, the superficial functional layer of the endometrium is removed. The procedure is carried out 2-3 days before the start of menstruation, under anesthesia. Contraindications are acute inflammatory processes, diabetes mellitus, cardiovascular disorders, and blood diseases. Curettage is not performed if a woman has vaginitis or colpitis.

https://youtu.be/zZRYHY40YIY

Pathological discharge

Copious discharge after vacuum termination of pregnancy is classified as pathological. If you have to change the pad every half hour, call an ambulance. The reason for this abundance may be poor cleaning. Sometimes the membranes of the fertilized egg remain in the uterus. This leads to inflammatory processes and requires repeated surgery.

You can recognize the onset of inflammation by the following symptoms:

• discomfort, itching, burning in the genitals;
• increased body temperature;
• weakness, chills, fever;
• pain in the back, abdominal and pelvic areas;
• dizziness, nausea, vomiting.

Menstruation after vacuum cleaning returns to normal after about a month, but there may be deviations in the timing when atypical bleeding is observed instead of menstruation. Dangerous conditions include the presence and heterogeneous structure of the secreted fluid.

Another cause for concern is the protracted nature of the bleeding, when the discharge after vacuum aspiration lasts more than 4 days and has a color and consistency that is atypical for this condition.

After a mini-abortion, you need to pay attention to these characteristics of vaginal secretion. Any changes may indicate the onset of complications and the development of diseases.

Mucous leucorrhoea

After vacuum aspiration, the woman feels constant moisture in the perineal area. This effect is created by mucous leucorrhoea. They support healthy microflora and speed up rehabilitation.

This is considered the norm only in cases where the transparent whitish mucus is scanty in nature and is not accompanied by pain, itching or a pungent odor. After a few months, the discharge should stop. If this does not happen and the feeling of moisture does not go away, the development of blood diseases, thrush, tuberculosis, diabetes, and oncological pathologies is possible.

Yellow

You can also be calm about yellow discharge after a vacuum abortion. They are observed due to injury to blood vessels during surgery.

Yellow color, absence of clots and odor are the norm for such discharge. They take several months to complete. During this period, it is important to monitor accompanying symptoms. A change in the consistency of vaginal secretions, the appearance of a strong odor and an increase in temperature may indicate active bacterial growth.

Causes of the phenomenon

Discharge after curettage of the uterine cavity is a normal condition. During the operation, the top layer of the endometrium is removed, the same happens during menstruation. Therefore, bleeding after curettage can last the same period as regular periods.

How much blood flows after the procedure depends on the woman’s condition. The discharge should not be heavy; after hysteroscopy it lasts from 5 to 7 days. Further, after cleaning the uterus, they acquire a smearing character. In total, the duration of the discharge is a maximum of 10 days. Throughout the entire period, the woman will experience minor pain in the lower abdomen and lower back. Such discomfort is caused by curettage and contraction of the uterus and is also considered normal.

What discharge after a mini-abortion is dangerous, what are the symptoms and signs of pathology?

Termination of pregnancy, performed surgically, including using the vacuum method, disrupts the natural hormonal balance and regularity of the menstrual cycle. The body needs time for hormone levels to return to normal and the menstrual cycle to regain its regularity. Bloody discharge after a mini-abortion usually lasts a couple of days, decreasing in intensity and becoming spotting. Within a week, the discharge stops and becomes normal.

The following signs should cause caution:

1 Very heavy blood loss for 3 or more days, when the discharge becomes intense red. This may indicate the onset of uterine bleeding. It is not difficult to identify because the pad gets wet within an hour. Uterine bleeding is dangerous for a woman's life. Against this background, hypoxia, anemia, a sharp decrease in blood pressure, severe weakness, and dizziness may occur. The cause of bleeding may be incorrect performance of the procedure when parts of the fertilized egg remain in the uterine cavity.

2 Complete absence of discharge. This situation can occur when the uterine tissue spasms or a thrombotic clot forms in the cervical canal, disrupting the outflow of blood. Accumulated secretions in the uterine cavity provoke stagnation, which can cause the development of an inflammatory process and increase the risk of infection. Often this complication is accompanied by an increase in body temperature and severe pain in the lower abdomen.

3 The appearance of a sharp and unpleasant odor of secreted mucus. Such a sign may indicate bacterial infection of the reproductive system, which requires immediate treatment. Almost always in such cases, patients complain of severe weakness and fever. The duration of discharge can be 10 or more days.

4 Change in the consistency of the discharge when it contains dark-colored clots. This symptom may indicate the development of an inflammatory process in the uterine cavity.

The presence of any of these signs requires consultation with specialists. Timely provision of assistance and appropriate treatment measures are the key to preserving the functionality of the reproductive system and the health of the woman in general.

Color of discharge after vacuum aspiration

The red color of the discharge is considered normal for the first 1-2 days after a mini-abortion, after which it should acquire a slight brown tint. If discharge appears with a greenish or pronounced yellow color, a heterogeneous structure, with inclusions of lumps, you should not hesitate to visit a gynecologist. This may indicate the development of an infection, which must be treated with special antibacterial drugs.

Pathological signs

In what situations is discharge after hysteroscopy considered pathological? You should be careful:

1. If the discharge continues for more than 10 days. This may be evidence of hormonal imbalance. Prolonged bleeding exhausts a woman and can develop anemia.
2. If the blood after scraping has an unpleasant odor, then an infection may be present.
3. A sudden stop in discharge may indicate that blood clots have formed in the uterus. At the same time, the body temperature will rise, the pain in the lower abdomen will intensify.
4. If there is a lot of discharge in volume and there is no tendency to reduce bleeding.

How many days the uterine healing process will take largely depends on the purpose for which the curettage was performed and how much material was removed. It is of great importance how well and sterile the operation was performed. Brownish discharge after cleaning the uterus during a frozen pregnancy lasts the longest, on average 8-20 days, but in the end it should go away without a trace.

After the operation, the patient is prescribed drugs that stop bleeding and contract the uterus. To avoid infectious diseases, antibacterial agents are prescribed. All medical instructions must be followed. It is recommended to include beef liver, red meat, apples and pomegranates in your diet. Physical activity and hard work should be limited. 2 weeks after the operation, you must visit a gynecologist to monitor the recovery process. The examination will show the state of the uterine tone. If necessary, hormone therapy is prescribed.

Menstruation after curettage of a frozen pregnancy, miscarriage, abortion

When should we expect them?

