Dilation and Curettage
What is dilation and curettage (D&C)?
A procedure is known as D&C, dilation and curettage, surgery to remove abnormal tissues of the uterus. When in the doctor will expand (dilate) the narrow section of the uterus (cervix). Then, move to scrape out the lining of the uterus with a tool shaped like a spoon.
Why might I need a D&C?
The doctor may suggest a D&C in the diagnosis or treatment of abnormal uterine bleeding. also, in some cases use it to find cancer, or as part of testing infertility. Abnormal bleeding usually caused due to fibroids, polyps, or uterus cancer or cancer of its lining. Abnormal uterine bleeding also occurs due to hormone problems. This is especially common in women around menopause. Your doctor may use a D&C following a miscarriage to get rid of the fetus and other tissues if they fail to pass on their own. And this type of D&C is also referred to as surgical evacuation of the uterus. Occasionally after giving birth, tiny pieces of the placenta might stay stuck to the endometrium and fail to pass on their own resulting in bleeding or infection. And to avoid that, your doctor may use D&C to remove these pieces so that the endometrium can heal. And sometimes, your doctor might have other reasons to suggest a D&C.
How do I get ready for a D&C?
- • The doctor will inform you about the procedure and you are free to ask questions if you have to know more.
- • You will be made to sign a consent form as a part of a formality, that permits them to go forward with the procedure.
- • The doctor will be reviewing your health care history and physical examination to be sure you are in good health before having the procedure. The doctor might also prescribe blood tests or other diagnostic tests.
- • In the case of general, spinal, or epidural anesthesia, you will have to fast for 8 hours before the procedure, usually after midnight. If the procedure is carried under local anesthesia, your doctor will instruct you about the fasting.
- • In case of pregnancy or possibly could be, inform the doctor. They might suggest a pregnancy test before the procedure.
- • Inform the doctor beforehand if you are sensitive to or allergic to specific medicines, iodine, latex, tape, or anesthesia.
- • Keep the doctor informed about any history of bleeding disorders or if you are on any blood-thinning medicines (anticoagulants), aspirin, or other medicines that affect blood clotting. You may be instructed to stop the medication before the procedure.
- • In the case of a sedative being admafterwardsinistered before the procedure, you will require help to drive you home .
- • It's a good idea to carry a sanitary pad to wear following the procedure.
- • Do follow all instructions given by the doctor to get ready and avoid any further complications after or during the procedure.
What happens during a D&C?
Usually, the doctor will perform a D&C in his or her office or during a hospital stay. With varying Procedures based on the condition and the doctor's practices. The anesthesia that will be used during the procedure will depend on the procedure is going to be done. In some cases, you might sleep under general anesthesia. and you may stay awake in the case of spinal or epidural anesthesia. In which case, you will feel nothing from your waist down. The attending anesthesiologist shall constantly monitor your vitals including heart rate, blood pressure, breathing, and blood oxygen levels through the surgery.
- 1. You will get rid of the clothing and put on a hospital gown before the procedure.
- 2. Best to empty your bladder.
- 3. positioned on an operating or exam table, as for a pelvic exam with your feet and legs supported.
- 4. A doctor may begin an intravenous (IV) line.
- 5. A doctor will insert a urinary catheter & a speculum into the vagina to part the walls to expose the cervix.
- 6. Followed by cleaning of the cervix with an antiseptic solution.
- 7. In the case of local anesthesia, a doctor may numb the area with the help of a small needle to inject the medicine.
- 8. In cases of general or regional anesthesia being used, the attending anesthesiologist will continuously monitor all your vitals during surgery.
- 9. A forceps kind of tool may be used to keep the cervix in place for the procedure.
- 10. The interior of the cervical canal is scraped with a small curette in case the cervical tissue needs examination.
- 11. A thin, rod-like instrument referred to as a uterine sound, is inserted through the cervical opening to study the length of the uterus.
- 12. The doctor will insert a few thin rods to expand the cervix. Each rod is bigger in diameter compared to the previous one, gradually enlarging the opening of the cervix so that he or she can insert the curette.
- 13. Followed by sending any tissues collected to the lab for testing.
- 14. In the case of pregnancy tissues, your doctor will go on to send them to the lab for diagnosing genetic problems.