A curettage is a surgical procedure in which the cervix is ​​widened (dilated) and a thin instrument is inserted into the uterus. This tool is used to remove tissue from inside the uterus (curettage). Curettage can be used as a diagnostic and therapeutic procedure for abnormal bleeding. The procedure may be performed to determine the cause of abnormal or excessive uterine bleeding, to detect malignancy, or as part of a family planning test (in case of impossibility to conceive). Causes of abnormal bleeding include the presence of abnormal tissues such as fibroid tumors (benign tumors that develop in the uterus or fibroids), polyps, or cancer of the endometrium or uterine body. After this type of procedure, the tissues must be examined histologically. Abnormal uterine bleeding can also be due to hormonal imbalance (impaired levels of estrogen and progesterone), especially in women approaching menopause or post-menopause. As with any surgical procedure, some complications may occur. Profuse bleeding; Infection; Perforation of the wall of the uterus or intestines. This is a very rare complication. It is more common during pregnancy when the uterus is softer. Most uterine perforations heal on their own without the need for further treatment. Potential risks arise if a blood vessel is also perforated, resulting in major hemorrhage; Formation of adhesions after the procedure inside the uterine body. They are more common after an abortion. Sometimes this can lead to menstrual pain, problems with conception. Treatment is hormonal to stimulate reepithelialization of the uterus and surgical to remove dense adhesions. Before the abrasion, the patient must not have taken water or food for at least the last 6 hours. The procedure itself takes about 15 to 30 minutes. The patient can be placed under general or local anesthesia, and in most cases short-term general anesthesia is preferred. It begins with dilatation of the cervix by introducing thin cylindrical instruments into the cervical canal, and their size is gradually increased until the necessary dilatation is reached. Then, another instrument is introduced into the uterus through the cervical canal, with which the tissue covering its inner part (mucosa, endometrium) is removed. This can be done mechanically or with the help of a vacuum. Usually, after the procedure, the patient can go home within a few hours. Recovery of more than regular activities occurs in a day or two. The pain is usually mild. Spotting or light bleeding may be observed. The attending physician should be informed if the patient notices profuse vaginal bleeding, high fever, abdominal pain, foul-smelling vaginal discharge. After curettage, a new mucous membrane is formed and the next menstrual cycle occurs at a regular time. Until the cervix returns to its normal size,bacteria from the vagina can enter the uterus and lead to infection. References: Ametican College ot Obstetricians and Gynecologists 2022