Doctors consider the day when curettage (cleaning) was performed as the first day of the menstrual cycle. This means that menstruation should come at its usual time, equal to the length of the woman’s cycle. For example, if the length of the menstrual cycle is 28 days, this should be the period after which menstruation begins. In case of early pregnancy termination, in the first trimester.

If there is a delay

After an abortion and removal of a non-developing fertilized egg, delays occur due to a malfunction of the ovaries. That is why, and to avoid future induced abortions, doctors prescribe oral contraceptives - birth control pills - to patients.

If you do not have your period on time, you must first make sure that there is no pregnancy. Take a pregnancy test or a blood test for hCG. Unusually weak, spotting periods after cleansing a uterine pregnancy (frozen pregnancy) is one of the possible signs of an interesting situation. Remember that curettage of the uterine cavity does not guarantee the absence of ovulation in the same cycle. Contraception is required.

Too little discharge

If the next menstruation in the absence of pregnancy also came late (cycle length is more than 35 days), and they are very scanty, you need to do an ultrasound to exclude the formation of intrauterine synechiae - adhesions. This is a complication of a classic, surgical abortion. After vacuum cleaning it practically never occurs.

Critical days began early (cd)

If the critical days began early, 1-2 weeks after surgery, it is necessary to undergo an ultrasound examination of the uterus. Perhaps there are fragments of the fertilized egg or its membranes left in it. Sometimes after curettage, a spasm of the cervical canal occurs, and some of the discharge remains in the uterus. They begin to emerge within a few days or weeks. A bad situation that threatens endometritis - inflammation. In this case, very weak, pinkish discharge 12-16 days after cleansing can be considered a manifestation of ovulation.

You can find out if you are on your period or have uterine bleeding by the following signs (they relate to CD):

• at least 21 days have passed since the day of the operation (the shortest cycle lasts that long);
• the discharge lasted for at least 3 days and no more than 7;
• the total blood loss was no more than 70-80 grams.

Volume of blood loss: norm and pathology

Bleeding immediately after curettage is considered normal if it is not too profuse - the amount of blood loss is no more than during menstruation. If the pads have to be changed much more often, including at night, this is a reason for medical intervention, most often the prescription of hemostatic drugs, as well as drugs that contract the uterus. We have wonderful material about this on our website. You should be concerned if blood loss is more than 80 grams, when more than two super-absorbent pads are used per day, or when pads have to be changed more than once every 3 hours.

For reference: heavy bleeding, when the stomach is painfully pulled, with clots, often occurs after termination of pregnancy at a long term - more than 10 weeks. It’s bad if there are a lot of clots (this is coagulated blood) and they are more than 2 cm in size.

Too little discharge immediately after uterine curettage, brown, dirty color is also bad. Perhaps there is stenosis of the cervix, that is, it closed prematurely, when the cavity has not yet been completely cleared. Against this background, inflammation occurs and body temperature rises.

If the ultrasound result is normal, if after a month or two the menstrual flow is scanty and the blood loss is less than 40 grams, it is advisable to consult a gynecologist. Perhaps adhesions have formed in the uterus, Asherman's syndrome occurs.

After a medical or mini-abortion, the characteristics of menstruation should not change; this problem most often occurs after a surgical abortion, when the doctor worked as a curette and disrupted the germ layer of the endometrium.

Planning a pregnancy

It is worth planning the next pregnancy after curettage in 2-3 months, not earlier, you need to give the body a little rest. Although women who became pregnant just 2 weeks after cleansing said that they carried their children normally, without any problems.

If the procedure went well, the menstrual cycle is restored immediately. If you haven’t had your period for more than 2 months, problems may arise with pregnancy.

Possible complications

Gynecological curettage is performed blindly and involves a certain risk. The technique of curettage is identical to abortion. When the deep layers of the endometrium are damaged, the risk of scar formation in place of the ciliated cylindrical cells increases. As a result, the embryo loses the ability to attach to the mucous surface of the uterus. A woman should have an idea of ​​what risks and complications this procedure may entail. The experience and professionalism of the doctor performing the operation is very important.

The first menstruation after curettage will occur approximately a month after curettage. Menstrual flow may vary in abundance and duration.

In some cases, women experience hormonal disorders, expressed in the absence of menstruation. A delay of up to one and a half months is considered normal. If it is not caused by an inflammatory process, the doctor may prescribe hormonal drugs to restore ovarian function. It is not recommended to plan pregnancy within 6-7 months after the procedure. In the case where curettage was carried out due to a frozen pregnancy, it is necessary to identify the cause of the incident, carry out proper treatment and plan the pregnancy in consultation with specialists.

Uterine bleeding is possible; as a rule, it appears in women with poor blood clotting. If the pads are changed more often than every 3 hours, and the discharge is profuse, the doctor will prescribe an Oxytocin injection.

General information

Vacuum aspiration is the same as an abortion, only it is carried out using special equipment that works like a vacuum cleaner. Its use allows you to “suck out” the fertilized egg from the uterus without causing a strong traumatic effect on its tissue. However, minor damage to the endometrium does occur, and therefore the appearance of slight bleeding after a vacuum abortion is normal.

As a rule, such discharge does not last long. During this period, there may be a dull nagging pain in the abdomen, which is caused by contraction of the smooth muscles of the uterus and is completely natural after termination of pregnancy, regardless of the method chosen.

At the same time, menstruation after vacuum aspiration can be very heavy on the first day, but then their number decreases and, as a rule, after a couple of days a spot appears, which indicates a normal level of blood clotting and successful healing of the endometrium.

A mini-abortion does not require long-term hospitalization for the patient. If everything went well and without complications, she can be discharged 1-2 hours after the procedure. But at the same time, recommendations are given that she must follow for the next 5-10 days. This:

• Abstinence from sexual intercourse.
• Taking antibacterial and anti-inflammatory drugs to prevent the development of inflammation and the addition of a bacterial infection to it.
• Change sanitary pads every 3-4 hours (you must take a shower before doing this).
• Avoid drinking alcohol (they thin the blood and can cause uterine bleeding).

Compliance with these basic rules will make it easy to avoid complications after an interrupted pregnancy and speed up the process of recovery of the body.

