When can you engage in intimate life after hysteroscopy. When can you start having a sex life?

A woman gets to scraping for various reasons. But when can you start having sex after scraping, will there be pregnancy after scraping? This article answers these questions.

Curettage is a serious gynecological operation. Therefore, as with any surgery, the body needs time to recover. And also time for the regeneration of damaged tissues.

Curettage is the removal of contents from the uterus: a fertilized egg, the remainder of the placenta. Also, this medical operation can be performed as a diagnostic study. For example, with polyps in the pelvic organs or some neoplasms.

This procedure is carried out in a hospital under local or general anesthesia. In some cases, anesthesia is used during this operation. Therefore, before the operation, the woman is examined by a gynecologist already in the hospital, the doctor who will do curettage is holding talks, and the anesthesiologist also talks, identifying allergic reactions and chronic diseases of the patient.

This operation is considered small, so the patient is kept in the hospital after it for about a day. If there are no problems and complications, she is sent home. For several days, a woman should monitor her condition herself: measure heart rate, temperature and monitor secretions.

Most often, unfortunately, curettage is performed to terminate pregnancy. Young girls do not think about the severity of abortion. And the consequences can be very dire. When interrupting, scraping is done on early dates up to 12 weeks, and later, when it is necessary to remove the remnants of the placenta from the uterus, it is also possible with medical abortion, if the fertilized egg is not completely released. Sometimes, when placental abruption occurs, curettage is also carried out in the postpartum period to avoid inflammation of the internal organs. In any case, this is a serious gynecological operation.

After scraping, serious complications can occur. Namely, inflammation of the uterus and cervix, profuse bleeding, damage to the pelvic organs with instruments, infertility and serious menstrual irregularities. You need to know this, since all this affects the subsequent possibility of conception and the health of a woman in principle. Therefore, sex after scraping is not desirable.

The timing of sexual abstinence, of course, is voiced by the doctor individually for each case. It all depends on the scope of the operation, health and age of the patient. But all obstetricians and gynecologists are inclined to believe that it is better not to engage in vaginal sex after curettage for at least 2 weeks. During this time, the use of tampons, douching and bathing is also prohibited. Failure to comply with these rules can cause great complications. In the postoperative period, the mucous membrane of the uterus and cervix has not yet recovered, therefore, during intercourse, there is a high risk of contracting infectious diseases.

You should not rely on a partner in this sense, since there are many hidden and sluggish infections that, under normal circumstances, were not transmitted, and during the period of tissue regeneration, any microbe or virus can cause serious inflammatory processes. It is also possible to damage organs from friction, which can cause profuse bleeding, which subsequently affects reproductive function.

Therefore, it is better to start having sex after a control examination by a gynecologist. When intimate life is resumed, discomfort in the vagina may occur. For example, dryness, burning, discomfort, pain. This can be due to various reasons. Some of them are frivolous and resolve by themselves over time, while others are subject to treatment. If the discomfort does not go away for a long time, then you should seek help from an obstetrician-gynecologist. He will examine the woman on the gynecological chair, do an ultrasound scan and give further recommendations.

Most often, discomfort during intercourse is a normal condition for several months after curettage. Since the mucous membrane is restored for a long time. Plus, it is worth noting the psychological state of the woman. When a woman becomes pregnant, her body is immediately rebuilt, hormonal changes occur. When an abortion occurs, he still does not understand that there will be no childbirth and continues to work in an altered rhythm. Therefore, a protective reaction occurs (involuntary compression of the neck) - due to which pain can occur. It takes time and patience to solve this problem.

Also, burning and dryness can occur with insufficient lubrication of the neck, since the mucous membrane has not yet fully recovered. In this case, you can use a special additional lubricant for intercourse.

But these same symptoms can also indicate serious problems. For example, organ inflammation. This can occur due to infection and poor curettage, when some particles remain in the uterus. In any case, you need a consultation with a gynecologist during a personal visit to the office.

Speaking about sex after scraping, it is worth considering another question: pregnancy after scraping.

Do not think that if there was an operation and hormonal changes in the body to a different regime are taking place, then conceiving a child is impossible. Far from it. A woman's reproductive ability is restored within 2-3 weeks after curettage. But often by this time her body is not completely ready either physically or morally. Therefore, if there is no pregnancy in the plans immediately after scraping, then it is worth using protective equipment. For this purpose, you should not use the method of interrupted intercourse or calculation on "safe" days.

Since after scraping, as already mentioned, there is a hormonal disruption in the body, the uterus is inflamed, and the menstrual cycle is not completely restored, in this regard, the exact date of ovulation of the cell cannot be identified. With interrupted intercourse, the risk of becoming pregnant is also very high, since the sperm on the head of the penis are also capable of fertilizing an egg, which is extremely undesirable at this time.

For protection, you should not use hormonal pills either, as this can aggravate the failure even more. endocrine system women. Therefore, to protect against new pregnancy it is best to use condoms with extra lubrication. Such mechanical protection prevents not only unwanted pregnancy, but also protects the vulnerable mucous membrane of the cervix from infection.

When will a woman's body be ready for childbirth? This issue is resolved individually with a gynecologist. The decision is made up of many factors: the age of the patient, why the scraping was done, whether there were complications after it, chronic diseases of the woman, normalization of hormonal levels. Perhaps the doctor will prescribe to drink special hormonal drugs to restore the endocrine system. Therefore, when planning a new pregnancy, you should first undergo an examination, consult with your doctor and only after that start unprotected sex with the aim of fertilization.

It is also worth contacting an obstetrician for advice if conception does not occur after 9 months. There may be some health problems for the woman that need to be addressed.

Summing up, we can say that prolonged sexual abstinence after curettage is not necessary. But sex must be protected and partners must think about the consequences that arise after scraping.

Hysteroscopy of the uterus is performed to detect intrauterine pathology. This is a special form of endoscopy used in gynecology. With her help, the examination of the internal organs is simplified.

The procedure consists in introducing a special device, a hysteroscope equipped with a video camera, into the cervical canal - and then advancing it into the uterine cavity for the purpose of examination. If pathological problems are detected, surgical intervention can be performed. For this, the hysteroscope has a special operating channel into which biopsy forceps and other instruments can be inserted.

Hysteroscopy is often done routinely. In this case, it is carried out in the presence of a one-day hospital on an outpatient basis. If problems are found, the patient can be promptly transferred to the hospital. But the conditions for conducting can vary significantly depending on the condition of the patient, whether she has children and other factors.

hysteroscopy:

Indications for

One of key indications to conduct is infertility. Other indications:

suspicion of abnormalities in the development of the uterus;
miscarriage;
obstructed postpartum period;
suspicion of endometrial cancer or adenomyosis and a number of others.

As mentioned earlier, there are two main forms of the procedure - diagnostic and operational. The operating room has a longer recovery period. But here, too, there are some subtleties.

Normal course of the procedure

If there were no complications during the procedure, then the period following it passes painlessly. There are no pathologies, no deviations appear. The only thing that the recent procedure gives out is a small bleeding that lasts about 4 days.

