D&C (Dilation and Curettage)

What is Dilation and Curettage (D&C)?

It is a procedure which is performed to remove tissue from inside the uterus.

Why is it done?

Dilation and curettage can diagnose and treat a uterine condition.

To diagnose a condition

The doctor might recommend endometrial sampling to diagnose a condition if you have:

    • Abnormal uterine bleeding
    • Bleeding after menopause
    • Abnormal endometrial cells during a routine test for cervical cancer

    To examine the tissue, the doctor collects a tissue sample from the lining of the uterus and sends it for the analysis. The test can check for:

        • Endometrial hyperplasia
        • Uterine polyps
        • Uterine cancer

        To treat a condition

        During the procedure, the doctor removes the contents from inside of the uterus.
        The doctor may do this to:

            • Clear out tissue that remains in the uterus after a miscarriage
            • Remove a molar pregnancy
            • Treat excessive bleeding after the delivery by clearing out any placental tissue
            • Remove cervical or uterine polyps

            What are the possible risks of Dilation and Curettage procedure?

            The procedure is very safe, and the complications are very rare which includes:

              • Perforation of the uterus
              • Damage to the cervix
              • Scar tissue on the uterine wall
              • Infection

              Consult your doctor immediately if you experience any of the following condition after a D&C procedure:

              • Heavy bleeding
              • Fever
              • Cramps lasting more than 48 hours
              • The unusual smell from vaginal discharge

              What are the preparation?

              Dilation and curettage procedure is usually done as an outpatient procedure. Few hours before the procedure, the doctor will start the process of dilating the cervix and is generally done when the cervix needs to be dilated more than in a normal D&C procedure, such as during pregnancy terminations.

              Ask someone to drop you home after the procedure as you may feel drowsy after the anaesthesia wears off.

              What can you expect?

              During the procedure, the doctor will ask you to lie on your back on an examination table while your legs rest in stirrups. Then the doctor will insert an instrument called a speculum into the vagina to see the cervix and will insert dilators into the cervix to slowly dilate the cervix until it is opened properly. After that, the doctor will remove the dilation rods and inserts an instrument called a currette that removes uterine tissue

              After the procedure, the doctor will ask you to stay in the recovery room for a few hours so that the doctor can monitor any complications. You may go through usual side-effects such as mild cramping and light bleeding or spotting. You can continue with your day-to-day activities within a day or two. Avoid using tampons and having sexual intercourse for a few days.

              Why Motherhood?

              At Motherhood, the doctors collaborate as team members, so you don’t get just one opinion, you get multiple opinions. Our surgeons are part of the team of doctors who work together to cater to patients’ problems.
              At Motherhood, we focus on maintaining a family atmosphere which gives you the comfort and security.

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