Diseases associated with blood retention in the uterus

Hematometra is a disease characterized by impaired blood flow from the uterine cavity. The cause may be polyps in the cervical canal or the presence of myomatous nodes in the uterus. The disease is recognized by the abrupt cessation of discharge after the curettage procedure, literally a day or two after the operation. The pain syndrome is of a paroxysmal nature, intensifying with physical stress. Fever and nausea may be present. If the inflammatory process develops, the pain spreads to the lumbar region, and the temperature rises sharply.

To eliminate hematometra, it is necessary to remove accumulated blood clots from the uterine cavity using a probe inserted into it. If an inflammatory process is diagnosed, then antibacterial therapy is first carried out, and only then the organ is released from the accumulated secretions.

Endometritis is inflammation of the inner layer of the uterus. After scraping, the inner surface of the organ becomes an open wound, as a result of which the ingress of microbes develops an inflammatory process. Endometritis is accompanied by elevated body temperature, sharp pain in the lower abdomen, and discharge mixed with pus. Signs of intoxication may be present - headache, nausea, general weakness. Treatment includes taking antibacterial drugs and washing the organ cavity with antiseptic solutions.

Uterine perforation is the most dangerous complication. It can occur when the uterus is deformed and its cervix cannot dilate. In this case, suturing and drug therapy are necessary.

The risk of complications after curettage is approximately 13%. However, such a procedure is simply necessary in some cases. In order to avoid adverse consequences, you should find a professional doctor. Taking care of a woman’s health is her future, her ability to bear and give birth to a healthy child.

Gynecological curettage is a complex procedure that is very stressful for the female body. It is carried out after a miscarriage, abortion, frozen pregnancy and in the presence of certain other medical indications. A woman should know how much blood flows after cleaning the uterus. Although this is normal, excessive bleeding may indicate a pathology. It is important to detect the problem in time.

After cleaning the uterus, how many days does it bleed and how long does it bleed after curettage?

Therefore, before performing the cleansing procedure, it is necessary to become familiar with how normal bleeding occurs and after how many days it stops.

The procedure for curettage of the uterine body consists of scraping its internal cavity, which removes the endometrial mucosa.

The consequences of cleaning the uterine body depend on the method of operation. Traditional curettage is performed using a curette. A more gentle vacuum method involves removing the contents of the uterine cavity or collecting the test material through aspiration. Vacuum aspiration is carried out manually with a special syringe or using an electric aspirator.

Normally, after curettage of the uterine cavity, most women experience moderate bleeding for about 5-7 days, similar in nature to discharge during the menstrual cycle.

This is due to a violation of the integrity of the surface layer of the uterus, which is why it bleeds for some time after curettage. This helps remove formed blood clots, as well as renew and regenerate damaged endometrium.

Many women, neglecting the instructions of doctors, do not seek help if the discharge does not stop 10 days after the operation.

Although this often threatens with serious consequences. Therefore, after cleaning the uterus, it is important how much blood flows, as well as the amount, color, and smell of the secreted substance.

A woman who has had her uterus cleaned must distinguish normal discharge from pathological discharge that requires timely treatment.

https://www.youtube.com/watch?v=wLRnRn7foco

If recovery after surgery proceeds without complications, the discharge is not very intense, without severe pain or bad odor.

Every day the bleeding should become weaker, becoming spotty, and gradually stop after an average of 5-7 days. If the bleeding has not stopped 10 days after cleansing or has started again, a diagnostic examination should be performed. This will help identify possible complications and prescribe appropriate therapeutic measures.

As with any surgical intervention, when performing curettage or vacuum curettage, there are certain risks of complications. More often this is due to perforation of the cervix or uterine body, the development of infectious diseases, inflammatory processes, the formation of blood clots, as well as hormonal imbalance.

The following signs may indicate the development of complications after the curettage procedure:

• Prolonged heavy bleeding that does not stop for more than 10 days. The presence of severe uterine bleeding may indicate hormonal disorders, incomplete removal of pathological tissues from the body of the female reproductive organ, and also if cleansing was carried out during the period of ovulation.

• Inflammation of the endometrium (endometritis). It may occur due to the contact of pathogenic microorganisms that cause various infectious diseases on the wound surface of the uterus during surgical intervention. This is possible if the rules of asepsis are not observed during curettage, as well as the use of non-sterile instruments. The development of an infectious disease is often accompanied by fever and pain. The bleeding becomes purulent. There may be spotting or quite heavy discharge.
• Hematometra is a collection of clotted blood inside the uterine cavity. This occurs when the cervical canal closes, causing bloody discharge to not be removed. Stagnation of pathological material occurs in the uterus. There is a high temperature, cramping spasms of pain. And if immediately after cleaning the blood flowed as expected, then with the development of hematometra the bleeding abruptly stopped already on the 2nd day.

If any of these signs are present, a woman should immediately seek medical help. In case of heavy uterine bleeding, medications are prescribed to stop blood loss, as well as for better contraction of the uterus. Infectious diseases are treated with antibacterial agents. In severe cases, blood transfusions or repeated cleanings are performed.

But the health of the woman’s reproductive system depends on how the restoration of the reproductive organ proceeds. Bleeding is a physiological consequence of curettage, which can cause some anxiety in a woman.

How long does it take to bleed after cleaning the uterus and when is there a reason to worry?

The internal cavity of the uterus consists of a mucous membrane - the endometrium, on which the fertilized egg is attached, which is the beginning of the development and life of the child. In the absence of fertilization, the structure of the endometrium, which changes after ovulation, preparing to accept the fertilized egg, changes and is rejected by the end of the menstrual cycle. This process is nothing more than menstruation.

In case of curettage, the upper layer of the endometrium is removed. After some time after cleaning, it grows again, continuing to perform its function.

After curettage, all obtained biomaterials are sent for additional studies. It is worth saying that normally, during the procedure, no blood should be released from the vagina.

https://www.youtube.com/watch?v=4IKuCqrix_A

Today, gynecologists use in practice a more accurate and safe procedure than curettage - hysteroscopy.

In the case of curettage, cleaning occurs “blindly”, that is, the doctor carries out the procedure according to a pattern of certain movements, but without seeing everything that happens inside the uterine cavity. Often, as complications, some disturbances in the functioning of the reproductive organ can be observed, which can lead to the appearance of blood clots inside it.

Current technologies make it possible to carry out curettage in such a way that the patient practically does not feel any pain.