If there are no complications, it is allowed to have sexual intercourse within a week after the procedure.

Important: In some situations, the doctor may individually prescribe a two-week break. This is not a sign of problems or abnormalities, but it is imperative to follow the doctor's instructions and, to avoid complications, do not have sex earlier than the allotted time.

Operational form of the procedure

If the procedure was carried out not only for purely diagnostic purposes, then the doctor may decide to carry out surgery. In this case, the load on the female body increases, the risk of occurrence negative consequences... Even a slight load can lead to unwanted complications. Therefore, the period of abstinence in this case is extended. Its specific duration is determined by the attending physician based on the patient's individual indications and the characteristics of the procedure.

The average duration of abstinence after surgery is from two weeks to about a month.

The occurrence of complications

When all the same operation goes wrong, when complications arise, the period of abstinence increases further. An example is an infection entering the uterine cavity. This leads to serious pathology, to infectious inflammation. In this case, it is impossible to increase the load on the body, disrupt the regime and carry out any actions that can potentially interfere with treatment. Permitted and prohibited actions should be checked with your doctor.

This is just one of the complications. The following may also happen:

perforation of the uterus;
the occurrence of intrauterine synechiae;
burn injury to internal organs;
hematometer;
increased bleeding.

In this case, the restriction of sexual activity is carried out for the entire period of treatment, no matter how long it lasts, regardless of the type of complication that has arisen. The resumption of sexual activity is unacceptable until the doctor officially authorizes it. It is from him that you need to find out whether it is possible to return to your usual way of life and live exactly as before.

Fact: The prognosis can vary depending on the problem you are experiencing. Usually, everything can be resolved within a three-week period. In particular difficult situations the duration of treatment / abstinence can be up to six months.

Why, after hysteroscopy, heavy periods

Abundant menstruation after hysteroscopy can occur due to unfavorable processes in the uterine cavity, especially you need to be wary if the discharge has a pungent odor and clots. During surgical hysteroscopy, the lining of the uterus and the fallopian tubes, therefore, in the period after the hysteroscopy, special attention should be paid to the state of the discharge - smell, color, quantity. It must be remembered that you should not self-medicate, since heavy periods can cause a lot of blood loss and a significant decrease in pressure, and this can lead to a weakening of the body or loss of consciousness. Therefore, if, after carrying out a hysteroscopy, a general malaise is felt, you should immediately consult a doctor.

Intimate life: when to start

The doctor should name the exact dates when it will be possible to have sex after curettage. This takes into account the purpose of the curettage and the woman's health. As a rule, it is recommended to refrain from intimacy for two weeks. The endometrium has almost recovered.

Sex in more early period can lead to the penetration of infection into the organs of the reproductive system. Even if a woman is absolutely sure of the health of her sexual partner, at first she is still recommended to use barrier contraception. Thanks to this, the vaginal microflora will not be disturbed, and recovery will come much faster.

Intimacy after surgery often causes damage to the mucous membranes of the vagina. There is also a risk of uterine bleeding. Painful sensations during sex are not uncommon.

If they are observed often enough, you need to undergo an ultrasound scan and an examination by a gynecologist. It is possible that complications have arisen in the postoperative period.

Recovery from scraping has a number of normal characteristics. In case of deviation from the norm, it is recommended to immediately consult a doctor. Normally, during this period, there may be:

Pain in the lower abdomen associated with the contraction of the uterus after curettage;
Minor bleeding;
Feeling of a pulling, aching back pain.

These symptoms may only be present in the first few days. If it persists after a week, then you need to see a doctor. You also need to do if there is severe bleeding and excessively intense pain, or a temperature appears after cleaning the uterus.

During this period, it is necessary to reduce physical activity, which will have a good effect on well-being. You cannot bathe in the bathroom, hygiene must be observed with the help of a shower. In this case, it is better not to use chemicals for intimate hygiene, drugs administered vaginally, tampons and douching. Avoid overheating - do not go to saunas, baths, solariums, the beach, do not swim in open water bodies and pools, carefully observe hygiene.

Resumption of sexual activity

When can you have sex after a uterine curettage procedure? This should be treated by the attending physician after examining the patient. The uterus must be cleansed of blood, tissue particles, clots. And this takes at least 7-10 days. But the average period is about 2 weeks, although in some cases the doctor puts limits on 1-1.5 months.

Be sure to use a condom. This will not only avoid infection of the delicate mucous membrane, but also prevent unwanted pregnancy. Fertilization becomes possible approximately 2 weeks after the procedure.

Some women are reluctant to resume sex. Especially if the scraping was associated with the loss of a child. For them, sex is an opportunity to conceive and lose a baby again. This is already a psychological problem, and a consultation with a gynecologist is required to solve it.

How does cleaning affect the skin of the face?

Facial cleansing is considered a popular cosmetic procedure that helps to normalize appearance skin, cleanse it of various impurities. This is basic hygiene care that is important for the health of the cover. Only secondarily, this procedure improves the appearance, makes the face beautiful and toned.

With this therapy, the following positive changes and effects are observed:

Active exfoliation of the stratum corneum;
Removal of acne;
Cleaning the cover from harmful substances;
Restoration of full skin protection, Ph level;
Strengthening metabolism;
Acceleration of blood circulation.

After cleaning, the skin begins to breathe fully. This is what significantly reduces the appearance of new acne, acne, blackheads. During these procedures are used special preparations that are well absorbed and reach the desired destination. After that, the skin acquires a youthful appearance, becomes fresh and attractive.

When can you have sex?

Many people ask the question: when, after removal, can you sleep with your husband? Sex is a physical activity that should be avoided in the postoperative period. It is best to postpone intercourse for one month so that optimal recovery is not compromised.

Sexual relationship

Sexual intercourse is the next thing to do after cleansing the uterus. The duration of abstinence is determined by the gynecologist individually in each case after examining the patient. The duration of the recovery of the uterus depends on the cause of the curettage and the general health of the woman. In the vast majority of cases, the recovery period lasts 1 menstrual cycle.

Sex after scraping can be practiced no earlier than 2 weeks later. This is the minimum period during which the uterine lining is completely replaced after cleaning. It is advisable to use a condom and avoid casual sexual intercourse.

If the endometrium has not yet fully recovered, then the risk of infection increases significantly. There are many diseases that occur in a latent form and are not dangerous for a healthy body. But as a result of the weakening of the immune defense, the likelihood of infection and the realization of the disease increases significantly.

And there is also a risk of damage to the walls of the vagina, which can increase the power of bleeding. And this is another reason why you shouldn't have sex after brushing.

After the onset of sexual activity, a woman may feel a little pain, feel a burning sensation and dryness in the vagina. You do not need to do anything, since such symptoms are considered a conditional norm and go away on their own.

If the discomfort persists, then it is necessary to consult a gynecologist. After a vaginal examination and based on the results of a transvaginal ultrasound examination, appropriate treatment will be prescribed.

Bath and sauna

The next thing that cannot be done after curettage of the uterus is to visit the bathhouse or sauna. Until the moment of complete cessation of secretions, you can only take a warm shower.

