What is exploratory curettage and why is it performed?
Exploratory (diagnostic) curettage is a brief and safe gynecological procedure in which a sample of the uterine lining is taken for histopathological analysis. The procedure allows for the detection of polyps, hyperplasia, and other endometrial changes that cannot be clearly assessed by ultrasound.
What does the procedure involve?
• Gentle dilation of the cervix
• Taking a sample of the uterine lining with a special curette
• Sending the tissue for histopathological analysis
• If necessary, simultaneous removal of polyps or lesions
• The procedure is performed under short-term anesthesia and lasts only a few minutes.
When is it recommended?
• Irregular or heavy bleeding
• Bleeding in menopause
• Suspicion of endometrial polyps
• Suspicion of hyperplasia or other changes in the lining
• Unclear ultrasound findings
Preparation
• Performed outside of menstrual bleeding
• Basic laboratory tests are required (as recommended by the doctor)
• Do not consume food or liquids 6 hours before the procedure (if performed under anesthesia)
Recommendations after the intervention
• Avoid sexual intercourse for 1–2 weeks
• Do not use tampons or vaginal suppositories until approved by the doctor
• Return to daily activities is usually possible the next day
• If symptoms such as fever, severe pain, or unpleasant discharge appear, it is necessary to contact a doctor.