For heavy menstrual bleeding or to clear the uterus after abortion or miscarriage, your doctor might perform a procedure called dilatation and curettage (D and C). Here, the cervix is dilated, and the uterine lining and tissue are scrapped using a curette and suction.
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What is the procedure for abortion at 6 weeks?
Query: Hi doctor, I would like to get a summary of abortion options for someone 6 weeks pregnant. Please explain the risk statistics as in what percentage the patient have risks and what type of patients they typically are. The woman in question is an otherwise healthy 21 year old. Read Full »
Answer: Hello,Welcome to icliniq.com.For someone who is 6 weeks or 42 days pregnant as per the ultrasound and the pregnancy has been localized intrauterine, there are actually two options: Medical termination. Surgical evacuation with suction and evacuation.1. Medical TerminationIn medical abortion the pati... Read Full »
Is D and C procedure necessary for blighted ovum?
Query: Hi doctor, According to my LMP now I am 9 weeks pregnant. I went for USG TV 20 days back and it showed that I was 7 weeks and 2 days and now it would be 8 weeks. USG shown gestational sac with no yolk sac and fetal pole. They said it is BO and to go through D&C. I am confused what to do now. Sha... Read Full »
Answer: Hi, Welcome to icliniq.com. At 6 weeks and beyond we expect a fetal pole or yolk sac to be visualized on USG. By 7 weeks, we must see the cardiac activity. If there is no embryo and no heart beat even beyond 7 weeks, we call it a blighted ovum (BO) with only a sac and no contents inside. It can h... Read Full »
How to improve my endometrial thickness to get pregnant?
Query: Hello doctor, My age is 32, and my husband is 37. We have been married for nine years, and I have been trying for conception for eight years. I did conceive last year, but the heartbeat was not seen. So, I underwent D and C. Till last year, and my period was regular. But, it became very scanty after... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your anxiety. I have read your problems and your husband's report (attachment removed to protect patient identity). It seems that your problem could be due to vigorous curettage (dilation and curettage) or due to endometrial infection, such as tuberculo... Read Full »
My wife has missed her periods. Is she pregnant?
Query: Hello doctor, My wife had her periods last month. This month it did not happen, and she is having vomiting sensation, cramps in lower abdomen and back. Through the home test, two lines are appearing. We do not want pregnancy now. Please guide us regarding the same. Read Full »
Answer: Hi, Welcome to icliniq.com. Abortion pills can only be taken under supervision because it may cause infection, severe bleeding and retained products of conception. Get your pelvic ultrasound done to see fetal well-being. Read Full »
I have not had D and C after my miscarriage. Will this affect my future pregnancy?
Query: Hello doctor, I had a miscarriage a month back, and since then, I have not been able to get pregnant since. Do you think I need to schedule a checkup with my primary doctor since I did not have a D and C? Read Full »
Answer: Hello, Welcome to icliniq.com. In my opinion, D and C (dilation and curettage) are not a must to get you pregnant. I believe that you are getting periods regularly after the miscarriage. So about the above findings, I would like to suggest you a few things: 1. Keep a planned relationship between... Read Full »
Is it true that an IUD can stay inside forever?
Query: Hello doctor, I had a DNC done two years ago. My doctor was supposed to remove my IUD but did not. I found out when I had an ultrasound last week. Can IUD remain while he did the DNC procedure? Is it true that the IUD can stay forever? Read Full »
Answer: Hello, Welcome to icliniq.com. The IUD (intrauterine device) could remain inside if the DNC (dilation and curettage) done was fractional. It means that only parts of the endometrial tissue were removed. Another possibility is if the IUD is embedded in the endometrium, it can remain forever as it... Read Full »
Do I need to take Duoluton L pills for 21 days after abortion?
Query: Hi doctor, I was prescribed to have Duoluton-L pills for 21 days to be taken after 5 days of my D and C. She also advised me that I will get my normal periods after 21 days. Do I need to take all the pills? Or can I stop after taking around 16 or 17 pills? Read Full »
Dr. Sanjay Kumar Bhattacharyya
Answer: Hello, Welcome to icliniq.com. Actually after any abortion, the patient might experience some spotting for a few weeks as well as irregular cycle. This pill will help you to subside this flow and will try to re-establish your regular cycle pattern. Moreover, there is an incidence of ovulatio... Read Full »
My wife had a miscarriage in the seventeenth week. Should she go for D&C?
Query: Hi doctor, My wife had a miscarriage in the seventeenth week of pregnancy. The doctor gave her tablets, and the fetus was expelled out naturally. After a week, TVS showed 8 mm RPOC, and after three weeks, TVS showed 3x1x2 cm RPOC. Now she does not have any bleeding or pain. Whether she should go fo... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the reports attached. (attachments removed to protect patient's identity) According to the ultrasound reports, RPOC (retained products of conception) is 12 mm. If it is left behind, it can lead to bleeding or cramping or even can cause i... Read Full »
Why does my mother get vaginal bleeding suddenly after five years?
Query: Hello doctor,My mother was not having her periods from the past five years, but from yesterday, she started bleeding again. In these five years, she has not even bled for a single day. Why is she bleeding all of a sudden? What can be the cause? Read Full »
Answer: Hello, Welcome to icliniq.com. Five years no menstruation and now bleeding needs some detailed examination and investigations. Consult a nearby gynecologist, and let him or her see the source of the bleeding. Get an ultrasonography done.If bleeding is from the uterus, then your mom might need to get... Read Full »
Query: Hello doctor,Can polyps cyst in the right ovary, if not removed, may convert into cancer? The size of the follicular cyst is 25 mm, and 24 mm when noted. What should I do? Read Full »
Answer: Hello, Welcome to icliniq.com. Actually, polyps and cysts are both different things. The cyst will not convert into any concern or abnormal growth. But polyp is an abnormal growth of tissue that can be benign, which is not harmful. You have a polyp in the cervix, which is the opening of the uterus... Read Full »