Sometimes, a woman is forced to scrape the endometrium of the uterine cavity as a result of unwanted pregnancy or for therapeutic and diagnostic purposes. But this surgical procedure can lead to a number of significant complications. After abortion or diagnostic curettage, often there is a violation of the menstrual cycle. Let's try to figure out when to start monthly after scraping?
How is normal menstruation after scraping?
Theoretically, the first months after the diagnostic curettage or abortion are normal on day 28-35. If diagnostic scraping was performed, the hormonal background was not changed. Therefore, there should be no disturbances during the cycle. Nevertheless, in practice much depends on the individuality of the course of the menstrual cycle and the general state of the organism of the patient herself.
If a woman underwent a surgical abortion, the delay of the monthly after curettage is quite possible. The reproductive system must recover from an unexpected abortion. In any case, it is worth remembering that the intervention in the uterine cavity carries a potential threat of the development of infectious and inflammatory processes. Therefore, you need to carefully consider how the first menstruation will pass after scraping.
Disorders during the period after scraping
Abundant or, on the contrary, scanty monthly after curettage serve as a weighty excuse to visit a gynecologist. Note how often you change the pads during menstruation. Abundant monthly after scraping are those in which the hygienic remedy should be changed once in about 3 hours. Indicator of severe bleeding may be the need to change the pads at night. As a rule, during sleep, bleeding becomes passive, as the woman practically does not move. Scanty ones after scraping, accompanied by an unpleasant odor, dark color - an alarming signal. Especially if menstruation occurs against a background of poor overall health, increased fever, pain in the lower abdomen. Perhaps, after the abortion in the uterine cavity, there remained a number of particles of the fetal membrane. In this case, blood should be given for the determination of hCG. If the result is positive, a second scraping is recommended. Unpleasant odor with a monthly confirms the presence of an infectious process, for example, endometriosis.
Usually, the second monthly ones after scraping come on time. But the full restoration of the menstrual cycle can be delayed. The norm is the restoration of the usual course of menstruation for 2 - 3 months. If there are no monthly ones for three months after the abortion or diagnostic curettage, it is necessary to consult a doctor,
After a diagnostic curettage, performed with a dead pregnancy, a miscarriage, with the purpose of removing polyps or sampling tissues for histology, the monthly ones do not differ in normality with duration or abundance.
However, the absence of menstruation in due time can serve as a sign of serious pathology. Why is there no monthly after scraping in this case? Most likely, during the recovery from a surgical operation there was a spasm of the cervix. As a result, blood secretions accumulate in the uterus cavity, forming a fairly dense clot. In such circumstances, you should immediately consult a doctor.