Is a 15mm echo indicative of the need for curettage?
Dilation and curettage (D&C) generally refers to the surgical procedure. Whether a 15mm intrauterine echo requires a D&C procedure mainly depends on the nature of the echo and the patient's specific condition. If it is caused by non-pathological factors without obvious clinical symptoms, a D&C usually isn't necessary. A D&C may be required after an induced abortion. If discomfort occurs, timely medical consultation is recommended. Detailed analysis is as follows:
When a 15mm intrauterine echo is caused by non-pathological factors such as endometrial thickening, polyps, or residual blood clots, and there are no significant clinical symptoms such as abnormal bleeding or abdominal pain, immediate D&C may not be necessary.
If a 15mm echo appears after an induced abortion, and the patient's physical recovery is relatively poor, accompanied by irregular vaginal bleeding, abdominal pain, and other symptoms, it typically indicates retained material within the uterine cavity or incomplete shedding of the endometrium. In such cases, to avoid complications such as endometrial infection or endometritis caused by retained material, a D&C procedure is usually required.
Women should avoid excessive fatigue, maintain good personal hygiene, ensure adequate rest, follow a balanced diet, and enhance their physical immunity, all of which help promote recovery.