Your uterus must build a new lining after a D&C, so your next period may not come on time. Follow your doctor's instructions on limiting food and drink. American College of Obstetricians and Gynecologists Cleveland Clinic’s Ob/Gyn & Women’s Health Institute is committed to providing world-class care for women of all ages. What is a D&C. The American College of Obstetricians and Gynecologists. Available for Android and iOS devices. Pfenninger JL, et al. Scar tissue on the uterine wall. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). The name refers to the dilation of the cervix, into which a thin instrument called a curette is inserted. During a hysteroscopy, your doctor can also remove uterine polyps and fibroid tumors. However, there are risks. Perforation of the uterus. It's used to diagnose and treat many conditions, including abnormal bleeding, and after a … The choice of anesthesia depends on the reason for the D&C and your medical history. We offer women's health services, obstetrics and gynecology throughout Northeast Ohio and beyond. Vagina Quiz: What Do You Know About Down Below? Dilation (or dilatation) and curettage (D&C) refers to the dilation (widening/opening) of the cervix and surgical removal of part of the lining of the uterus and/or contents of the uterus by scraping and scooping (curettage). Knowing what to expect before, during, and after a D&C may help ease your worries and make the process go more smoothly. ", American Congress of Obstetricians and Gynecologists: "Dilation and Curettage. New York, N.Y.: The McGraw-Hill Companies; 2013. http://www.accessmedicine.com. Accessed Aug. 9, 2016. According to recent case reports, use of vacuum aspiration can also lead to intrauterine adhesions. [21] A systematic review in 2013 came to the conclusion that recurrent miscarriage and D&C are the main risk factors for intrauterine adhesions. Rarely, a D&C results in development of scar tissue in the uterus, a condition known as Asherman's syndrome. Infection is uncommon after D&C for a non-pregnant patient, and society practice guidelines do not recommend routine prophylactic antibiotics to patients. Therapeutic gynecologic procedures. It may come either early or late. D&C is a form of treatment for a range of conditions including incomplete miscarriage, polyps or unwanted pregnancy. The above information is an educational aid only. DISCHARGE INSTRUCTIONS: Call 911 for any of the following: You have signs of an allergic reaction, such as hives, trouble breathing, or severe swelling. With general anesthesia or light sedation, you may also feel drowsy for several hours. To promote dilation, your doctor uses a medication called misoprostol (Cytotec) — given orally or vaginally — to soften the cervix or inserts a slender rod made of laminaria into your cervix. This also gives you time to recover from the effects of anesthesia. Pfenninger JL, Fowler GC. Select one or more newsletters to continue. You have foul-smelling vaginal discharge. Last updated on Feb 3, 2020. Dilation and Curettage. Dilation and curettage (D&C) is one of the most common procedures performed in obstetrics and gynecology. This instrument is used to remove tissue from the inside of the uterus (curettage). Then your doctor inserts a series of rods (dilators) of increasing thickness to open (dilate) your cervix and allow access to your uterus. 9500 Euclid Avenue, Cleveland, Ohio 44195 |. Clear your schedule to allow enough time for the procedure and recovery afterward. This can be done with Hegar or similar dilators. You have heavy vaginal bleeding that soaks 1 pad in 1 hour for 2 hours in a row. WebMD does not provide medical advice, diagnosis or treatment. 3rd ed. In the meantime, ask your doctor about any needed restrictions. During a dilation and curettage procedure (D&C), your doctor uses a vaginal speculum to hold the walls of the vagina apart. It is usually an outpatient surgery that can be done in a doctor’s office or surgery center. It may have moved during our website redesign. You may also have mild cramping and light spotting for a few days. It is performed by a gynecologist or obstetrician. Most perforations heal on their own. [16] Women who underwent three sharp curettage procedures for miscarriage had a 32% risk of developing adhesions. You have questions or concerns about your condition or care. Mayo Clinic does not endorse companies or products. Most perforations heal on their own. A dilatation and curettage (D&C) is an operation performed on women to scrape away the womb lining. It is not intended as medical advice for individual conditions or treatments. All rights reserved. We do not endorse non-Cleveland Clinic products or services. One study found that in women who had one or two sharp curettage procedures for miscarriage, 14-16% developed some adhesions. After a D&C, you will need someone to take you home. You have a history of bleeding disorders or are taking any. Your doctor inserts an instrument called a speculum into your vagina, as during a Pap test, in order to see your cervix. https://www.webmd.com/women/guide/d-and-c-dilation-and-curettage Contact your doctor if you experience any of the following after a D&C: Dilation and curettage may be performed in a hospital, clinic or your doctor's office, and it's usually done as an outpatient procedure. Dilation. You have signs of an allergic reaction, such as hives, trouble breathing, or severe swelling. Dilation and curettage, often called a D&C, is a minor surgical procedure done to remove tissue from a woman’s uterus (womb). © 2005 - 2019 WebMD LLC. © Copyright IBM Corporation 2020 Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Accessed Aug. 9, 2016. Curettes used in a D&C can be sharp or use suction. ", American Society for Reproductive Medicine: "Dilation and Curettage (D & C).". Your doctor then views the lining of your uterus on a screen, noting any areas that look abnormal, making sure there aren't any polyps and taking tissue samples as needed. 11th ed. If you have general anesthesia, you will not be awake during the procedure. A single copy of these materials may be reprinted for noncommercial personal use only. Arrange for someone to help you get home because you may be drowsy after the anesthesia wears off. DeCherney AH, et al. Does Drinking Caffeine Increase Your Risk of Miscarriage? D&C also called dilation and curettage, is a surgical procedure in which the cervix (lower, narrow part of the uterus) is opened (dilated) and a thin instrument is inserted into the uterus so that the uterine lining (endometrium) can be scraped with a curette (spoon-shaped instrument) to remove abnormal tissues. Normal side effects of a D&C may last a few days and include: For discomfort from cramping, your doctor may suggest taking ibuprofen (Advil, Motrin IB, others) or another medication.

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