This gynecological procedure is prescribed in the following cases:

1. The need to obtain an endometrial analysis.
2. Removal of pathological formation.
3. Termination of pregnancy - for medical reasons or at the will of the patient.
4. Removal of frozen fetus, cleaning after miscarriage.

Curettage is prescribed after an ultrasound examination of the uterus and the collection of certain tests. Many patients complain that after curettage is completed, they experience heavy bleeding from the vagina for some time, which is often accompanied by painful sensations.

Read on, how long does bleeding last after cleaning the uterus normally?

The endometrium is completely restored within one menstrual cycle. This time is enough for the uterus to fully recover and begin to “work” in its usual way.

In the vast majority of cases, discharge upon completion of curettage is observed for several days - like normal menstruation. If bleeding lasts more than 7 days, then it makes sense to consult a doctor.

Normally, after cleansing, the walls of the uterus should gradually contract, and when this process occurs slowly, it may be accompanied by spotting and spotting. There may be some complications.

The norm can be considered pain that is observed only during the discharge, and after that the patient’s general well-being should only improve.

Very often, after such a gynecological procedure, the patient is prescribed certain medications. So, to eliminate the painful syndrome, the doctor may recommend taking nosh-pu. Depending on the complexity of the procedure, a course of antibiotics may be prescribed, which will restore the functionality of the reproductive system.

For uterine bleeding, medications are often prescribed that speed up uterine contractions and slow down the release of blood. These include:

• "Etamzilat";
• "Calcium chloride";
• "Epsilon-aminocaproic acid";
• "Kontrikal";
• "Tugina";
• "Vikasol".

Thanks to a special medication course, the possibility of infection entering the uterus is eliminated and the healing process is accelerated. As a rule, after taking such drugs, all the unpleasant physiological consequences of curettage disappear. There may be pain after surgery

So, we found out when urgent medical attention is needed and how long bleeding should continue after cleaning the uterus. Now let’s figure out what complications may arise after curettage:

1. Perforation of the uterine cavity. Narrowing of the cervix, which is eliminated either with a special perforating instrument, probe, or by taking antibiotics. It all depends on the complexity of the pathology.
2. Inflammation of the uterine cavity. It is possible only in cases where cleaning was carried out at the time of inflammation or erosion of the cervix and uterus as well. But if a thorough examination was carried out on the eve of this intervention, then, in most cases, such a complication can be avoided.
3. Hematometra. A pathological deviation characterized by the accumulation of blood in the uterine cavity. Occurs due to a characteristic spasm after cleaning.
4. Damage to the endometrium. It can be observed when, during curettage, a large layer of mucous tissue was removed - along with the outer layer, the germ layer was also “captured”. With such damage, a new membrane no longer grows.

If after cleaning the uterus the patient’s menstrual cycle is noticeably disrupted, then this is not a reason to worry. But in the case when, at the end of the rehabilitation period, menstruation begins again, it makes sense to consult a doctor, since this indicates that the recovery process is not going well.

1. Repeated surgery, which is usually indicated for the accumulation of clots or a poorly performed abortion. Discharge after repeated curettage should return to normal in the near future.
2. If there is an inflammatory process, the patient is prescribed antibiotics.
3. Against the background of severe bleeding, medications are prescribed to promote uterine contraction.
4. Hormonal imbalances are corrected with an individually selected treatment regimen. For this purpose, a woman needs to visit an endocrinologist.
5. Anemia is treated with proper separate nutrition and consumption of iron-containing vitamins.

Why is there blood?

Bleeding after curettage is normal. If a woman prepares in advance for the consequences of the procedure, it will be easier for her to bear it physically and mentally.

In the process of curettage, a layer of the endometrium is removed from the uterine cavity, which normally leaves the woman’s body during menstruation. This mucous membrane is penetrated by blood vessels, so when it is removed, many miniature bleeding wounds are formed on the walls of the uterus.

The general condition of the body in the period after curettage of the uterine cavity is similar to that in the days of menstrual bleeding. During the procedure, the same processes are performed, only artificially. Some women have noticed that, in comparison with their usual periods, they feel slightly worse after the surgical procedure.

After this surgery, blood should bleed. The absence of discharge indicates pathology and causes alarm. An immediate medical examination is required. If there is no bleeding after the procedure, this indicates the probable formation of a hematoma in the cervical area. In this case, blood accumulates inside, which poses a danger to the woman’s life.

How many days does it bleed

The duration of bleeding after curettage is an important indicator for assessing the patient’s condition during the surgical procedure. The duration of discharge may vary depending on the woman’s health status and her characteristics.

Most patients bleed after curettage from several hours to several days. After completion of the procedure, the uterus begins to contract intensively, which helps reduce the intensity of bleeding.

If curettage was performed against the background of a frozen pregnancy, abortion or miscarriage, the bleeding lasts about 5-6 days. During the first 2-4 days, a woman loses a lot of blood. The intensity of blood loss gradually decreases. The smudging can last up to two weeks.

After vacuum cleansing of the uterine cavity, the volume of blood lost is slightly less. But blood loss is affected by concomitant pathologies and the day of the menstrual cycle when the procedure was performed.

If bleeding does not stop for a long time, this may indicate complications. You should not self-medicate or try to take hemostatic drugs. You should immediately contact a gynecologist or call an ambulance.

How long do they go?

The duration, intensity and nature of bleeding after the cleansing procedure during pregnancy fading is determined by several factors, including both the physical health of the woman and her psycho-emotional state.

The longest bleeding is observed in the presence of infection in the body, which, in turn, forms an inflammatory process. Inflammation does not allow the uterus to contract normally, and therefore the amount of blood does not decrease.

The duration of bleeding after a frozen pregnancy is less than after childbirth.

Due to pathologies, the blood inside the uterus or birth canal stagnates, and a secondary infection occurs, which complicates the recovery process. Without treating the source of infection, it is impossible to eliminate bleeding, unpleasant odor or suppuration.

Discharge with blood after a surgical method of cleansing the body of the uterus is a natural and normal process, provided that the woman feels normal and is not bothered by pain. After cleaning, the uterus will restore its functions and will be ready to once again receive a fertilized egg.

Possible danger

Although minor uterine bleeding after curettage is normal, these days a woman should especially carefully monitor her well-being and the nature of the discharge. If problems arise, thanks to attentiveness, you can solve them at the very beginning, preventing dangerous consequences.

In the period after a gynecological procedure, you should pay attention to the following factors:

• duration of bleeding;
• opening of re-bleeding;
• smell and color of discharge.

