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Endocervical curettage is a gynecological examination, popularly known as uterus scraping, which is performed by inserting a small spoon-shaped instrument into the vagina (curette) until it reaches the cervix to scrape and remove a small sample of the uterus. fabric from this location.
The scraped tissue is then sent to a laboratory where it is analyzed under a microscope by a pathologist, who will observe whether or not there are cancerous cells in this sample, or changes such as uterine polyps, endometrial hyperplasia, genital warts or infection with HPV.
The endocervical curettage exam should be performed in all women who have had a Pap smear with a result classified as III, IV, V or CIN 3, but it is very rarely performed during pregnancy, due to the risk of miscarriage.
How the exam is done
The endocervical curettage exam can be performed in a medical clinic or hospital, under sedation, by the gynecologist.
This exam can cause some pain or discomfort, but there is no absolute indication of performing anesthesia or sedation, because only a small piece of tissue is removed, being a very quick procedure, which lasts a maximum of 30 minutes. There is no need for hospitalization, and therefore the woman can return home on the same day, being recommended only to avoid physical exertion on the same day.
For the examination, the doctor asks the woman to lie on her back and place her legs on a stirrup to keep her legs open. Then he cleans and disinfects the intimate region and introduces the speculum and then the curette, which will be the instrument used to remove a small sample of uterine tissue.
Before undergoing this procedure, the doctor recommends that the woman not have sexual intercourse in the previous 3 days and do not perform vaginal washing with intimate shower, and not take anticoagulant drugs because they increase the risk of bleeding.
Needed care after the exam
After carrying out this examination, the doctor may recommend that the woman rests, avoiding great physical efforts. It is recommended to drink more water to help eliminate toxins and stay well hydrated, in addition to taking the recommended analgesic every 4 or 6 hours, according to medical advice, and changing the sanitary pad whenever it is dirty.
Some women may experience vaginal bleeding that can last for a few days, but its amount is very variable. However, if there is a bad smell in this bleeding, you should go back to the doctor for an evaluation. The existence of fever should also be a reason to return to the clinic or hospital because it may indicate infection. Antibiotics may be indicated to eliminate any type of infection that may occur.