What is D&C?
Dilation and Curettage (D&C) is a minor surgical procedure commonly performed in gynecology. During a D&C, the cervix is dilated (opened) and a special instrument called a curette is used to scrape the uterine lining. This procedure is utilized for both diagnostic and therapeutic purposes.Why is a D&C Performed?
A D&C may be performed for several reasons, including:How is a D&C Procedure Done?
The procedure typically involves the following steps: The patient is given anesthesia, either general, local, or regional.
The cervix is gradually dilated using metal rods or medication.
A curette, a spoon-shaped instrument, is inserted into the uterus to scrape away the lining.
The removed tissue is then sent to a laboratory for analysis if needed.
Infection
Heavy bleeding
Perforation of the uterus
Adhesions or scar tissue formation, known as
Asherman's Syndrome Reaction to anesthesia
Resting for a few days
Avoiding strenuous activities
Using sanitary pads instead of tampons
Refraining from sexual intercourse for a specified period
Following up with your healthcare provider
Severe pain or cramping
Heavy bleeding or passing large clots
Foul-smelling discharge
Fever or chills
Alternatives to D&C
Depending on the condition being treated, alternatives to D&C may include: Medication to manage
miscarriage or
abnormal bleeding Hysteroscopy, which allows direct visualization and treatment of intrauterine pathology
Endometrial ablation for managing heavy menstrual bleeding
Conclusion
Dilation and Curettage is a valuable procedure in gynecology for diagnosing and treating various uterine conditions. While generally safe, it is essential to understand the indications, procedure, risks, and recovery process. Always discuss with your healthcare provider to make an informed decision regarding your health.
