Uterus evacuation

Uterus Evacuation

Uterus evacuation (also known as uterine aspiration, vacuum aspiration, or suction aspiration) is a procedure that removes the contents of the uterus. This may be done for a variety of reasons, including but not limited to the termination of a pregnancy, assessment and treatment of heavy or abnormal bleeding, or diagnosis of abnormalities of the uterus. Uterus evacuation is a safe and effective procedure that can be performed in an office or clinic setting.

Reasons for Uterus Evacuation

Uterus evacuation may be recommended by a health care provider for various reasons, such as:

  • thickening of the lining of the uterus (endometrial hyperplasia)
  • problems with the embryo’s development during pregnancy
  • evaluation of a miscarriage
  • removal of uterine fibroids
  • dilation and curettage (D&C) to diagnose and/or treat bleeding in the uterus
  • evaluation of an incomplete abortion

Tips to Prepare for Uterus Evacuation

The health care provider may recommend the following tips to prepare for a uterus evacuation:

  • Avoid intercourse, douching, or using tampons at least 24 hours before the procedure.
  • Take over-the-counter or prescription medication to reduce the risk of infection.
  • Do not eat or drink anything after midnight the night before the procedure.
  • Ask the doctor about any potential side effects or risks of the procedure.

What to Expect During a Uterus Evacuation

Uterus evacuation is typically an outpatient procedure, meaning that patients can go home the same day of the procedure. During a uterus evacuation, the health care provider will:

  • Discuss the procedure and any risks involved.
  • Administer anesthesia and/or sedation to make the procedure more comfortable.
  • Insert a speculum and use dilators to gently dilate the cervix.
  • Use a vacuum device to remove the uterine contents and/or uterine tissue.
  • Perform a biopsy, if necessary.
  • Clean the uterus and remove the tools used in the procedure.
  • Pressure bandage may be applied to the cervix as needed.

Recovery After Uterus Evacuation

The recovery time for uterus evacuation can vary depending on the type of procedure. Most patients can expect the following after the procedure:

  • Mild cramping or pain for the first 24 to 48 hours.
  • Mild bleeding or spotting for the first week or two.
  • Pelvic infection is possible and may require antibiotics.