After curettage - a hematometer: symptoms, diagnosis, treatment

The hematometer is a violation of the natural mechanism of excretion of the blood from the uterus, as a result of which it begins to accumulate there. In gynecology this disease is rare. This pathological condition occurs usually after scraping the uterus or childbirth. The difficulty of the outflow of blood from this organ is due to its inadequate contraction, and also due to blockage of the polyp or remnants of the placenta of the cervical canal. Pathology at first often occurs without any symptoms, so a woman goes to the hospital with a neglected disease.

The main causes

Hematometry - what is it and why does it occur? We found out that this is the accumulation of blood in the uterine cavity, in which it is to blame for its scraping, performed with abortion, undeveloped pregnancy and with a diagnostic purpose. As a result of this surgery, only the upper layer of the uterine mucosa is removed.

The main factors leading to a hematometer are the following:

• Polyp of the cervical canal. Such a disease is considered quite dangerous and is diagnosed usually after forty years. But the probability that the polyp will lead to the appearance of hematomas, is quite small.
• Postpartum period. The increased risk of the formation of such pathology after childbirth is associated with injuries and ruptures of the birth canal.
• Abortion, after which in the womb can remain not only particles of the mucosa, but also parts of the fetus. This contributes to the appearance of such a disease.
• Scraping of the uterine cavity, after which the hematoma occurs most often, since the cervical canal narrows.
• Endometrial cancer.

Than this disease is dangerous?

A hematometer after scraping a frozen pregnancy or other surgical intervention in this area is very dangerous not only for health, but for a woman's life. If you ignore this condition and do not get treated, then the possibility of a purulent inflammation leading to the removal of the uterus and further infertility is great.

The most dangerous complication of hematomas is sepsis (blood poisoning), which is fatal.

Symptoms

The symptoms that arise after scraping or sorting out the hematoma can be characteristic, and if a woman drew attention to them in time, she could be treated on time and avoid serious complications.

The hematometer is manifested by severe pain in the lower abdomen, as there is blood pressure on the walls of the uterus. Also, the woman should be alerted to the fact that menstrual or postpartum discharges abruptly ceased . If they continue, they will have an unnatural color and an unpleasant smell.

As the disease progresses, if there is no treatment for the hematoma, the symptoms may have the following: chills and high fever. If infection begins in the uterus, then severe pain is felt already in the coccyx and waist. In this case, it is necessary to consult a doctor as soon as possible, since in the future the pain will only increase. At this stage, a febrile state arises, the temperature of the body sharply jumps. The woman is already struggling to move, and she should be hospitalized immediately. These are the main signs of hematomas after curettage.

Diagnostics

A qualified doctor will quickly diagnose correctly, based on the following data:

• A detailed conversation with a gynecologist, as a confidential conversation helps to further effective therapy.
• Collecting anamnesis.
• Gynecological examination with bimanual examination, carried out without fail.
• Ultrasound examination of pelvic organs.
• Hysteroscopy.
• Smear from the vagina, cervical canal and urethra.

Medication

The hematometer that has arisen after curettage is treated in several stages. First, the uterus is cleaned of accumulated blood with the help of medications that help reduce it. Such preparations include "Oxytocin". This medicine quickly removes liquid from the uterine cavity, and also stops bleeding and relieves pain.

The doctor is obliged not to eliminate the symptoms, but to get rid of the underlying cause of such a disease as a hematometer (after scraping). Treatment involves the use of drugs such as Methylergometrine, Ergothal, Ergothamine, which also contribute to the reduction of the uterus. But it should be remembered that these medical products should be used only under the supervision of a specialist, since they have a large number of complications and side effects.

To ease a woman's condition, the following antispasmodics are prescribed: No-shpa, Spazgan, Spazmalgon. These drugs relax the uterine musculature and promote the release of accumulated blood. It is also necessary to take non-steroidal anti-inflammatory drugs, most often sulfonamides and drugs of the phenylacetic acid group.

Instrumental procedures

If, with a disease such as a hematometer (after curettage), the medication treatment failed to produce the proper result, the doctor can prescribe special procedures by which the collected blood is removed from the uterus.

Probing and hysteroscopy are used in cases of severe obstruction of the uterine canal. However, if after scraping the hematometer is accompanied by the development of an infectious process, such procedures are supplemented by complete sanation of the uterine cavity and administration of antibiotics.

Vacuum-aspiration of the contents of the uterine cavity is also carried out, that is, sucking of the accumulated blood from this organ with a special apparatus.

Many women prefer to treat such a disease as a uterus hematometer, folk remedies, which leads to the most unfavorable consequences. Homeopathy and herbal medicine can only benefit as a soothing and maintenance therapy. Traditional treatment can not be replaced in such ways.

Possible complications

If after curettage of the hematometer remains untreated, it can lead to the following severe complications:

• Endometritis (infectious and inflammatory process, flowing in the uterine cavity);
• Pyometra (accumulation of pus in the uterus, accompanied by inflammation of the ovaries);
• Peritonitis and pelvioperitonitis (infectious process in the organs of the abdominal cavity);
• Sepsis (blood poisoning);
• infertility.

Prevention

In order to avoid such a disease, it is necessary to treat the following pathologies of the pelvic organs in time:

• Endometritis;
• Vulvovaginitis;
• Salpingo-oophoritis.

Often the inflammatory diseases of the internal organs lead to the adhesive process, so it is important for a woman to be registered with a gynecologist. The doctor will help to control women's health, promote the proper choice of contraceptives, prevent the possibility of abortion.

Many women are interested in the question of what happened after the hematoma has been scraped out will not become an obstacle to pregnancy. The answer to it at the gynecologist can not be, as all depends on the arising complications to which this pathological condition leads.

Conclusion

Thus, the answer to the question became clear: "A hematometer - what is it?" This pathology develops because of scraping out of the uterine cavity, and its untimely treatment can lead to the death of the patient. In gynecological practice, there are many examples where a woman, several days after the abortion or childbirth, enters the intensive care unit. The cause of this is the hematometer, which developed because of leftovers in the uterine cavity of a fetal egg or placenta. Therefore, it is extremely important to take care of your health.