In gynecology, “D&C” stands for Dilation and Curettage, a common surgical procedure used to diagnose and treat various uterine conditions. Here’s an overview of the procedure:
Purpose of D&C
- Diagnostic:
- Investigate abnormal uterine bleeding.
- Diagnose endometrial hyperplasia, polyps, or cancer.
- Evaluate infertility or recurrent miscarriages.
- Therapeutic:
- Remove tissue after a miscarriage or abortion.
- Treat molar pregnancy.
- Remove retained placental tissue after childbirth.
- Manage heavy menstrual bleeding.
Procedure Steps
- Preparation:
- Patient is placed under local, regional, or general anesthesia.
- A pelvic exam is performed to assess the uterus.
- Dilation:
- The cervix is gradually dilated using specialized instruments (e.g., dilators) to allow access to the uterine cavity.
- Curettage:
- A curette (a spoon-shaped instrument) or suction device is used to gently scrape or suction the uterine lining (endometrium) to remove tissue.
- Tissue Analysis:
- The collected tissue is sent to a lab for histopathological examination if needed.
- Recovery:
- The procedure typically takes 15–30 minutes.
- Patients are monitored for a short period before discharge.
Risks and Complications
- Infection.
- Uterine perforation.
- Cervical injury.
- Asherman’s syndrome (intrauterine adhesions).
- Bleeding.
Post-Procedure Care
- Rest for 24–48 hours.
- Avoid tampons, douching, or sexual intercourse for 2 weeks.
- Monitor for signs of infection (e.g., fever, foul-smelling discharge, severe pain).
- Follow up with the healthcare provider as advised.
D&C is a safe and effective procedure when performed by a trained gynecologist. Always discuss risks, benefits, and alternatives with your healthcare provider.
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