Symptoms of the hematometer.
Cramping pains in the lower abdomen, intensifying with physical exertion, irradiating (spreading) into the lumbar region, sacrum.
A feeling of heaviness in the lower abdomen.
Increased body temperature.
A sharp cessation of bloody discharge in the first days after birth or curettage of the uterine cavity.
General malaise, weakness.
Polyp of the cervical canal.
Artificial termination of pregnancy (abortion.
Scraping of the uterine cavity with undeveloped pregnancy.
Diagnostic curettage of the uterine cavity.
Criminal abortion is an abortion not performed in a hospital setting.
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A gynecologist will help with the treatment of the disease.
An analysis of the history of the disease and complaints (when (for a long time) there were pains in the lower abdomen, whether they were accompanied by a rise in body temperature, etc.
Analysis of obstetric-gynecological history (gynecological diseases, operations, sexually transmitted diseases, abortions, pregnancy, childbirth, etc.).
Gynecological examination with obligatory bimanual (two-hand) vaginal examination (gynecologist with two hands to touch (palpation) determines the size of the uterus, ovaries, cervix, their ratio, the condition of the ligamentous apparatus of the uterus and the region of the appendages, their mobility, soreness,
Ultrasonic diagnosis of pelvic organs.
Microscopy of the vaginal discharge of the vaginal discharge, cervical canal and urethra.
Hysteroscopy – examination of the uterine cavity and cervical canal with the help of a special optical device of a hysteroscope.
Treatment of a hematometer.
Drugs that enhance uterine contractility (uterotonic.
Spasmolytic therapy aimed at relaxing the smooth muscles, including the cervix.
Elimination of occlusion of the cervical canal (sounding of the uterus cavity, hysteroscopy.
Vacuum aspiration of the contents of the uterine cavity (aspiration (sucking) of the contents of the uterus cavity with a special apparatus as vacuum aspirator.
When secondary infection is attached and the infection-inflammatory process develops, hysteroscopy with sanation of the uterine cavity is performed (examination of the uterine cavity by a special optical device with a hysteroscope and introduction of antiseptic solutions into the uterine cavity) and administration of antibiotics.
Complications and consequences.
Untimely and insufficient treatment of hematomas can lead to.
the development of infectious and inflammatory process in the uterine cavity – endometritis.
with a continuing violation of the outflow of the contents of the uterine cavity – to a pyometra (accumulation of pus in the uterine cavity.
peritonitis (the spread of the infectious process to the peritoneum and abdominal organs.
sepsis (infection in the blood.
Prophylaxis of the hematometer.
Timely and sufficient treatment of infectious and inflammatory diseases of the pelvic organs (vulvovaginitis, endometritis, salpingoophoritis, etc.).
Compliance with personal hygiene.