Graduate is a procedure performed by the gynecologist to clean the uterus by removing the remains of an incomplete abortion or placenta after a normal birth, or even being used as a diagnostic test, being called semiotic endocervical gradation.
Graduate as a form of treatment is a very painful procedure and therefore, throughout the procedure, the woman must be sedated or anesthetized so that she does not feel pain or discomfort, however, abdominal pain or discomfort may appear after the procedure and persist for about 5 to 7 days, so it is recommended to take painkillers, such as dipirona or ibuprofen , to relieve symptoms.
- Uterine grading should be performed by a gynecologist in a clinic or hospital.
- Inserting a curette.
- A surgical instrument.
- Into the vagina to scrape the walls of the uterus.
- Another form of gradation is the introduction of a suction cannula that is an empty mechanism.
- Which sucks the entire uterine content.
Usually, the doctor chooses to use both techniques in the same procedure, starting with the vacuum at first, then scraping the walls of the uterus, to remove the contents more quickly and safely. This procedure may be performed under spinal anesthesia or sedation when used to clean up the remains of an abortion, for example.
This scratching of the walls of the uterus can be done with or without the prior dilation of the cervical canal depending on the size of the content to be removed and throughout the procedure, the doctor should look inside the uterus on a screen.Thickening stems are usually used until the curette enters and exits without damaging the cervix and the walls of the uterus.
The woman should be under observation for a few hours, but there is not always a need for hospitalization unless there is a complication, after the procedure the woman can go home, but should not drive because she must have sleep or headache.because of sedation.
After graduating, the woman may become pregnant, even because ovulation is normal, however it is recommended that the pregnancy occur only after 3 to 4 menstrual cycles, which is the time it takes for the uterus to recover and, therefore, if it is suitable for egg implantation in its wall and embryonic development.
Learn more about pregnancy after grading
Uterine grading may be indicated in the following situations:
Before starting the graduate, the doctor may recommend the use of a drug called Misoprostol that induces a uterine contraction, facilitating the removal of its contents, this care is particularly appropriate when it is necessary to remove the remains of an abortion with a fetus more than 12 weeks of age or more than 16 cm.
The use of this medicine should only be done in a clinic or hospital, a few hours before the start of the graduate.
Find out what graduate recovery is like and what care it requires.