What is a D&C?

A D&C, or dilation and curettage, is a gynecological procedure where the cervix is dilated and a special instrument is used to remove tissue from the uterine lining. It’s a relatively common procedure performed for various diagnostic and therapeutic reasons.

Types of D&C Procedures

• Suction D&C: Uses gentle suction to remove uterine tissue.
• Sharp Curettage: Involves a spoon-shaped instrument called a curette to gently scrape the uterine lining.

Your doctor will determine the most appropriate method based on your individual circumstances.

Reasons for a D&C

A D&C can be performed for several reasons, including:

• Miscarriage Management: To remove pregnancy tissue that remains in the uterus after a miscarriage.
• Abortion: To terminate a pregnancy.
• Postpartum Bleeding: To remove retained placenta or blood clots after childbirth.
• Abnormal Uterine Bleeding: To diagnose and treat the cause of heavy or irregular periods.
• Uterine Polyps or Fibroids: To remove these growths.
• Molar Pregnancy: To remove tissue from a non-viable pregnancy.
• Endometrial Biopsy: To obtain a tissue sample for diagnostic purposes.

Preparing for a D&C

Before your D&C, your doctor will provide specific instructions. Generally, this includes:

• Medical History: Discuss your medical history, including any medications or allergies.
• Physical Exam: You may undergo a pelvic exam and other necessary tests.
• Fasting: You’ll likely be asked to avoid eating or drinking for a certain period before the procedure.
• Pain Relief: Discuss pain management options with your doctor.
• Transportation: Arrange for someone to drive you home after the procedure.

What to Expect During the Procedure

The D&C procedure typically takes 10-20 minutes and can be performed under local or general anesthesia. Your doctor will discuss the best option for you.

D&C Recovery and Aftercare

Recovery from a D&C is usually quick. Most women can resume normal activities within a few days. However, it’s essential to follow your doctor’s post-operative instructions, which may include:

• Pain Management: Take over-the-counter pain relievers as directed.
• Rest: Get plenty of rest in the first few days.
• Avoid Strenuous Activity: Avoid heavy lifting or intense exercise for a week or two.
• Hygiene: Follow your doctor’s instructions regarding bathing and hygiene.
• Follow-up Appointment: Attend your scheduled follow-up appointment to ensure proper healing.

Frequently Asked Questions

Is a D&C painful?
You may experience some cramping during and after the procedure. Your doctor can provide pain medication to manage any discomfort.

How long does bleeding last after a D&C?
Light bleeding or spotting can last for a few days to a couple of weeks.

When can I resume sexual activity after a D&C?
Your doctor will advise you when it’s safe to resume sexual activity, typically after a couple of weeks.

Are there any risks associated with a D&C?
While rare, potential risks include infection, perforation of the uterus, or excessive bleeding. Discuss these with your doctor.

When should I call my doctor after a D&C?
Contact your doctor if you experience heavy bleeding, severe pain, fever, or foul-smelling discharge.

Conclusion

A D&C is a common procedure with various applications in women’s health. Understanding the reasons, preparation, and recovery process can help you feel more informed and prepared. Always consult with your doctor to discuss your specific situation and address any concerns.

This information is for educational purposes only and does not constitute medical advice. Always consult with a qualified healthcare professional for diagnosis and treatment.