Why can't you go to a hot bath after cleaning? The answer to the question lies in physiology. The uterus, injured by curettage, bleeds heavily, which explains the bleeding accompanying the procedure.

Sudden changes in temperature - cool dressing room and roast bath room- can cause additional blood flow to the organ damaged by the procedure. This causes an increase in discharge up to the development of serious bleeding that requires medical attention.

A hot bath is especially dangerous in the first few days after scraping.

What else cannot be done? After scraping, saunas are also banned. As a rule, these are places common use... After cleaning, a woman's body is especially susceptible to various kinds of infections: an open cervix and injured mucous membrane greatly simplify the process of penetration of pathological bacteria to the wound surface. It is not possible to ensure sterility of wooden coverings (benches, benches and sun loungers), and in conditions of heat and humidity, pathogenic bacteria multiply very quickly.

If visiting a bath or sauna after cleaning the uterus cannot be avoided, then the following rules must be observed:

the maximum time spent in the bath (not too hot) - 25 minutes;
time spent in the steam room / sauna (at a temperature not higher than 70 ° C) - 10 minutes;
it is not recommended to take off your underwear.

Diet example

You need to eat natural healthy foods, avoiding fried, fatty and smoked foods. An example of a diet might be:

Breakfast - yogurt or cottage cheese, egg, whole grain bread, weak coffee;
Second breakfast - fruit;
Lunch - vegetable or low-fat meat soup, a side dish of cereals and white lean fish, tea;
Afternoon snack - lard, kefir, or yogurt;
Dinner - vegetable side dish and chicken breast, rosehip broth.

It is advisable to include in the diet foods rich in phytoestrogens - corn, soy, yams.

How to remove: the operation

Initially, the surgeon together with the gynecologist are determined with the date of the intervention. During menstruation, it cannot be carried out, therefore, removal after them should be prescribed in one of the first ten days of the menstrual cycle.

Depending on the clinical situation, the patient's condition and the method of surgical treatment, the doctor chooses either local anesthesia or general anesthesia... The first option is carried out with a relatively normal woman's health, the absence of mental illness, significant polypous growths. Otherwise, anesthesia is indicated with preliminary preparation - conducting reactions to drug sensitivity and premedication.

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Types of removal operations:

Hysteroscopy- one of the most common modern methods by which tissue outgrowths are excised. It is based on the use of special instruments with an optical device. With the help of it, the doctor can observe all the moments of the operation, assess the nature of the disease and the quality of the procedure. During hysteroscopy, instruments are inserted into the uterine cavity through the vagina and its cervix, which is also an advantage, since tissue trauma is reduced, and, therefore, the duration of the recovery period is reduced. The duration of the procedure itself generally does not exceed 30 minutes;
Laser use- allows you to further minimize the traumatic factor, reduce the likelihood of complications. Due to laser action, pathological tissues are removed without damaging healthy ones and blood vessels. This is a very accurate method, it requires a sufficiently high qualification and professional training of a specialist who will implement it;
Scraping- the traditional method of removing polyps, which has such disadvantages as the inability to visualize the area undergoing surgery, and high trauma.

Important! In modern medical practice, scraping is used only in emergency cases when uterine bleeding occurs and it is urgent to remove the tissue outgrowths that provoked it.

The use of radio waves - for this, the surgeon inserts a special electrode into the uterine cavity, emitting high frequencies, due to which the pathologically formed outgrowths evaporate.

As previously noted, the operation takes about half an hour, although the duration will depend on the volume of the operated area, the general condition of the patient and situations that may arise during the intervention.

Other types of sex

After removing the polyps of the cervix, treating endometrial hyperplasia and carrying out abortive measures for several days, you need to abandon any kind of intimacy. This is due to the fact that when scraping the mucous membranes of the uterine cavity in the first days, serious complications are possible - and any load (even if pleasant) is strongly discouraged.

After a couple of days, oral and anal sex are allowed. The main thing is that the partner's actions are accurate and do not provoke the appearance of unpleasant sensations.

Pregnancy after surgery for the first three months is undesirable. Oral contraceptives are often prescribed during therapy. The duration of their admission is at least 90 days. Due to this, conception does not occur during an unfavorable period.

Example of a daily routine

Balancing work and rest is important for quick recovery. Ideally, you need to sleep at least 8 hours a day, work no more than 8 hours, and rest at least 8 hours. Moreover, if the work is connected with physical activity, then you need to take sick leave at least for a few days after the procedure. If the work is not hard physically, then, as a rule, you can go to it the very next day. But this must be agreed with the doctor.

Douching

Normally, the cervix is closed, but after cleansing, it remains open. Thanks to this, its cavity is cleansed and the unhindered exit of blood clots. And it is at this moment that the organ is especially vulnerable to various pathogenic microflora.

During the recovery period after the performed curettage, no vaginal irrigation should be done. Douching is allowed only in exceptional cases. They can only be done on an outpatient basis or as prescribed by a doctor.

In addition to the risk of pathogenic microflora entering the uterine cavity, a burn cannot be ruled out. Indeed, during irrigation, soda can be added to the water, lemon juice or medications.

The walls of the organ after scraping are a wound and if an irrigation liquid containing aggressive components gets on its surface, it is possible to cause chemical burn... Such lesions require a long and complex treatment, therefore, douching after cleaning cannot be done.

Histology

A benign formation extracted from a woman's body is subsequently sent for histological examination. Specialists study the nature of the tissues that made up the polyp. This makes it possible to assume the probable causes of the onset of the disease, the risk of its recurrence and malignancy. The study can be carried out, if necessary, on an emergency basis, in which case it lasts about an hour. Also, sometimes there is a need for laboratory research after a while. To preserve the tissues, they are placed in a test tube with a special solution.

Drugs

Treatment after curettage of the uterine cavity involves taking medications. They are not aimed at directly contributing to the growth of the endometrium, since this is not necessary - this is a natural process that occurs physiologically. Reception of drugs is carried out in order to improve the patient's condition and well-being, to avoid relapses of the disease, and also to prevent the development of severe consequences and complications, for example, the addition of an infection.

Antispasmodics

Antispasmodics after curettage of the uterus should be administered with caution. This is due to the fact that after this procedure, the uterus contracts, pushing out the excess endometrium and rejecting its remnants. This is a normal physiologically determined process in this situation, but it causes enough severe pain in the lower abdomen, which persists in the first days after the intervention.

It can cause quite strong discomfort to the patient, but it is undesirable to remove it with antispasmodics, because if the uterus does not contract, the healing process can be delayed. In severe conditions, however, No-shpu is prescribed, etc. drugs.

Diagnostic curettage

Antibiotics

Antibiotics are always prescribed after curettage of the uterine cavity. They are taken in a course of five to ten days, one or two tablets per day, depending on the selected drug. Depending on the patient's condition, the course can begin on the day of cleaning or a day or two earlier.

