Commonly referred to as DNC surgery, Dilation and Curettage is a uterine procedure done on a diagnostic basis. Many conditions within the uterus are benefited by the use of this procedure. Being invasive, a high level of care must be adhered to, to limit any complications that can result into serious problems if overlooked. Alternative treatments are available in place of D&C for some conditions. Speaking with your health care professional will help you devise the best plan of action for your specific case.
This procedure is done by dilating the cervix with the use of dilation rods which stretch the cervix open mechanically. Larger rods are used in succession until the opening is wide enough to proceed. Once the cervix is dilated, a curette is then used to scrap the lining of the uterus. The curette is a long, metal tool, shaped similarly to a spoon.
Dilation and curettage is used to either diagnose and or treat a number of various conditions in the uterus. These conditions range from pregnancy complications such as miscarriage, elective pregnancy termination, the removal of placenta pieces that remained in the uterus, and postpartum hemorrhage. This procedure is also used to reduce heavy menses, remove polyps, and to diagnose cancer.
During the procedure the patient is put under heavy sedation. The gynecologist then begins dilation followed by curettage. The doctor may choose to use an ultrasound or hysteroscope to get better visualization of the area being operated on. Once this process is finished the patient is watched closely for any adverse signs.
The risk level of this procedure compared to others is higher due to the inability of the doctor to see the area they are operating on. Too much scrapping of the tissue on the uterine wall can result in Asherman's Syndrome. This scarring may cause miscarriages and other fertility problems in the future. This may be an issue that happens when the curette used is sharp as opposed to the suction or blunter curette. Proper precautions should be taken to ensure infection does not occur.
Keeping a close eye on your recovery is a good idea. Some things you can be aware of is any changes in how you are feeling such as any pain or an increase in pain. Abnormalities in your menstruation should be noted and reported to your doctor. If you experience a change in color, longer or shorter duration, or heavier flow a follow up with your doctor should be scheduled to see how you are recovering.
D & C use to be a common practice for elective abortion, however less invasive options have become available and many woman and doctors choose where appropriate to use the alternative. Your gynecologist can go over with you the pros and cons of each option and together you can decide how to proceed with your care.
Undergoing any kind of procedure can be a scary thing to go through. DNC surgery does not differ, but by being informed and having an open dialogue with your gynecologist you will be able to find some comfort.
This procedure is done by dilating the cervix with the use of dilation rods which stretch the cervix open mechanically. Larger rods are used in succession until the opening is wide enough to proceed. Once the cervix is dilated, a curette is then used to scrap the lining of the uterus. The curette is a long, metal tool, shaped similarly to a spoon.
Dilation and curettage is used to either diagnose and or treat a number of various conditions in the uterus. These conditions range from pregnancy complications such as miscarriage, elective pregnancy termination, the removal of placenta pieces that remained in the uterus, and postpartum hemorrhage. This procedure is also used to reduce heavy menses, remove polyps, and to diagnose cancer.
During the procedure the patient is put under heavy sedation. The gynecologist then begins dilation followed by curettage. The doctor may choose to use an ultrasound or hysteroscope to get better visualization of the area being operated on. Once this process is finished the patient is watched closely for any adverse signs.
The risk level of this procedure compared to others is higher due to the inability of the doctor to see the area they are operating on. Too much scrapping of the tissue on the uterine wall can result in Asherman's Syndrome. This scarring may cause miscarriages and other fertility problems in the future. This may be an issue that happens when the curette used is sharp as opposed to the suction or blunter curette. Proper precautions should be taken to ensure infection does not occur.
Keeping a close eye on your recovery is a good idea. Some things you can be aware of is any changes in how you are feeling such as any pain or an increase in pain. Abnormalities in your menstruation should be noted and reported to your doctor. If you experience a change in color, longer or shorter duration, or heavier flow a follow up with your doctor should be scheduled to see how you are recovering.
D & C use to be a common practice for elective abortion, however less invasive options have become available and many woman and doctors choose where appropriate to use the alternative. Your gynecologist can go over with you the pros and cons of each option and together you can decide how to proceed with your care.
Undergoing any kind of procedure can be a scary thing to go through. DNC surgery does not differ, but by being informed and having an open dialogue with your gynecologist you will be able to find some comfort.
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