Dilation and Curettage (D&C): A Comprehensive Guide

What is Dilation and Curettage (D&C)?

Dilation and curettage (D&C) is a surgical procedure that involves removing tissue from the lining of the uterus (womb). It is a common procedure used for various reasons, including miscarriage management, removal of abnormal tissue, and diagnosis of uterine conditions.

Why is D&C Performed?

D&C may be performed for the following reasons:

Miscarriage Management:

To remove fetal tissue and the lining of the uterus after a miscarriage.

Abortion:

To end a pregnancy.

Removal of Abnormal Tissue:

To remove fibroids, polyps, or other abnormal growths in the uterus.

Diagnosis of Uterine Conditions:

To obtain a sample of uterine tissue for biopsy and diagnosis of conditions such as cancer or infection.

How is D&C Performed?

D&C is a brief surgical procedure that typically takes 10-15 minutes. It is usually performed under general anesthesia.

During the procedure, the cervix is dilated (widened) to allow access to the uterus. A curette, a surgical instrument, is then used to gently scrape away the lining of the uterus. The removed tissue can be examined under a microscope to determine the cause of the abnormal bleeding or other symptoms.

Recovery after D&C

Most women recover within a few days of a D&C. There may be some cramping and vaginal bleeding for a few days. It is important to follow your doctor's instructions for rest and recovery.

Risks and Complications

Like any surgical procedure, D&C has potential risks and complications, such as:

• Infection
• Bleeding
• Uterine perforation
• Cervical damage

These risks are uncommon, and most D&C procedures are safe and effective.