Normal bleeding after cleaning should not last more than 2 weeks. If the blood continues to flow, this warns of problems in the woman’s body. Due to blood loss, anemia and other dangerous consequences may develop. Longer bleeding sometimes indicates severe hormonal imbalance or postoperative complications.

Normal recovery of the body after gynecological cleansing implies that at first the blood flows heavily, and then gradually decreases. If this happens and then the bleeding resumes, urgent help is needed. This phenomenon indicates the formation of clots in the uterine cavity that have begun to separate.

If vaginal discharge after removal of the endometrial layer in the uterus is not uniform in color or has an unpleasant specific odor, you should consult a doctor. This warns of the development of an infectious disease. The patient requires additional examination and further treatment.

Some situations should prompt a woman to consult a doctor without delay. You should think about emergency medical care if you have the following symptoms:

• bleeding after cleaning is profuse and intense, the pad lasts no more than 1 hour;
• large blood clots come out;
• the discharge did not stop within a month after the intervention;
• there is an unpleasant repulsive odor;
• cutting sensations appeared in the abdomen;
• body temperature increased to 38°C;
• dizziness and severe weakness occurred.

Dangerous complications may be indicated by the fact that the bleeding stopped abruptly. The volume of blood released should gradually decrease. Otherwise, one may suspect the formation of clots in the uterine cavity, which have blocked the flow of blood.

In what cases is bleeding after curettage pathological?

After any surgical operation, it is necessary to especially carefully monitor the condition of your body and note any changes that occur to it.

So, immediately after curettage, you should definitely be wary of the following points:

• as noted earlier, the duration of bleeding normally does not exceed 10-14 days. If bleeding after curettage continues even after a month, most likely, serious hormonal disorders have occurred in the woman’s body or other complications have arisen;
• In most cases, the discharge begins very profusely, and then, gradually, its intensity decreases and it stops. If such discharge stops completely unexpectedly and suddenly, and also if repeated bleeding begins a few days after curettage, this is a symptom of the formation of blood clots in the uterine cavity or the presence of other pathologies;
• finally, bloody discharge should not have any foreign odors and have an even, uniform color. If they have an unpleasant, repulsive odor or a specific color, you should immediately undergo examination for the presence of infection and inflammation.

In the presence of the above circumstances, bleeding is not normal, so it requires mandatory monitoring by a gynecologist.

How to avoid negative consequences

Bleeding after curettage in most patients goes away without complications. However, some have encountered the following unpleasant consequences:

• hematometer;
• endometritis;
• infertility.

Uterine bleeding after gynecological curettage occurs extremely rarely. This problem may arise in a patient who suffers from poor blood clotting. This complication is life-threatening. If one pad fills with blood per hour, the woman needs immediate help. In most cases, doctors use Oxytocin injections and hospitalize the patient.

Hematometra is a complication that occurs due to the natural contraction of the cervix after cleaning is completed. When the spasm is particularly strong, a clot begins to form in the organ cavity. It does not have time to get out, which leads to the accumulation of blood inside. The condition threatens the development of an infectious disease. The woman notices that the blood has stopped flowing, and sharp pain has appeared in the lower abdomen.

Endometritis is an infectious pathology that occurs as a complication after gynecological cleansing of the uterus. The disease is inflammatory in nature and develops due to the penetration of microbes into the organ cavity. A woman can suspect the onset of the disease based on her general health. The first negative symptoms occur a few days after the surgical procedure. The temperature rises, general weakness and fever occur.

Infertility is the rarest complication that can result from curettage. A woman may lose the ability to have children if the purge is performed repeatedly and the cause is abortion. Young nulliparous patients are at greater risk.

You can protect yourself from some complications. A woman should carefully follow all recommendations of the attending physician who performed the surgical procedure. It is necessary to notice the changes occurring in the body in order to adjust the therapy at the right time.

You can protect your body from the possible consequences of gynecological curettage if you follow the following recommendations:

• before surgery or immediately after it, take Drotaverine or No-Shpu to prevent excessive contraction of the cervix;
• use antibiotics prescribed by a doctor to prevent infection of the organ;
• do not overload yourself in the days following the intervention, rest more, get enough sleep;
• eat right, take vitamins, replenish lost blood.

It is important to choose the right doctor. Whether there will be negative consequences from the procedure or not largely depends on how well the manipulations are performed. If the uterus is not completely cleaned, there is a risk that the bleeding will not stop. Using unsterile instruments increases the risk of infection. A good specialist is the key to effective curettage.

You can reduce the duration of bleeding from cleaning if you choose the right day for the procedure. Since gynecological curettage has much in common with the natural processes during menstruation, the closer to these days the intervention is carried out, the easier it will be for the body to recover. After the bleeding stops, the next period will come only when the cycle is restored.

If a woman knows how many days blood should normally bleed after gynecological cleansing of the uterus, what it should be like and how to protect herself from negative manifestations, there will be no complications. Proper curettage will help get rid of the disease.

Many women have to deal with rather unpleasant gynecological procedures. But not everyone is aware of the features of such manipulations and how the body should react to them. Thus, a fairly common type of gynecological intervention is considered to be curettage of the uterus, in which the uppermost layer of the mucous membrane of this organ is removed. Today we are talking about what happens after this: how much blood flows after cleaning, you can’t do anything after this manipulation.

Curettage of the uterus can be diagnostic or therapeutic, and it can also be performed during termination of pregnancy. This type of gynecological intervention is performed exclusively blindly using a number of instruments. Therefore, the likelihood of various complications occurring after it is quite high. Readers of “Popular about Health” need to have information about the characteristics of natural discharge after surgery and about the likely manifestations of pathology.

How long does bleeding occur after curettage of the uterus?

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The vast majority of patients experience bleeding after curettage. Indeed, when carrying out such a procedure, the superficial layers of the endometrium are eliminated, in other words, the uterine cavity becomes, as it were, a continuous wound... Accordingly, after cleaning, blood is not something surprising, since the wound will bleed for some time.

In fact, this phenomenon is considered not dangerous; it is similar to menstrual bleeding, when the functional layer of mucous membranes is rejected naturally.

The duration of bleeding after curettage may vary from patient to patient. The occurrence of moderate discharge within five to six days (maximum ten), which is not accompanied by a specific unpleasant odor, is considered absolutely normal.

Over time, the severity of the discharge should decrease, it becomes as if spotting, and then completely stops.

