Curette after a miscarriage, is it certain to be done?

Miscarriage is a painful thing, especially for expectant mothers. Apart from psychological health, what must also be considered after a miscarriage is physical health. The main thing that is usually done after a miscarriage is curettage. If you do not curettage after a miscarriage, it may endanger the health of the mother and affect future pregnancies. Does every miscarriage need to be curetted?

Why do I need to curettage after a miscarriage?

A curette is a surgical procedure in which the mother's cervix (cervix) is opened and the inside of the uterus is cleaned. After a miscarriage, a curette is performed to clean the uterus by removing any remaining fetal tissue in the uterus.

Therefore, after a miscarriage the mother usually does a curette. However, not all miscarriages need to be curetted. This depends on whether the fetal tissue remains in the mother's womb or not.

If there is residual fetal tissue in the uterus, this can lead to more severe bleeding after the miscarriage and also infection. Thus, curettage is also performed to prevent and treat many conditions that can occur in the uterus after a miscarriage, such as heavy bleeding and infections.

Not only that, curettage can also be done to diagnose or treat abnormal uterine bleeding, such as those caused by fibroid growth, polyps, hormonal imbalance, or uterine cancer. Curette also needs to be done after the abortion.

What can happen after a curette?

After a curette, you will usually feel a little pain. Some of the things you can feel after doing a curette are stomach cramps and spotting or light bleeding. If you were under general anesthesia during the curettage procedure, you may also feel nauseous or want to vomit after the curettage is done. These things are normal after you curettage. You have also started to be able to carry out your daily activities after a day or two since being curated.

However, if you experience things like the following after doing a curette, you should check with your doctor.

Heavy or prolonged bleeding
Fever
Foul-smelling vaginal discharge
Pain or pain in the stomach

Some of the risks and side effects that may arise from curettage

Curette is usually a safe procedure and rarely causes complications. However, there are risks that can arise after curettage. Some of the risks of curettage are:

Uterine perforation. This can happen if the surgical instrument punctures and causes a hole in the uterus. This is more common in women who are pregnant for the first time and in women who are menopausal. However, perforations usually heal on their own.
Uterine damage. If the cervix is torn during the curettage procedure, the doctor can apply pressure or medicine to stop the bleeding or close it with stitches.
Scar tissue grows on the uterine wall. The formation of scar tissue in the uterus due to a curettage procedure or commonly known as Asherman's syndrome is actually rare. This can cause the menstrual cycle to become abnormal, even stop, and can also cause pain, miscarriage in subsequent pregnancies, to infertility.
Infection. However, infection after curettage is usually rare.