Dilation and Curettage

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    Dilation and Curettage

    Dilation and Curettage

    Dilation and curettage is a medical procedure that involves the removal of tissues from inside of a uterus. It is popularly known as D&C. This is performed as part of the diagnosis and treatment of a number of uterine ailments – from heavy bleeding to clearing out the uterine line after an abortion or miscarriage.

    This is a sensitive surgical process wherein your cervix is dilated (opened), and a small instrument is inserted into your uterus with the intention of removing tissues from the interior of your uterus (curettage).

    There are several situations where your doctor might suggest you undergo a dilation and curettage process. Your gynecologist may ask you to go through either an endometrial sampling or therapeutic dilation and curettage based on your condition.

    Possible Causes

    An endometrial sampling of dilation and curettage is done to diagnose you if you have the following conditions:

    • Bleeding after menopause.
    • Abnormal uterine bleeding.
    • Presence of abnormal endometrial cells (this is usually discovered during routine tests for cervical cancer).

    Risk Factors

    If not done properly, there is a chance of bleeding, perforation, and infection of the uterus during dilation and curettage. However, when performed by experienced doctors, you do not have to fear mishaps.

    Signs and Symptoms

    If you are recommended a therapeutic dilation and curettage, you need to understand that removing contents from your uterus’s interior is being done. It is done in the following conditions:

    • Removal of noncancerous uterine or cervical polyps
    • Treating excess bleeding post-delivery. It is done by clearing out any placenta that may have remained in your uterus.
    • Clearing out tissues from your uterus after an abortion or miscarriage. It is done to stop bleeding and infection.
    • Removal of molar pregnancy. In this case, instead of a normal pregnancy, a tumour is formed.

    Diagnosis

    In order to diagnose you, your gynaecologist will collect a sample of the tissue from your uterus lining (endometrium) to check for the following:

    Treatment Options at 7DMC

    Since dilation and curettage deal with one of the most sensitive areas of your body – the uterus – you need to ensure that you are under the supervision of certified medical professionals who are highly trained to carry out such delicate operations.

    7DMC is one of the most reputed medical centers and houses world-class gynaecologists, among other fields of doctors that have immense experience under their belt. This is why it is frequently ranked among the top of several lists of the best medical centers in the Middle East and the entire world.

    Once you make an appointment and consult with them, you would be guided every step of the way on how to prepare for the process and how to take care of yourself after the procedure so that you get to recover fast and return to your normal healthy self without any complications. 

    FAQs

    Frequently asked questions

    The dilation and curettage procedure begins with you lying down on your back on a table and having your hells rest in supports known as stirrups. After that, you will be given anesthesia (general or local). It is followed by your surgeon inserting an instrument known as a speculum in your vagina. It would help your surgeon get a clear view of your cervix.

    Next, your surgeon will gently insert thicker rods one after another into your cervix in order to dilate your cervix until it has opened up adequately. After that, the dilation rods are removed, and a spoon-shaped instrument or a suction device is inserted to remove uterine tissues. Since you are sedated, you won’t experience any pain or discomfort during the procedure.

    Recovery from D&C varies from person to person. Doctors generally advise rest for 2-3 days after the procedure. If the pain continues, you can take a week off from work. In most cases, the pain can be managed by regular pain pills.

    General instructions after D&C include:

    • Use tampons or sanitary pads
    • Avoid intercourse for 2-4 days
    • Not to douche
    • Avoid strenuous activity or heavy lifting