In addition to the appearance of discharge, pain in the lower abdomen and lower back may normally occur.

Abnormal discharge of blood from the uterus after curettage

Pathological bleeding can be distinguished from normal bleeding based on several signs.

So, we can talk about complications if the discharge continues for more than ten days. Similar symptoms are possible with hormonal imbalance, curettage that occurred in the middle of the cycle, as well as if there is a remnant of pathological tissue in the uterus.

If after the procedure there is discharge with an unpleasant odor and abnormal color, this indicates the development of a complication. So, with the development of the inflammatory process, the discharge looks like specific meat slop, but the intensity of the discharge can be different (minimal bloody discharge or significant bloody discharge is possible). Inflammation is accompanied by fever and pain in the lower abdomen.

Sometimes bleeding, on the contrary, stops prematurely, which may also indicate a pathology, for example, an accumulation of blood in the uterine cavity. This situation occurs when blood clots cannot leave the uterus due to the closure of the cervical canal. In this case, the spotting suddenly disappears, pain appears in the lower abdomen, which is cramping and quite strong, and the temperature increases.

When to see a doctor

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You should immediately seek medical help:

If after curettage the discharge continues for more than ten days;

If the bleeding becomes heavy and remains so for several hours (the pad fills in an hour or two);

If the discharge suddenly stops a day or two after the intervention, abdominal pain occurs;

If the temperature rises;

If the discharge smells unpleasant;

If there is severe pain in the lower abdomen that is not relieved by analgesics;

If you feel dizzy and weak.

What not to do after curettage of the uterus

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For one month after curettage, you must abstain from sexual intercourse. Also, you should not use vaginal tampons to absorb discharge; it is advisable to use pads, or even better, homemade gauze pads. It is also necessary to stop douching for a month after the procedure. Visiting a bathhouse or sauna, as well as taking a bath, are also prohibited.

Also, for four weeks after curettage, you should not lift heavy objects and give up all kinds of serious loads.

During this period, it is better to avoid taking any medications except those prescribed by the doctor. The use of products containing acetylsalicylic acid is especially prohibited, as they can cause bleeding.

For six months after curettage, it is necessary to carefully protect yourself using contraceptives recommended by your doctor.

For successful recovery after curettage of the uterine cavity, you must follow the specialist’s recommendations and take the medications prescribed by him. A sudden deterioration in health is a reason to immediately seek medical help.

Collapse

Curettage of the uterine cavity can be performed for therapeutic and diagnostic purposes. Many women have encountered such a procedure, some are yet to undergo it, so it is important to have an idea of ​​how the recovery period goes, what the discharge should be like after curettage of the uterine cavity, and how long it can last.

Bleeding after cleaning the uterus: how long should it normally last?

Curettage (curettage) is a procedure for removing part of the endometrial layer.
Curettage is performed for diagnostic and therapeutic purposes. In the first case, endometrial cells are sent to the laboratory to be examined for the presence of atypical elements. Diagnosis of the inner layer of the uterus is necessary in case of severe bleeding for an unknown reason, as well as in the detection of tumors on the endometrium. In this case, the gynecologist uses a hysteroscope to examine the organ and makes scrapings. As a therapeutic measure, cleaning is carried out in the following situations:

• inflammation of the endometrium;
• polyps;
• bleeding, including during menopause;
• menstrual irregularities;
• pathologies of the cervix;
• miscarriage;
• frozen pregnancy;
• consequences of an unsuccessful abortion;
• the presence of placenta particles in the uterus after childbirth.

Before curettage, it is necessary to perform an OAC, a blood test for coagulation, and a smear examination of the vaginal flora. Three days before the procedure, you should stop using vaginal suppositories, intimate hygiene products, gels, ointments, etc. Two days before the procedure, you should avoid sexual intercourse.

The procedure consists of several stages:

1. The patient lies down in the gynecological chair. The doctor administers a local anesthetic to eliminate pain during the procedure.
2. A speculum and a hysteroscope are inserted into the cervix. The gynecologist examines the walls of the uterus, assessing their condition.
3. Curettage is carried out using a special medical instrument, similar to a small spoon with a long handle - a curette. This device cuts off excess endometrial tissue or removes the remains of the embryo after an artificial termination or a frozen pregnancy.

Upon completion of the procedure, patients feel pain in the lower abdomen, which can last for several days. This is a normal phenomenon: the uterus contracts, cleaning itself. Analgesics can be used to reduce pain. Also, over the course of several days, clots may be released, which decrease every day and after about 10 days should disappear completely. After the operation is completed, sexual intercourse should be avoided for a month.

Cutting off part of the inner layer of the uterus causes bleeding. The larger the area of ​​the organ that is treated, the more blood flows. This is the norm, because such a procedure makes the uterine layer an open wound that will heal over time.

If hysteroscopy was done for diagnostic purposes, the discharge is usually scanty and lasts up to 4 days after curettage. If there has been therapeutic curettage, especially after a miscarriage or termination of pregnancy, the bleeding is more profuse and prolonged. In this case, it is advisable to take hemostatic medications.

Discharge after cleaning the uterine cavity occurs like normal menstruation. Normally, it lasts about 10 days, at first it bleeds profusely, then more and more sparingly. Finally, there is brown discharge after curettage, which indicates the healing process of the uterus. Then it stops bleeding and begins to “smear” with a light color.

How long does the discharge last? The maximum bleeding period should not exceed 10 days while taking hemostatic drugs. The presence of clots in the first days is allowed, but the discharge after cleaning the uterus should not have an unpleasant odor. Yellow or green color of the discharge indicates pathology, the addition of a bacterial infection. If your body temperature increases, you should consult a doctor.

Curettage can cause the following complications:

• Heavy scarlet bleeding (in an hour a large pad is completely filled) with a large number of clots, accompanied by severe or moderate pain in the uterine area. In this case, paleness of the skin and loss of consciousness are possible. In such cases, there will be no brown discharge, since the symptoms indicate that the patient has problems with blood clotting. This situation requires emergency medical attention. To prevent such cases, a blood clotting test is done before surgery.
• Hematometra is a situation where blood cannot leave the uterus. This picture is usually observed with cervical spasm. Signs of hematometra are an increase in temperature from 37°C, an unpleasant odor from the vagina, severe pain in the lower abdomen, radiating to the lower back. A mandatory symptom is that in the first days after the procedure, the discharge is scanty or absent at all.
• Inflammation of the endometrium. This complication is accompanied by a temperature much higher than 37°C – values ​​can reach up to 39°C. In this case, the patient experiences chills, pain in the lower abdomen, and general malaise. Endometritis develops as a result of the proliferation of pathogenic microorganisms on the inner layer of the uterus. Yellow discharge is possible. This situation also requires hospitalization and drug therapy.
• Infertility. The most rare complication, almost never encountered in women who have undergone uterine cleansing.