Why are antibiotics prescribed at all? Drinking them is necessary in order to avoid the attachment of any concomitant infection. The fact is that with this intervention, not only the wound surface is formed, but also the local immunity is greatly reduced. All this together significantly increases the likelihood of developing an infection in the uterus. To prevent this, strong broad-spectrum antibiotics are prescribed, such as Tsiprolet, Ceftriaxone, Amoxiclav, etc.

Herbs

How to restore the uterus after curettage? In general, she is able to recover herself, this is a normal process, similar to the restoration of the endometrium after menstruation, when it is almost completely rejected and renewed. The growth of the mucous layer within the cycle and after curettage occurs under the action of the hormone estrogen produced by the ovaries. The more it is, the more actively the endometrium grows.

Estrogen preparations can cause hormonal imbalances, but the use of herbs rich in phytoestrogens (plant analogues of estrogen) is very beneficial. You can drink decoctions and infusions from the borax uterus and a red brush. The boron uterus after scraping is especially indicated, since it contains more phytoestrogens than other herbs.

Anti-inflammatory drugs

Anti-inflammatory drugs are not always prescribed, but in most cases they are still indicated. They are needed for about the same thing for which antibiotics are needed - they prevent the development of the inflammatory process on the wound surface. Prescribed drugs such as Nurofen, Ibuprofen, which are taken 2-3 tablets per day for a week, starting from the day of the procedure. For the same period, Diclofenac can be injected. In addition to their direct anti-inflammatory effect, they also relieve pain well.

If a temperature appears after scraping, then this may indicate the onset of the inflammatory process. Therefore, you must immediately consult a doctor.

Discharge after intervention

They are a kind of indicator of whether tissue healing is proceeding normally.

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Allocations can be:

Bloody- the reason why they appear is the ingress of blood into the uterine cavity during surgery. Blood is normally secreted within two days;
Physiological- they are transparent, may contain ichor, are observed for about two weeks and are normal after surgical treatment;
Purulent- testify to the addition of an infection, most often accompanied by an increase in temperature. When they appear, a woman should immediately visit a doctor, since ignoring this symptom is the first step in the development of conditions dangerous to health and life;
Putrid- characteristic for the defeat of the reproductive system of a woman by anaerobic bacteria. They are foamy in nature and are also a serious health hazard. Therefore, consultation and examination by a doctor are required.

The release of liquid contents from the vagina is a kind of cleansing of the operated area, therefore it can be considered a natural process in this period.

Is there a risk of relapse?

After the elimination of the disease, there is still a possibility of its re-formation. No one guarantees a complete cure even after a well-performed operation. In 10% of cases, after a while, endometrial hyperplasia reappears. To try to reduce this percentage, it is necessary to conduct a detailed examination of the patient. This will allow to determine the presumptive etiological factors contributing to the pathological growth of the inner uterine layer, and eliminate them.

Important! For the development of the disease, a hereditary predisposition is characteristic, that is, if a similar pathology was present in the family along the female line, the likelihood of its appearance in a woman is higher. This means that the risk of recurrence increases.

Sport

You can go in for sports as usual about a month after the intervention. At the same time, light loads, such as gymnastics or aerobics, can be done earlier - after about a couple of weeks. The time to start playing sports should be discussed with a specialist, since a lot depends on the individual characteristics of the body and the speed of healing.

Menstruation after curettage

In the process of scraping, the lining of the uterus is completely removed, immediately after that, a gradual restoration of the mucous membranes begins. Accordingly, the date of the operation (cleaning) should be considered the first day of the cycle. The arrival of regulation after cleaning is expected in about a month.

In some cases, spotting appears with a slight delay. The cycle is fully restored within three months.

It is extremely important to monitor changes in the nature of menstruation after surgery. An unusual color, an increase in volume, an uncharacteristic odor, itching of the vulva, a pronounced pain syndrome - these symptoms indicate the possible development of complications. It is imperative to tell the doctor about their appearance.

Pregnancy after hysteroscopy

There are certain recommendations for pregnancy after hysteroscopy, adhering to which the recovery process will proceed much faster. During the first month, a woman needs sexual rest. This is due primarily to the fact that the body at this moment is not protected from negative influences from outside. A genital infection can penetrate into the uterine cavity, and the condition will worsen significantly.

In addition, during the first one and a half weeks, there is a bleeding from the vagina. It also makes intimacy impossible. The woman's well-being during this period is deteriorating.

Pregnancy after elimination of the pathology in the uterine cavity is possible. Doctors recommend thinking about conception no earlier than three months after the operation.

How do I take care of my skin after the procedure?

Although cleansing your face is a simple procedure that is quick and uncomplicated, it requires proper skin care. Since the face can look unattractive, it is recommended that you stay in the salon for about 30 minutes so that the pores will shrink and the color will become less red.

During the first day, you should not touch the surface of the skin of the face with your hands, so as not to infect the open pores;
During the first 24 hours, there is an increased separation of fat from the cleaned pores. To remove it, you can use a napkin, which is pre-moistened in a chlorhexedine solution. This should be done no more than three times a day and no longer than 2-3 days;
Washing after all procedures should be postponed for at least 12 hours. As soon as this time has passed, it is worth abandoning washing with soap, chlorinated or too hot water. This can cause severe inflammation and infection in the pores. A tonic or lotion with an antibacterial effect is suitable for cleaning the cover;
It is not recommended to use scrubs for 7 days. They can harm and injure the weakened dermis;
To moisturize the cover, you should use an emulsion with a moisturizer or gel. Aloe and panthenol products have a good effect;
If during the cleansing there were injuries that led to the appearance of sores, then it is worth waiting for them to get covered with a crust and move away on their own. You should not remove them on your own, you can bring an infection or in the future a scar may remain in their place;
Within 1-2 days after cleaning, it is not recommended to use any cosmetic products that can clog pores - tonal foundations, powder, primers, correctors, and the like.

We offer you to see the features of facial care after cleansing:

Why not?

During the procedure, various tissue injuries can be performed. For example, for the diagnosis of some diseases, partial curettage is required, which is necessary for the collection of diagnostic material. After such an intervention, the patient should not have sex for about two weeks. But if a woman undergoes an abortion, then cleaning involves removing the fetus and mucous membrane. This procedure is very traumatic and tissue healing is slow. Therefore, at this time, intimate relationships for a long period of time are not recommended.

That is, sex is contraindicated in women until the uterus is fully restored. In any case, even if you ignore the doctor's recommendations and start making love earlier, the patient will not experience pleasant sensations. Therefore, it is best to wait until the organ is completely healed.

When can you have a sex life after hysteroscopy?

Taking into account the above-described moments of the operation, after the examination, the woman is given appropriate recommendations for restoring the body. After hysteroscopy, antibiotic therapy is prescribed to exclude infectious complications and the development of endometritis. For the same purpose, abstinence after hysteroscopy is recommended. So a sexual partner can be carriers of even the most banal pathogens that normally "live" in a woman's vagina. But, since the local immunity of the vagina is provoked by the operation, sex after hysteroresectoscopy can lead to the development of undesirable consequences - from the banal "thrush" to pelvioperitonitis (an ascending infectious process).

So, how many days after hysteroscopy can you have sex? Following generally accepted guidelines, the calculation is not carried out in days. Only after three to four weeks, in the absence of complications and additional complaints from the patient, sexual activity is allowed after hysteroscopy. When you can start having sex, you should remember about contraceptive methods, since the body is not yet ready for pregnancy, this takes time. And now, when you can engage in intimate life after hysteroscopy, you should also not forget about the banal rules of personal hygiene.

Treatment after surgery

Since during the surgical treatment the female body was stressed, spent part of its biological and energy resources for recovery, it is necessary to help it in the postoperative period. For prophylactic purposes, antibiotics are prescribed, such as penicillins or cephalosporins, which have a wide spectrum of action. If any pathogen has been identified, an antibacterial drug is prescribed that actively affects it.

Antibiotic therapy is not used if a woman has an allergic reaction to these drugs, as well as for chronic, oncological diseases, anemia, immunodeficiency and old age.

Expert opinionOlga MatveevaGynecologist-obstetrician
6 years of experience To accelerate the recovery processes, vitamin therapy, immunostimulating agents, the use of physiotherapy are recommended. In no case should you use funds with the inclusion of acetylsalicylic acid, since they reduce blood coagulation. This prolongs healing and also increases the likelihood of bleeding. All medications must be agreed with the attending physician.

You need to adhere to a high-calorie diet, normal work and rest, lead healthy image life. Thanks to this, the patient will recover faster and all the consequences of the postponed removal of the polyp will disappear.

Many women who are in the process of treating polyposis formation, or are recovering from it, are interested - after removing a polyp in the uterus, when can you sleep with your husband? This question is not as straightforward as it might seem, since it cannot be answered only on the basis of general indicators of the dynamics of the patient's recovery after surgery. Much depends on the individual characteristics of the woman's body, the presence of concomitant pathologies and other factors. Let's consider the process of treatment and rehabilitation after removal of polyps in more detail.

The nature and dynamics of the disease

Polyps are benign formations that develop on the basis of hormonal disorders in the female body.

Due to the influence of progesterone deficiency, pathological changes begin in the female body - the dysfunctional endometrium is not removed from the uterine cavity, but accumulates there, forming specific growths.

Over time, a characteristic structure forms inside such growths, blood vessels develop, and connective tissue appears. This is how a polyp is formed.

Visually, it resembles a rounded, tumor-like growth of a reddish color. If the polyp is located on the outside of the uterus, it is often exposed to irritating external influences - for example, during intercourse, or the use of intrauterine contraception.

When conducting gynecological examination it is impossible not to notice the irritation of the polyposis form - it acquires a bluish or burgundy hue, begins to rapidly increase in size.

A patient who, before the disease, lived an active sex life, will face the inevitable consequences of increased traumatism of polyposis formation:

painful sensations localized in the lower abdomen;
spasmodic contractions, indicating the development of inflammatory processes;
bloody discharge outside the menstrual cycle;
violations of the intensity and regularity of menstruation;
sharp changes in body temperature.

All this indicates that, due to regular damage inside the polyp, pathological transformations began. With polyps of this type, an infectious lesion may develop against the background of inflammation - then the patient has characteristic discharge of a viscous consistency that has a brownish tint. In such cases, sex with a polyp is contraindicated.

If the neoplasm is located inside the uterine cavity, the risk of injury is minimal, however, it is more difficult to diagnose polyps in the uterus. They can be identified only with the help of ultrasound diagnostics, when the clinical symptoms of the neoplasm become quite clear.

With polypous formation of this type, you can have sex without feeling painful sensations. However, often after sexual intercourse, the patient, who was diagnosed with a polyposis neoplasm, feel discomfort and note the appearance of spotting in small quantities. This may mean that the polyp dynamically progresses and increases in volume, causing pathological changes in the tissues of the endometrium. This situation requires urgent medical attention.

Specificity of treatment

The successful result of polyp treatment is achieved when it is removed. For this, modern gynecology uses several methods:

surgical curettage (hysteroscopy);
cryotherapy (freezing the polyp with nitrogen or the effect of low temperature);
radio wave method;
laser removal.

All these methods are united by the fact that after excision of the neoplasm, the site of its attachment to the endometrial tissue is carefully treated with special means that prevent the development of recurrent manifestations. However, in some cases, with insufficiently thorough elimination of pathological tissues, or as a result of the influence of other factors, relapses still occur.

In order to protect the patient as much as possible from the re-development of the disease, she is prescribed a course of restorative antibiotic therapy, in some cases - hormones, and also prescribed to engage in the prevention of the disease.

Postoperative treatment will take from three months to six months. Whether it is possible to engage in sex, intense sports, depends on the pace and dynamics of the recovery process, the individual feelings of the patient and the appointment of the attending physician.

Recovery after surgery

After removal of a polyposis neoplasm, the female body needs a period of calm and rest in order to reanimate damaged tissues and restore resources.

Most gynecologists, when asked exactly when you can sleep with your husband after removing polyps in the uterus, answer that the preferred period of abstinence is at least a month.

Having sex after removal of polyps in the uterus or cervical canal is possible when the healing and recovery period has passed. Another question is that the formations are removed by different methods: complete curettage, hysteroscopy, resection of own tissues affected by polyps, as well as amputation of organs in a severe form of pathology. In this case, the damage is different, which means that rehabilitation is different in terms of time.

Polyps of the female genital area

Formations from glandular or fibrous epithelial tissue, which, under the influence of disorders, grow on the mucous membranes of organs. They affect the digestive tract, ducts, nasal cavity, ears, genitourinary system. In the genital area, women distinguish between polyps of the endometrium of the uterus, cervical canal, cervix and vagina. The most common are the first 2 types. According to the structure and tissue of which the formations are composed, they are divided into several types:

Glandular - soft, jelly-like is often found in patients of childbearing age.
Fibrous - dense, on ultrasound it looks lighter than the surrounding elements, consists of connective tissue fibers. Occurs before and during menopause.
Mixed - contains approximately equal amounts of glandular and fibrous biomaterial.
Adenomatous - resembles the first type in structure, but its cells are in an altered state, which may portend transformation into a cancerous tumor.
Placental - an outgrowth of pieces of an incompletely separated placenta. It occurs as a complication after childbirth, abortion, miscarriage.
A decidual polyp is an overgrowth of the uterine membrane during pregnancy.

Pathology is very dangerous, because the first 4 species are more or less prone to malignancy. They also get damaged and bleed. Each entity has its own blood supply. Moreover, a rather large vessel or a dense plexus of small ones can feed. As a result of a build-up injury, blood loss leads to iron deficiency anemia. Polyps are often infected and inflamed.

Attention! One of negative impacts is a mechanical obstacle to conception.

Symptoms of pathology

Clinical picture with polyps of the uterus or cervical canal, it has a general character, similar to other diseases of the female genital area:

The duration of menstruation increases;
Menses become profuse;
There are spotting spotting on any days of the cycle, after sex;
With inflammation, purulent leucorrhoea is noted;
There is pain in the lower abdomen and lower back.

Causes of female polyps

Lead to the formation of formations hormonal disorders that may occur due to endocrine disease, corticosteroid use, or birth control pills, with adjustments during pregnancy, menopause. But there are other prerequisites:

Excess weight;
Childbirth with complications;
Abortion;
Immunity problems;
Infections;
Heredity.

Sexual life in the presence of pathology

Is it possible to have sex with polyps in the cervical canal or uterus? There is no direct prohibition on intimate life. Consider the options for risks associated with sex:

A mass that is partially or completely in the vagina is mechanically damaged during intercourse, which leads to bleeding.
A polyp that leaves the body of the uterus through the cervical canal becomes a bridge for bacteria from the outside. If, in a normal situation, most infections occur only in the vagina, then in such a situation the risk of infection of the upper parts of the reproductive system increases.
Damaged polyps become easily infected, so a complication arises. Bacteria multiply not only on the mucous membranes, but also enter the tissues, the bloodstream.
The woman feels pain during deep penetration.

Therefore, it is not forbidden to have sex, but condoms should be used to avoid the introduction of not only STD pathogens, but also foreign flora. Avoid rough intercourse and deep penetration positions.

Attention! If blood appears after each intercourse, then it is better to stop intimate life for a while and consult a doctor.

Sex with a polyp during pregnancy

When carrying a child, the decidual formation sticks out of the neck opening. During intercourse, he is constantly injured, which leads to bloody discharge. The risk of fetal infection increases. Therefore, the following measures are applied:

Sexual rest with severe bleeding, followed by the imposition of a tourniquet on the apex of the polyp. The constricted part dries up, and the problem is solved before childbirth;
Condom use;
Washing the genitals of a man and a woman before sex.

During pregnancy, to play it safe, doctors often put a ban on intimate life. But solving the problem in the described way helps to get rid of the restrictions.

Abstaining from sex as a result of different methods of removing polyps

The duration of sexual rest after surgery will depend on the location of the formation, the method of elimination, associated problems and the severity of the case. Therefore, the timing is individual. Below we provide approximate times for different surgical methods.

Scraping or vacuum aspiration

In the clinics of small towns, there is no modern equipment, so the removal of polyps is carried out using affordable methods. Both involve complete elimination of the endometrium:

Scraping. The inner layer of the uterus is removed in stages using a curette surgical instrument. Everything happens blindly. There is a high risk of damage to the wall itself, bleeding. In this case, the bed of the polyp in most cases remains, which leads to a relapse after a few months.
Aspiration is a device that functions like a vacuum cleaner. Under the influence of a vacuum, the endometrium separates itself and goes out along with the polyps. The foundation of education can also remain. There is no risk of bleeding.

Sex after curettage is possible only after complete healing is achieved. This usually takes about 8 weeks. In any case, a check with a gynecologist is necessary. If, as a result of intimacy, spotting or pain occurs, then you need to wait another week.

As a result of aspiration, they are guided by the restoration of menstruation. At the end of the first, the ban on sex is lifted. Menses usually come in 3-4 weeks.

Attention! Vacuum and scraping give a healing effect only in 30% of cases, the remaining 70% end in relapse.

Hysteroscopy

A modern surgical method for manipulating the uterus, which allows you to act locally and under visual observation through a video camera. Polyp is eliminated by unscrewing and cauterizing the bed with an electric current. The procedure does not require lying in a hospital, everything takes place on an outpatient basis under general sparing anesthesia. According to the patients' reviews, they did not feel almost any discomfort after the procedure. Recovery takes place in a couple of weeks, but sex is allowed at the end of the first menstruation.

The best is laser and radiosurgical removal. The equipment is very rare and expensive; it is available in large medical institutions and private clinics in megalopolises. The advantage is tissue healing in a short time without a scar. The downside is the high cost of the procedure, which amounts to tens of thousands of rubles. Recovery occurs within 7-10 days. After 3-4 weeks, sexual rest can be canceled.

Organs resection and amputation

Unfortunately, sometimes polyps become an indication for the removal of the uterus, cervix. This is practiced with recurrent formations in women whose reproductive period has already ended. After 40, the risk of oncology increases, so removal of an organ with polyps is a method of cancer prevention. In rare cases, there is an extensive lesion with growths with purulent inflammation, then hysterectomy is performed at any age.

These are serious operations that require a stay in the hospital for some time. Despite the severity of the situation, the recovery period is 1.5 to 2 months, if there are no complications.

Removal of the polyp of the cervical canal

Such an operation involves the work of the surgeon in a very limited space, there is a high risk of damaging the walls of the neck. If everything went well, then the recovery time is about 6 weeks.

Attention! This area is more exposed than the uterus during sex, so even after the completion of rehabilitation, the intimacy must be approached carefully.

Removal of a polyp during pregnancy

If expectant mother eliminated the top of the decidual formation by applying a tourniquet, no healing is required. After 2 weeks, when there are no other contraindications, intimacy is possible.

If uterine polyps of other varieties are removed during pregnancy, then in most cases, sexual rest will be prescribed before childbirth. This is done to reduce all kinds of risks. After the operation, the cervix becomes weak, sometimes it is even necessary to install a pessary. The likelihood of recurrence of polyps, premature birth, and infection of the fetus remains.

As you can see, abstinence is 1-2 months. Gynecologists advise for any operation to wait until the onset of menstruation, because the risk of infection and bleeding remains. For those who have already lifted the ban on sex, there are a number of recommendations:

Be sure to wash, take a shower in front of sex for both partners.
Use a condom at first.
Avoid rough and abrupt movements, deep penetration.
The anatomy of a woman is individual, so she herself will find the position that will be the least traumatic.
Will stop if sex brings pain, spotting.
For any unpleasant symptoms, consult a gynecologist.

Update: December 2018

One of the modern diagnostic and therapeutic procedures in gynecology is hysteroscopy. This operation allows you to examine the uterus, identify and, if necessary, promptly remove the pathology, and in many cases, determine with. Whether to do hysteroscopy, the doctor decides, based on the indications and contraindications for this manipulation, but the last word, of course, remains with the patient.

Briefly about hysteroscopy

Hysteroscopy is called such a therapeutic and diagnostic manipulation that allows you to visually assess the uterus from the inside, identify pathological formations or anomalies in its structure and, if necessary, remove them promptly, that is, without penetrating abdominal cavity... This method is endoscopic and is performed using a special optical device - a hysteroscope by a trained specialist.

Translated from Greek, hysteroscopy means "to examine the uterus." Manipulation is diagnostic and therapeutic. Diagnostic hysteroscopy is performed not only to examine the inner uterine surface, but also to collect material (endometrium) for histological examination (biopsy). During medical hysteroscopy, surgical interventions are performed, for example, removal of neoplasms or foreign bodies.

Preparing for the procedure

Since hysteroscopy refers to invasive procedures and is akin to surgical intervention, the patient is prescribed an examination before it is performed (excluding emergency cases):

From instrumental methods appointed:

Ultrasound of the small pelvis;
(if indicated);
fluorography;
blood clotting analysis;
(if indicated).

If the patient has chronic extragenital diseases, a consultation with a doctor of the appropriate profile with corrective therapy is indicated. If detected, vaginal sanitation is prescribed (up to 1 - 2 degrees of purity).

The examination is carried out on an outpatient basis. After admission to the hospital, the patient is prescribed a cleansing enema (bowel preparation) before the procedure, and immediately before hysteroscopy, it is necessary to empty the bladder. Eating on the day of manipulation is prohibited due to intravenous anesthesia during hysteroscopy. Hysteroscopy is planned for 5-7 days of the cycle, that is, in the first (proliferative) phase, when the new functional layer of the endometrium has just begun to grow, and the inner surface of the uterus is accessible for examination.

It is also necessary to refrain from sexual intercourse 3 days before the procedure, and stop douching a week before. The use of spermicides and vaginal suppositories 7 days before hysteroscopy is also not recommended.

Types of hysteroscopy

Hysteroscopy, depending on the purpose, may be:

diagnostic - when it is necessary to identify the causes of "problems" in the female line (to diagnose endometrial polyposis, submucous myomatous node or other pathology);
therapeutic - after examining the inner surface of the uterus, surgery is performed (excision of polyps, resection of the myomatous node, dissection of adhesions or septa in the uterus);
control - carried out after a certain time (usually six months) after intrauterine interventions using hysteroscopy.

For a successful operation, it is necessary to straighten the uterine walls, stretch and expand the uterus. For this, media are introduced into the uterine cavity. Depending on the environment used, hysteroscopy is divided into:

liquid (physiological solution or 5% glucose is introduced);
gas (carbon dioxide is introduced).

Office hysteroscopy

Office hysteroscopy of the endometrium is one of the options for diagnostic hysteroscopy and is performed on an outpatient basis. This name of the procedure came from Europe, where hysteroscopy for diagnostic purposes can be performed not only by a gynecologist, but by a general practitioner, and it is performed on an outpatient basis, in medical offices (by Western definition, in offices).

Office hysteroscopy is called simple hysteroscopy, mini-hysteroscopy, diagnostic video hysteroscopy. The latter term means showing the patient during the manipulation a picture of the inner surface of the uterus. Benefits of mini-hysteroscopy:

low invasiveness of the procedure (a hysteroscope with the smallest diameter is used, without dilating the cervical canal);
there is no need for general anesthesia, which reduces the cost of hysteroscopy and the risk of anesthetic complications;
the possibility of outpatient treatment, does not require hospitalization and does not affect the ability to work;
a short period of the procedure (no more than half an hour);
good tolerance of manipulation;
endometrial biopsy is possible.

Indications

The decision on the need for hysteroscopy is made by the doctor based on the following indications:

various disruptions in the menstrual cycle in girls, women of childbearing and premenopausal age;
bleeding and bleeding in postmenopausal women;
suspicion and for confirmation:
- submucosal myomatous node;
- adenomyosis;
- endometrial cancer;
- malformations of the uterus;
- intrauterine synechiae;
- perforation of the uterus;
- the remains of the ovum and membranes;
- polyposis and;
- a foreign body in the uterine cavity;
clarification of the localization of the intrauterine device or its parts;
infertility;
how preparatory stage before IVF;
miscarriage;
evaluate the effect and control the result of hormonal treatment;
complicated postpartum period.

As it becomes clear, hysteroscopy is the most effective and effective method diagnosis and treatment of gynecological pathology, therefore, it is inappropriate to refuse the procedure.

Contraindications

Like any other intrauterine procedure, hysteroscopy is not performed in the following situations:

acute infectious diseases (colds, tonsillitis, or others);
exacerbation of chronic diseases;
acute inflammation of the genitals (colpitis, endometritis, adnexitis);
uterine pregnancy (desired);
or suspicion of her;
advanced cervical cancer;
extragenital diseases in the stage of decompensation (cardiovascular pathology, kidney);
profuse bleeding from the uterus;
atresia of the cervical canal.

Recovery period

The recovery period after the transferred manipulation is conventionally divided into 2 stages. The first stage consists in the primary restoration and normalization of the structure and functioning of the damaged tissues of the uterus (mucous membrane and muscle layer). At the first stage, microdamages and surgical incisions are completely healed, as well as the cervical canal is restored and regenerated. This stage lasts about 2 - 3 weeks and ends with complete regeneration of surgical lesions and the formation of scarless tissue.

The second stage of recovery is aimed at the formation of new, newly formed tissue, that is, a new endometrium after hysteroscopy. The new mucous membrane of the uterus should have a normal structure and all its inherent functional properties (growth and rejection of the endometrium according to the phases of the menstrual cycle). The second stage of recovery takes longer and lasts up to 6 months.

Discharge after the procedure

Blood and mild spotting will occur in the first 2 to 3 days after manipulation. This is due to the traumatic damage to the uterine mucosa with instruments. In the future, the discharge becomes bloody or yellow, which can last up to two weeks. The duration of the bloody discharge is due to the expansion of the uterine cavity with fluid during hysteroscopy, the fluid penetrates into the vessels, damaging their walls, which leads to the release of the "blood". But in case of profuse bleeding and blood clots, you should immediately consult a doctor.

Menstruation after hysteroscopy

When does your period come after hysteroscopy? It all depends on the purpose for which the procedure was carried out. In the case of diagnostic, especially office hysteroscopy, menstruation occurs according to the schedule of the usual cycle, but slight delays (2 - 3 days) are possible. This is due to the fact that during the diagnostic procedure, the endometrium is practically not injured, therefore, a long time is not required for its recovery. But in the case of medical hysteroscopy, especially after the completion of the procedure by scraping the uterine cavity, a longer delay in menstruation is possible. In this situation, the first day of the menstrual cycle should be considered the day of the operation and expect menstruation in about a month. It is important to monitor the nature of the first menstrual period after the procedure. If the color and consistency changes, as well as an increase in the amount of blood discharge, you should consult a gynecologist.

Pain after the procedure

Pain after hysteroscopy is considered absolutely normal if it is mild or moderate, localized in the lower abdomen or in the lower back / sacrum and lasts a couple of days. Painful sensations are explained, firstly, by the stretching of the uterine cavity during the procedure with gas or liquid, and secondly, by traumatization of the tissues of the cervix and uterus with instruments. Women with a low pain threshold complain of severe pain, in such cases, the doctor may recommend taking NSAIDs with a good analgesic effect (ketorol, indomethacin, nise). But if the stomach hurts unbearably, the nature of the pain is cramping, dagger or shooting, the temperature rises significantly and the symptoms of intoxication increase, the pain is given to the perineum or leg, then you must immediately seek medical help to rule out possible complications.

In the early recovery period, it is necessary to strictly follow all the recommendations of the gynecologist:

give up sexual activity for about 3 to 4 weeks (ideally, before the first menstruation);
it is forbidden to take a bath, visit the bathhouse and sauna, as well as swim in the pool or open water for at least 3 weeks;
observe personal hygiene (taking a shower daily, wash yourself twice a day using detergents with a pH-neutral reaction (intimate gels, baby soap);
as a rule, the doctor prescribes anti-inflammatory treatment after hysteroscopy (prophylactically) with antibiotics (ciprofloxacin) and metronidazole for 5 to 7 days;
daily control of body temperature (in the morning and before bedtime);
refuse to take aspirin as an analgesic (the drug thinns the blood, which will increase bloody discharge and can provoke bleeding);
postpone intense physical activity, hard physical labor and lifting weights over 3 kg for 1 - 1.5 months (health-improving sports exercises are allowed after 2 - 3 weeks);
refusal from tampons for the period of bloody discharge, it is better to use pads;
a ban on intravaginal administration of tablets, suppositories, gels and creams, as well as douching;
after hysteroscopy, spermicides should not be used for a month;
adhere to a balanced diet so as not to provoke constipation (refusal of spicy, salty, pickled foods, fried and fatty foods).
timely empty the bladder.

Pregnancy after hysteroscopy

Most women who go through the hysteroscopy procedure are concerned about when the pregnancy will come after it. If the procedure was performed for diagnostic purposes, and no surgical interventions were performed in the uterine cavity, for example, excision of a polyp, then conception is possible already in the next cycle. This is due to the rapid recovery of the uterine mucosa and. But doctors warn the patient not to rush, and when it is possible to become pregnant depends on many other factors:

the nature of the menstrual cycle (regular or not);
the presence of other gynecological diseases (inflammation of the appendages, background processes of the cervix, external endometriosis, and others);
the presence of extragenital pathology (it is necessary to correct the condition and undergo treatment);
preparation for pregnancy (healthy lifestyle, moderate physical activity for at least 3 months);
examination for genital infections and treatment of both partners when they are detected (human papillomavirus and others).

Under favorable conditions, it is allowed to plan a pregnancy no earlier than 3 months after the procedure.

IVF after hysteroscopy

When a patient prepares for IVF, she must undergo a rather complex examination, the protocol of which also includes hysteroscopy. But not in all IVF clinics this procedure is required. IVF after hysteroscopy can end in failure (miscarriage) in the case of undiagnosed and untreated intrauterine pathology, therefore, most reproductologists consider it mandatory to undergo the procedure. What a doctor can identify and remove (if necessary) during hysteroscopy before IVF:

excision of polyps;
remove hyperplastic endometrium;
dissect intrauterine adhesions;
excision of the intrauterine septum;
remove foci of endometriosis;
correct the shape of the uterus in case of its abnormal development;
remove the submucosal myomatous node;
check the patency of the tubes (insertion of the catheter into the tubes).

After operating hysteroscopy, planning a pregnancy is allowed no earlier than six months later. In the case of successful fertilization and implantation of the egg, the woman is put on the dispensary from the moment of pregnancy and is carefully monitored. The course of pregnancy depends not only on the intrauterine surgery performed, but also on other factors:

hormonal background before pregnancy;
age;
the number of births and;
condition of the cervix (ICN);
extragenital pathology.

Cost of hysteroscopy

The cost of hysteroscopy depends on the purpose for which it is performed. Diagnostic or office hysteroscopy, respectively, is cheaper since it does not include surgery. The prices for operating hysteroscopy vary according to the level of complexity of the operation, the qualifications and experience of the doctor, and the quality of the equipment. Increases the cost of the procedure and the need (in some cases) of hospital stay. But, of course, the price of the service depends on the region and the level of the clinic.

For example, in Moscow, diagnostic hysteroscopy will cost 15,000 - 35,000 rubles, and the price for an operating room reaches 60,000 - 65,000 rubles. In the provinces, the price of office hysteroscopy ranges from 2,500 to 9,000 rubles, and a procedure with surgical treatment of intrauterine pathology costs from 3,500 to 25,000 rubles. The average price for a hospital stay is 1,500 - 4,000 rubles.

Possible complications

Hysteroscopy, like any invasive procedure, is fraught with complications.

Early complications

Of the early postoperative complications, it should be noted:

inflammation of the uterus and peritoneum of the small pelvis (endometritis, pelvioperitonitis) - accounts for 90% of all complications;
intravascular hemolysis due to the duration of the operation and the use of distilled water or electrolyte-free media, or an increase in intrauterine pressure;
bleeding - no more than 5% of all complications (observed after resection of fibroids, resection or ablation of the endometrium).

Late complications

Late complications include:

the formation of pyometra in postmenopausal patients (in the case of rough manipulation);
the formation of hydrosalpinxes, especially in chronic adnexitis;
deformation of the uterine cavity (after resection of the endometrium or removal of large myomatous nodes);
exacerbation of chronic inflammatory processes;
incomplete removal of intrauterine formations.

Question answer

Question:
I was diagnosed with an endometrial polyp six months after hysteroscopy. What is the reason and how to treat it?

Answer: Recurrence of an endometrial polyp is most likely associated with incomplete removal of the formation during the previous procedure (a leg remained). Treatment will consist in repeated hysteroscopy, with excision of the polyp and coagulation of its bed (with electric current or freezing) with the possible appointment of hormonal drugs.

Question:
What should be the body temperature after hysteroscopy?

Answer: Ideally, the body temperature in the morning and evening should not exceed 37 degrees. But while there is bloody or bloody discharge (7-10 days), the evening temperature may rise slightly (up to 37.2 degrees). In case of more high temperature, as well as its increase in the morning, you should consult a doctor in order to exclude the inflammatory process of the internal genital organs.

Question:
Is it possible to take hemostatic drugs after hysteroscopy and which ones?

Answer: As a rule, spotting after the transferred procedure is insignificant and short-lived and does not require taking hemostatics. Vitamin C, calcium gluconate and vicasol can be taken as hemostatic agents. The doctor will recommend taking iron supplements.

Question:
Why are hormonal pills or injections prescribed after hysteroscopy?

Answer: Since the procedure in most cases is carried out with the aim of removing intrauterine neoplasms resulting from hormonal imbalance (polyps, fibroids, endometrial hyperplastic processes), the doctor recommends hormone therapy to normalize hormonal levels. As a rule, oral contraceptives are prescribed for a period of 3 to 6 months.

Question:
Do I need to be seen by a gynecologist after hysteroscopy?

Answer: Yes, definitely. The first visit to the doctor after the procedure should be in 10-14 days. Control ultrasound is performed after 3, and then after 6 months. In case of favorable results of the examination and the absence of complaints, the woman should visit the gynecologist every year in the future.

Question:
On what day are they discharged from the hospital after hysteroscopy?

Answer: If the procedure is planned as inpatient, then on average the patient is allowed to go home the next day. But in some cases it is possible to leave the hospital after a few hours (satisfactory condition, smearing spotting). A woman can be left in the hospital for several days (2 - 3) after a significant surgical intervention (removal of a myomatous node or multiple endometrial polyps) or in the event of complications.

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