About Dilation and Curettage

Dilation and Curettage (D&C) is a surgical procedure that involves widening the cervix followed by the removal of tissue from the uterus. During the procedure, the cervix is gently dilated using specialized instruments, and a curette (a spoon-shaped tool) is then employed to scrape or suction out the uterine lining. The extracted tissue is sent for analysis, which can aid in diagnosing conditions or ensure the complete removal of any abnormal tissue.

Risks of Dilation and Curettage

While D&C is generally safe, there are some potential risks, including:

• Infection: There is a possibility of developing an infection in the uterus following the procedure.

• Bleeding: Some women may experience heavy bleeding during or after the procedure.

• Perforation: In rare cases, the instrument used may accidentally puncture the uterus, leading to serious complications.

• Scar Tissue: D&C can result in scarring inside the uterus, which may impact future pregnancies.

• Anesthesia Risks: If general anaesthesia is used, there are associated risks, such as allergic reactions or respiratory issues.

Benefits of Dilation and Curettage (D&C)

D&C provides several important benefits for women’s health, including:

• Diagnosis: D&C assists in diagnosing various uterine conditions, such as abnormal bleeding, polyps, or fibroids. By examining the tissue, healthcare providers can identify issues that may require further treatment.

• Treatment for Abnormalities: It effectively addresses conditions like miscarriage or incomplete abortion by removing remaining tissue from the uterus, promoting proper healing.

• Relief from Heavy Bleeding: D&C can alleviate heavy menstrual bleeding by removing the uterine lining, enhancing comfort and quality of life.

• Quick Procedure: The D&C procedure is typically quick and can often be performed in a doctor’s office or outpatient setting, causing minimal disruption to daily life.

• Low Risk: Although there are some risks, D&C is generally considered a safe procedure with a low likelihood of complications, making it a reliable option for many women needing uterine care.

Procedure of Dilation and Curettage

The D&C procedure is divided into several steps:

Before the Procedure: You will consult with your doctor to discuss the necessity of the procedure. Tests like ultrasounds or blood tests may be required. Inform your doctor about any medications you’re taking and any allergies. You might be advised to refrain from eating or drinking for several hours before the procedure, especially if anesthesia will be administered.

During the Procedure: On the day of the procedure, you’ll be taken to a surgical room and lie on an exam table, similar to a pelvic exam. Depending on your situation, local or general anesthesia will be provided for your comfort. A speculum will be used to open the vagina, followed by a thin instrument called a dilator to widen the cervix. Next, a curette will be used to gently scrape the lining of the uterus, which typically takes about 10 to 20 minutes.

After the Procedure: Following the D&C, you will be monitored for a short period in a recovery area. It’s normal to experience some cramping and light bleeding. Your doctor will provide instructions for at-home care, including what activities to avoid and when to schedule a follow-up appointment. Most women can return to normal activities within a few days, but it’s important to listen to your body and adhere to your doctor’s advice.