Upon completion of curettage, complications do not arise provided that the patient follows all the doctor’s recommendations. During the recovery period, you cannot perform heavy physical work or play sports. It is important to take medications prescribed by the gynecologist (analgesics, hemostatic agents, antibiotics to avoid fever and the proliferation of pathogenic bacteria after curettage).

Bleeding after curettage is considered normal. During cleansing, the endometrial layer is removed from the reproductive organ, which usually leaves the body during menstruation. The mucous membrane has many blood vessels, so when it is peeled off, multiple lesions with a bleeding structure remain on the surface of the uterine walls.

After curettage, blood always bleeds; the duration of this process is an important indicator that helps the doctor assess the general condition of the patient during the operation. The duration of discharge is different for all women, it may depend on the patient’s condition.

Many women bleed for 2 hours to a week after curettage. And this is not considered a deviation. After completion of the manipulations, the uterine cavity begins to contract intensively, which is what causes a decrease in the intensity of discharge.

Bleeding may take several days

When cleaning during an abortion or miscarriage, bleeding may last for 5-6 days. During the first 2-4 days, the woman loses a large amount of blood. Then the intensity of the discharge decreases. But the daub can be observed for about two weeks.

Blood loss rates can be influenced by various factors - the presence of concomitant pathological processes, the day of the menstrual cycle when exactly the procedure was performed.

How long does blood flow after curettage called vacuum aspiration? This is a mini-abortion that does not cause harmful effects on the reproductive system. It is allowed to be done up to 7 weeks.

The main positive aspects of this method are minimal damage to the endometrial layer. For this reason, blood is released in a small volume. Also, after vacuum aspiration, an inflammatory process in the uterus rarely occurs, this is due to the low risk of penetration of harmful organisms.

On average, bleeding lasts 6-8 days. On the 3-4th day after it, a brown spot is observed. This phenomenon can last for 2-3 days. All these conditions are considered normal.

During an abortion, an artificial invasive termination of a normal or pathological pregnancy is performed. This manipulation is recommended to be done at the initial stage. After an abortion, bleeding always occurs; even the duration of pregnancy does not affect it, but the intensity of the discharge depends on it. The longer the period, the longer the bleeding will last.

If the bleeding is very heavy, see a doctor immediately

On average, bleeding lasts from 2 to 3 weeks. In the initial period, the woman will notice intense scarlet bleeding, and then it decreases and is replaced by a brown spot.

However, if after cleaning there is a profuse shedding of blood, forcing the patient to change pads once every few hours, then this may be uterine bleeding. It can occur when the curette damages the walls of the uterine cavity.

You should definitely visit a specialist immediately. Usually, heavy bleeding appears immediately after cleansing the reproductive organ. Severe bleeding often occurs when the fertilized egg is not completely removed. This process is accompanied by pain in the lower abdomen.

If, after termination of pregnancy, the blood discharge becomes brown and clots are found in it, this may be due to inflammation in the area of ​​the endometrial layer. The pathological process is provoked by pathogenic microflora, which can penetrate through poorly processed surgical instruments. It is important to correct it as soon as possible, otherwise serious problems can develop that can be fatal within a few hours.

How long can bleeding last after uterine curettage? And what is the norm in this case?

Bleeding that occurs after cleaning the uterus should resemble normal menstruation, accompanied by rejection of the endometrial layer. Then its restoration begins.

If we talk about how long the blood flows after curettage, then normally this period is 5 – 7 days. It does not have a pungent odor. In some cases, the uterus may take longer to cleanse itself – up to 10 days – if the woman initially has long periods. After the end of the outpouring of blood, the discharge takes on a bloody character and a brown color. Such discharge continues up to 14-21 days after the moment of cleaning.

The intensity of bleeding decreases every day. And regardless of how much blood is flowing, towards completion the amount decreases gradually, but does not stop abruptly.

Causes of discharge after curettage

The operation is performed when polyps, endometritis are detected, to get rid of an unwanted pregnancy or placental remains after childbirth. Diagnostic curettage will be needed if a woman complains of heavy bleeding during menstruation with clots, infertility, or requires preparation for gynecological surgery.

Bleeding after curettage of the uterine cavity is normal because the procedure is performed almost blindly by the doctor using a device such as a curette. During the operation, the mucous layer of the uterus is disrupted and a continuous bleeding wound is formed. Bloody discharge promotes the removal of blood clots and the regeneration of damaged endometrium.

Long-term continuous discharge after curettage is fraught with serious complications.

What is uterine cavity curettage, why and how is it performed?

Curettage (curettage) is a procedure for removing part of the endometrial layer. Curettage is performed for diagnostic and therapeutic purposes. In the first case, endometrial cells are sent to the laboratory to be examined for the presence of atypical elements. Diagnosis of the inner layer of the uterus is necessary in case of severe bleeding for an unknown reason, as well as in the detection of tumors on the endometrium. In this case, the gynecologist uses a hysteroscope to examine the organ and makes scrapings.

As a therapeutic measure, cleaning is carried out in the following situations:

• inflammation of the endometrium;
• polyps;
• bleeding, including during menopause;
• menstrual irregularities;
• pathologies of the cervix;
• miscarriage;
• frozen pregnancy;
• consequences of an unsuccessful abortion;
• the presence of placenta particles in the uterus after childbirth.

Before curettage, it is necessary to perform an OAC, a blood test for coagulation, and a smear examination of the vaginal flora. Three days before the procedure, you should stop using vaginal suppositories, intimate hygiene products, gels, ointments, etc. Two days before the procedure, you should avoid sexual intercourse. If a woman is taking medications, you should tell your doctor about this: their use may need to be reduced or discontinued. On the day of surgery, you should limit the amount of food and liquid you consume.

