Dilation and Curettage (D&C) is a procedure to remove tissue from the lining of the uterus. Through Dilation and Curettage, it is possible to diagnose and treat the uterus' diseases, such as heavy bleeding, or to clean the lining of the uterus after a miscarriage.
During Dilation and Curettage, the Gynecologist uses small surgical instruments or medications to dilate (open) the cervix (the lowest part of the womb. The Gynecologist uses a uterine curettage and removes the uterine tissue.
Before Dilation and Curettage
The Gynecologist will ask questions about your symptoms, lifestyle, and medical history, and if you are taking any medications.
You must follow all the instructions of your Gynecologist; it will be necessary to fast before the Dilation and Curettage. Don't eat or drink for 8 hours before the procedure.
During Dilation and Curettage
The Gynecologist will apply anesthesia, the type of this will depend on the cause of the Dilation and Curettage and your medical history. With general anesthesia, the patient will not feel pain and will be unconscious.
During the procedure:
The Gynecologist asks you to lie on your back, resting your feet on the gynecological table's stirrups.
The Gynecologist will insert a speculum (surgical instrument) into the vagina, to be able to see the cervix.
Gross tubes will be placed in the cervix to be dilated until there is an appropriate opening.
The Gynecologist will remove the dilation tubes and insert a suction device or a spoon-shaped instrument with a sharp edge to remove the uterine tissue.
After Dilation and Curettage
The recovery time is usually fast; The woman can continue her daily activities the day after the Dilation and Curettage. It's important to take into account the following recommendations:
Sexual abstinence for two weeks after curettage
Not using tampons
Do not bathe or douche
Do not do intense physical exercise.
After the Dilation and Curettage, the Gynecologist will analyze the results, and you will have to go to a follow-up consultation.
Am I a candidate for this procedure?
The Gynecologist may suggest a Dilation and Curettage diagnose or treat diseases.
Diagnose a disease in the following cases:
Abnormal uterine bleeding
Bleeding after menopause
Gynecologist detects abnormal endometrial cells during routine cervical cancer checkup.
Remove the tissues that have remained in the uterus after having had a planned or spontaneous abortion.
Molar pregnancy, a tumor forms instead of a healthy pregnancy
Treat heavy bleeding after delivery by emptying the remaining placenta in the uterus.
See your Gynecologist if you have symptoms such as fever, cramps, colic, heavy bleeding, foul-smelling discharge, or other abnormal signs.
When consulting your Gynecologist, try to bring a detailed description of your symptoms, duration, and what you think triggered them. Also, mention any medications you are taking.
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