Patients are more painful when scraping the endometrium, the name of this procedure is scraping the uterus. The pain during scraping is mainly reflected in 2 aspects: 1. pain during cervical dilation, the endometrial scraping requires a scraping spoon, which is wider and the cervix is tighter, so it is difficult to enter the uterine cavity with the scraping spoon, and the uterus must be dilated with a dilation rod, about 6.5 or 7.5, and the patient’s pain is more intense during the dilation process. 2. pain during endometrial scraping, the patient feels small If the patient has inflammation or adenomyosis, then this pain will be very serious and unbearable. So if the patient is very afraid of pain you can use local anesthetic drugs or use pain medication, if you are afraid of pain and at the same time very afraid of surgery, it is difficult to cooperate with the surgery, then you can do painless scraping.