What Is Dilatation And Curettage?
Dilatation and Curettage (D&C) is a minor procedure although, in some cases, hospitalization may be required. This process combines the use of a dilation instrument inserted into the uterus with the use of an instrument called, curette which is used to remove tissue by either scraping off or through suctioning.
Who Should Undergo Dilatation And Curettage?
This procedure is for women who experience abnormal uterine bleeding, unusually heavy menstrual periods, heavy bleeding after menopause, and an unusually thick uterine lining. It is also routinely used to probe into the possible causes of infertility, including the presence of abnormal tissue,, tissue leftover after delivery or miscarriage, and polyps, any of which can hinder proper egg or embryo implantation.
What To Expect
Dilatation and Curettage procedures typically lasts anywhere between 10 up to 30 minutes. general anesthesia is required,so the procedure will likely involve hospitalization for a day.
Below are some of the things you can expect before, during and after undergoing D&C:
- Your physician will induce dilation of your cervix by medications from a few hours up to 24 hours before the procedure to widen your cervical opening gradually.
- Anesthesia will be administered.
- Once your cervix has been dilated, your physician will use a curettage or suction to remove excess tissues or polyps. For diagnostic purposes, a tissue sample will be extracted and sent to the lab.
- Your physician will prescribe aftercare. Expect the anesthesia to make you feel dizzy over the next several hours until its effect completely wears off. Risks of perforation of the uterus, cervical damage and infection are rare. However, risk of adhesion on the uterine wall, called Asherman’s Syndrome, is higher when D&C is performed after delivery or, following a miscarriage. Mild cramping, lighter menstrual flow, and missed periods are all likely to be experienced as the lining of the uterus recovers.
- Follow up consultation will be necessary.