An operation known as a dilation and curettage or D&C is performed to remove unusual tissues found in the uterus.
The Procedure
The cervix is the narrow part of the uterus. Your gynecologist uses medication or small instruments to dilate (open) the cervix. The gynecologist then uses an ovum forceps or suction device to remove abnormal uterine tissue followed by scraping the lining of the uterus or endometrium and sending it to a lab for histopathology.
A gynecologist performs D&C to avoid infection or excessive bleeding following an abortion or miscarriage. It is necessary to remove any remaining tissues from the uterus – if they have not cleared on their own.
When excessive bleeding occurs after delivery, it is necessary to clear out any placenta that remains in the uterus to treat the condition. If the placenta remains stuck to the endometrium after delivery, it can cause infection and bleeding. Your obstetrician will remove it to ensure that the endometrium can heal properly.
In cases of a molar pregnancy, where a tumor grows instead of a normal pregnancy, it is necessary to remove the tumor.
Hysteroscopy guided D &C
D&C Procedure Hysteroscopy: This is the most commonly performed procedure for abnormal uterine bleeding. A D&C procedure can be performed along with a hysteroscopy. The procedure involves inserting a slender tool with a light and camera at the end through the vagina, cervix, and into the uterus. The doctor examines the uterine lining on a screen, looking for any abnormalities, and takes tissue samples or removes polyps and fibroid tumors if necessary. Prior to a complete D&C procedure, a hysteroscopy may be conducted in conjunction with an endometrial biopsy.
How will you prepare for D&C?
You should follow the instructions of your gynecologist before the procedure. The procedure is done under general anesthesia – you will have to fast for at least 8 hours before the procedure. Inform your gynecologist about your health or if you are sensitive to certain drugs. Inform your doctor about all the medicines that you are taking. Inform your doctor about any bleeding disorders you may have. And follow any other instructions of your gynecologist.
After the Procedure
After the D&C procedure, it’s most likely that you will spend some hours in a post-operation room to be watched for heavy bleeding or any other potential issues. This will also allow time for you to recover from the anesthesia effects.
A few side effects are usual after a D&C and may last a couple of days, such as mild cramping and light bleeding or spotting. To ease any discomfort from cramping, your gynecologist may recommend taking ibuprofen or another medication.
You should be able to return to your routine activities within a day or two.
Precautions
To avoid getting infected, refrain from inserting anything into your vagina until you receive approval from your gynecologist. Inquire about when you can restart sexual activity and use tampons.
After a D&C procedure, your uterus needs to regenerate its lining, which may cause your next period to occur earlier or later than usual. If you had a miscarriage and did D & C and wish to conceive, discuss with your healthcare provider about the appropriate time to attempt pregnancy again.
When to see a gynecologist?
You must see a gynecologist if you experience unusual or heavy uterine bleeding or bleeding after menopause. These symptoms could be due to uterine polyps, endometrial hyperplasia, or a more serious uterine cancer. If you have any additional issues pertaining to your health and any other symptoms, then meet me personally.
