Pain after scraping
After a scraping of the uterus, there may occasionally be pain in the area of the cervix and/or abdomen. These are usually irritation symptoms. In the case of a curettage, the treating physician must use the medical instruments necessary for the procedure to pass through the vagina, which passes through the cervix, in order to enter the cervix cavity via the cervix.
The cervix and the cervix are dilated to allow the instruments to be inserted. In the course of this process, the tissue is irritated and even the smallest tissue injuries in the area of the cervix can occur, which can be partly responsible for the discomfort after a successful scraping. This pain usually lasts for several days and is often associated with slight bleeding. However, these bleedings are not caused by the cervix. The lining of the uterus is put under a lot of strain during the scraping and bleeds for a few days.
Diagnosis
Diagnostics to assess and record cervical pain begins with an anamnesis, i.e. a detailed conversation in which the doctor gets a first impression of the symptoms. The cervix can then be examined manually, whereby the examiner inserts one or two fingers into the vagina to feel the texture around the width of the cervix and look for abnormalities. Furthermore, the gynecologist can use medical instruments (specula) and a light source to view the vagina and cervix to detect possible changes. If the examiner finds abnormalities, a colposcopy can also be performed, using a microscope in addition to the light source. This allows the tissue to be examined more closely.
Associated symptoms
The cervix, which protrudes into the upper part of the vagina, merges into the cervix and is thus a part of it. This anatomical connection often results in an interplay of symptoms, whereby, for example, discomfort in the vaginal area can also radiate to the cervix and vice versa. Often the pain cannot be attributed to the cervix alone, but the patient generally complains of abdominal pain without being able to name the cervix as the exact and sole cause.
The cervix can cause discomfort in the context of premenstrual syndrome (PMS) before the actual period, and all associated symptoms can play a role. These include nausea, constipation or diarrhea, abnormal eating habits or mood swings. Pain after gynaecological operations, such as scraping, can also cause slight bleeding as a further symptom.
