Published on Feb 12, 2019 and last reviewed on May 09, 2019 - 4 min read
Dilation and curettage, or otherwise called D and C, is a minor surgical procedure where the cervix is widened (dilation) and the tissue lining the uterus is scraped or suctioned out (curettage). This procedure is usually done to treat conditions like heavy menstrual bleeding or to remove tissues left in the womb after a miscarriage.
Dilation and curettage, or otherwise called D and C, is a minor surgical procedure where the cervix is widened (dilation) and the tissue lining the uterus is scraped or suctioned out (curettage). This procedure is usually done to treat conditions like heavy menstrual bleeding or to remove tissues left in the womb after a miscarriage. Here, the opening of the uterus (cervix) is widened using medicine or small instruments, and the uterine lining is removed using a spoon-shaped instrument called a curette, which can be either sharp or with a suction.
There are many indications for this procedure. The following are some of the reasons your doctor might suggest you undergo a D and C.
The doctor will explain in detail about the things you need to do and avoid before the surgery. You need to follow them properly. A few things you might need to do are:
Your doctor will decide the type of anesthesia depending on your medical history and the reason for getting a D and C. It can be general anesthesia, where you are unconscious and cannot feel pain, or the doctor might give you spinal anesthesia (spinal block) or just numb your cervix (local anesthesia). In both local and spinal anesthesia, you will be awake during the procedure and will not feel any pain, but you might experience some cramping in the uterus during curettage.
It will take a few hours for you to recover from the effects of anesthesia. With general anesthesia, you might feel nauseous and might have a sore throat from the pipe placed in your throat to help you breathe.
As it is a minimally invasive procedure, it usually does not cause any serious complications. Some of the potential complications are:
It is normal to bleed after a D and C. You can use sanitary pads for this and avoid using tampons. This bleeding might last for a few weeks. But, if you are bleeding heavily, which requires you to change pads every 10 to 20 minutes, then get medical attention immediately.
You should seek immediate medical advice if you experience any of the following symptoms:
During the follow-up visit, your doctor will check and let you know if any further treatment is needed. Depending on the symptoms you have and the biopsy result, your doctor will suggest appropriate treatment.
Query: Hi doctor, Please explain me the uses of Misoprostol. Read Full »
Query: Hi doctor, I am recently trying to get pregnant and in the past six months, have had a miscarriage and an ectopic pregnancy. I am wondering if there is a chance I have endometriosis. I am wondering this because I have no other risks/causes that could have caused the ectopic. There is no chance I co... Read Full »
Query: Hi doctor, I am a 36 year old male and my wife is 31 years old. We got married before two years and had not planned for pregnancy. My wife's medical history is as follows. Two years before her thyroid level was near 18 and she took regular medicine. Now her thyroid level came down between 2 and 3 a... Read Full »
Do you have a question on Misoprostol or Pregnancy?Ask a Doctor Online