This can be done with anywhere between 1 and 8 dilator insertions, depending on the stage of pregnancy and the resistance of the individual cervix. Generally, the vacurette is moved in a series of in and out strokes or is rotated to enhanced the traction forces at the tip of the vacurette. It is appropriate immediately following surgery to examine the tissues to assure compatibility between what was removed and what was expected based on preoprerative evaluation. These symptoms tend to subside rapidly but persist to some degree for as long as 2 weeks. Emotional reactions to surgery are common.
Mild depression associated with low hormone levels and a feeling of loss is usually brief.
The emotionally healthy individual will generally rationalize the situation as they do with other life stresses and quickly put their experience in perspective. On rare occasion, counseling or drug therapy my be required. Long range concerns center about future fertility. If there have been serious complications from surgery such as severe infection or excessive bleeding that required vigorous scraping, fertility may be affected. Obviously, complications which result in hysterectomy will result in sterility.