The procedure consists of several stages:

1. The patient lies down in the gynecological chair. The doctor administers a local anesthetic to eliminate pain during the procedure.
2. A speculum and a hysteroscope are inserted into the cervix. The gynecologist examines the walls of the uterus, assessing their condition.
3. Curettage is carried out using a special medical instrument, similar to a small spoon with a long handle - a curette. This device cuts off excess endometrial tissue or removes the remains of the embryo after an artificial termination or a frozen pregnancy.

Types of discharge and their interpretation

After cleaning, the discharge resembles menstrual discharge, its duration and intensity can vary and depends on many factors, starting with the skill of the doctor and ending with the hormonal background of the woman. But among experts there are some criteria by which it is determined whether the process complies with the norm:

• Bleeding after cleaning lasts no more than 10 days, most often 4-5.
• Over time, the intensity of the discharge decreases and it becomes spotting.
• At first, a pulling pain is felt in the lower abdomen.

If a brownish discharge appears a few days after curettage, this indicates a successful healing process.

Pathological discharge and its significance

A woman should visit a doctor if, after curettage, discharge appears with an unpleasant odor, it is abundant or scanty, and has a yellow or greenish color. If yellow discharge appears after cleaning the uterus, then there is a high probability of developing the following pathologies:

• Cercivit.
• Endometritis.
• Metroendometritis.
• Salpingo-oophoritis.

As a rule, with the development of such complications, in addition to yellow discharge mixed with pus, a jump in temperature and severe pain in the lower abdomen can be observed.

Large amounts of bloody discharge indicate difficulties with the healing of the uterine mucosa. If the color gradually turns yellow, then we can talk about an infection. This condition will require taking antibacterial agents.

If the bleeding stops on the 2-3rd day after cleaning the uterus, then it can be assumed that this is due to spasms of the cervical canal, and it accumulates inside the uterine cavity. The pathological condition is accompanied by high fever and severe cramping pain in the lower abdomen. The risk of developing an inflammatory process increases.

If antispasmodics do not help cope with the situation, then repeated cleaning may be necessary.

The discharge of blood with a bad odor is also considered a pathology. As a rule, this confirms the addition of an infection.

What are they?

The period after cleansing (one to two months) is called recovery. The body spends this time normalizing hormonal levels and restoring reproductive function for subsequent pregnancies. The duration of the rehabilitation period depends on a number of factors:

● presence/absence of chronic diseases; ● cause of miscarriage or developmental failure; ● emotional health and condition of a woman; ● age and individual characteristics of the body; ● number of previous births, pregnancies; ● the period of pregnancy at which development stopped.

Depending on one factor or another, the color of the discharge after cleaning may differ.

Only 8% of women after curettage have complications of various etiologies.

**Etiology is the reason why freezing occurred.

Bloody and brown

Brown, red, burgundy discharge from the genitals in women after cleansing is normal

It is also important to pay attention to the volume of blood released. Heavy discharge in the first two or three days is not a cause for concern, and then its intensity should gradually decrease

The discharge becomes brown after the fifth day. This means that the hemoglobin cells are already beginning to oxidize, resulting in a change in the bright, rich red color. For the rest of the time (subject to the daily routine), the discharge will have the same brown color until it becomes lighter.

If, after scanty brown discharge, pain and fever appear, and the color changes to scarlet, then this is a reason to urgently go to the hospital department.

Green, white and yellow

Yellow, greenish or red discharge with clots of white mucus is always an anomaly. In this case, the gynecologist conducts additional research to determine the cause of their appearance.

Green or yellow discharge is almost always combined with mucus. This process is the result of an infectious inflammation.

Reasons why discharge of abnormal origin may appear:

● the presence of infection in the birth canal (herpes, streptococcus, venereal infections); ● incomplete elimination of the remains of a fertilized egg, fertilized egg; ● cervical trauma or rupture; ● endometritis; ● physical overload in the first month.

One of the dangerous complications is bleeding due to cervical rupture. In this case, the woman’s mortality risk increases to 60%. Every minute saves a life.

According to statistics, the risk of negative consequences is especially high in the first three days after cleaning the uterine cavity. If there are no prerequisites, and the operation was performed by a good specialist, then the likelihood of complications of any nature is minimal.

Infectious diseases, which usually lead to complications, are diagnosed when a miscarriage or frozen pregnancy is diagnosed. Therefore, it is generally accepted that 80% of complications in the first day after cleaning are the result of unprofessionalism of the medical staff.

Other pathological discharge

In the case of a successful operation, the discharge changes its color, volume and intensity throughout the month:

● the first day – red, thick, with clots of dried blood, with tissue remains; ● 1-3 days – burgundy or dark, with periodic intensity (after a sudden movement, when bending over, after sleep). There is pain in the uterus, less often in the lower back; ● 3 days – one week – discharge as during menstruation, without pain and impurities of a different color; ● 1-2 weeks – sparse, scanty, dark brown, then light in color, without mucus, with uniform volumes.

Throughout the entire period, there is a change in the amount of blood, depending on the woman’s activity. You can’t lie down 24 hours a day, because the blood stagnates inside the uterus. But excessive physical activity also increases the chance of open bleeding.

Discharge after diagnostic curettage

Discharge after diagnostic curettage is quite normal. It is a misconception to believe that only therapeutic cleansing is accompanied by such a symptom. But it is normal if the bleeding is not profuse, reminiscent of normal menstruation. The duration should not exceed 7-10 days.

The doctor should explain how long the discharge lasts after curettage of the uterus; in the absence of complications, as a rule, they are observed in abundance for 3-5 days, and then the intensity decreases.

A woman should be concerned and visit a doctor if:

• The discharge continues for more than 2 weeks.
• The gasket has to be changed every 2-3 hours.
• The bleeding stopped, but sharp pains appeared in the abdomen, which even painkillers do not help.
• Body temperature jumped.
• Weakness appeared throughout the body, dizziness.

Timely consultation with a doctor will help avoid serious consequences.

What discharge is considered normal and what signals pathology?

For health, it is not only the duration of the discharge that matters, but also what it is. Normally, bloody mucus from the genital tract should meet the following criteria:

• be moderate in volume;
• not have a nauseating odor;
• be a uniform mass without clots.

The color of the discharge varies from red to brown. The more time passes from the moment of manipulation, the closer their shade is to the second option. Dark brown discharge after curettage is detected closer to the end of the mucosal restoration process, when the remnants of coagulated blood come out.

If the procedure for any reason leads to complications, they may manifest themselves as the following symptoms: