The uterus cleaning process is performed to treat the following cases: the presence of abnormal tissue remaining in the uterus after a miscarriage. The uterus cleaning process is performed after a miscarriage to prevent infection or severe bleeding. The process of cleaning the uterus of polyps and removing them from the cervix as well. Removal of a molar pregnancy, which is a pregnancy in which a non-cancerous tumor forms instead of the fetus.

Reasons for performing uterine cleaning

Doctors resort to hysterectomy for therapeutic and diagnostic reasons. Cleaning is performed to take samples from the uterine lining in the following cases:

· The presence of abnormal cells in the uterus.

· Vaginal bleeding after menopause.

Abnormal uterine bleeding

Hysterosalpingography is performed to diagnose the following cases:

· Increased thickness of the uterus, as an increase in the thickness of the uterine lining may indicate the presence of cancer.

· Benign uterine tumors.

·    Cervical cancer.

· Infertility.

Uterus cleaning is performed to treat the following cases:

There is no tissue remaining in the uterus after a miscarriage, and the process of cleaning the uterus after a miscarriage continues for a month with infection or continues for a long time.

The process of cleaning the uterus of appendages and removing them from the uterus.

· Removal of a molar pregnancy, which is a pregnancy in which a non-cancerous tumor forms from the fetus.

· Remove fibroids from the uterus.

· Removal of remaining remains that were severely damaged after birth.

In some cases, the obstetrician may perform a hysteroscopy in addition to a cleaning process. Some people call this process laparoscopic hysterosalpingography, and in fact each of them does a different job from the other, trying to remove any abnormal growths in the uterus such as fibroids and endogenous polyps

Fasting from eating and drinking on the day of the uterus scraping procedure.

· Conducting the necessary medical examinations.

· Take off your clothes and wear a surgical gown.

Steps during the uterus cleaning process include:

Lie on an operating table, similar to a Pap smear bed and a delivery bed.

Connecting the patient to devices that measure blood pressure, breathing, and heart rate.

Anesthesia: The uterus cleaning operation can be performed under general anesthesia, or epidural anesthesia (back needle).

The doctor inserts a speculum through the vagina to be able to view the cervix.

The doctor dilates the cervix by inserting rods sequentially into the opening of the cervix, each rod being slightly thicker than the previous one.

After dilating the cervix, the doctor inserts a uterine curettage instrument to remove tissue.

If curettage cannot remove all the tissue, the doctor may use a suction device to remove the remaining tissue.

After completion, the doctor removes all the devices through the vagina, and the extracted tissue is sent to the laboratory to be examined.

Benefits of uterine cleaning.

The process of cleaning the uterus has many benefits that outweigh its potential harms. Among the benefits of this process are the following:

· Eliminate the time of waiting for a miscarriage to occur on its own.

· Alleviating pain during natural abortion.

· Alleviate the discomfort caused by seeing blood and tissue during a natural miscarriage.

· Detection of abnormal tissue in the uterus.

· Treating some uterine problems that cannot be treated with medications.

Avoid the development of complications resulting from waiting in some cases, such as the dead fetus remaining in the uterus, or continued bleeding in the postmenopausal stage.

It is considered a safe procedure and does not affect the woman's fertility and her ability to become pregnant in the future.

Risks of uterine cleaning

It is rare for complications to occur after a uterine cleaning procedure. Complications and risks of a uterine cleaning procedure when they occur can include the following:

· Exposure to infection.

· Allergic reaction to medications used in anesthesia.

· Scarring of the uterus, which causes changes in the menstrual cycle and infertility. This condition is known as Asherman syndrome, and it is a very rare condition.

· Uterine perforation.

· Cervical rupture.

· Perforation of the intestine or bladder.

· Bleeding

Symptoms that indicate the need to see a doctor after hysterosalpingography, which may indicate the development of complications, include the following:

·    fever.

· Severe vaginal bleeding that requires changing the sanitary pad every 10-20 minutes.

· Passing large masses of clotted blood through the vagina.

· Foul-smelling vaginal discharge.

Uterine contractions and pain persist for more than 48 hours..