After You Have D c Procedure Bleeding Start Up Again
Overview
What is dilation and curettage (D&C?)
A D&C is a minor surgical procedure to remove tissue from the uterus (womb). A gynecologist or obstetrician performs this surgery in their function or a surgery center. It's usually an outpatient procedure, so you become home the aforementioned day.
A D&C gets its name from:
- Dilation of the cervix: The provider dilates, or opens, the cervix. The cervix is the opening of the uterus, where it meets the acme of the vagina. Usually, the cervix only dilates during childbirth.
- Curette: The provider uses this thin instrument to scrape the uterine wall and remove tissue.
Who needs a dilation and curettage (D&C?)
Yous might need a D&C if you have or had:
- A miscarriage.
- Leftover tissue in the uterus after an abortion.
- Unexplained bleeding between menstrual periods.
Sometimes, you accept a D&C and hysteroscopy. During this procedure, your provider inserts a device into the neck to run across the inside of the uterus. You may have a hysteroscopy with a D&C if your provider is trying to diagnose a problem.
Procedure Details
What happens earlier a dilation and curettage (D&C)?
Occasionally, before beginning the D&C, your provider may begin to dilate your cervix using a laminaria stick. They insert this sparse rod into the neck and exit it in that location for several hours. You can get upwards and walk around while the laminaria stick is inside. The laminaria stick absorbs fluid from the cervix. When that happens, the neck opens and gives access to the uterus.
What happens during a dilation and curettage (D&C)?
Before the procedure, your provider will requite yous medicine to make you comfortable. Y'all may have general anesthesia, where you lot're asleep for the procedure. Or your provider may requite you medication to relax and sedate you, merely you remain awake for the procedure. Your provider will recommend the all-time anesthesia option for you.
During the procedure, you lie on a table with your feet in stirrups, like during a gynecologic exam. Your provider will:
- Insert a speculum into your vagina. This shine device, shaped like a duck's pecker, helps open the cervix.
- Use a clamp to hold the cervix in identify.
- Make sure your neck is sufficiently dilated, using a serial of rods to open it slowly.
- Use a curette, a type of suction or scraping device, to make clean out tissue from the uterus.
- Send a sample of the tissue to a laboratory for analysis.
How long does a dilation and curettage (D&C) take?
The process itself takes nearly five to 10 minutes. But the process may be longer. And you'll need to wait in the recovery room for a few hours after the procedure earlier you get dwelling house.
Does a dilation and curettage (D&C) hurt?
You may feel cramps like to menstrual cramps. Pain medication tin can relieve the cramps.
Risks / Benefits
What are the advantages of a dilation and curettage (D&C)?
A D&C can help your provider figure out why you have abnormal bleeding. Information technology tin also aid detect abnormal endometrial cells, which may be a sign of uterine cancer. After a D&C, your provider sends the sample of cells to a laboratory where pathologists can identify if you have normal or aberrant tissue, polyps or cancer.
A D&C is besides of import for your wellness after a miscarriage or abortion. It removes whatever leftover tissue to prevent heavy haemorrhage and infection.
What are the risks of a dilation and curettage (D&C)?
A D&C is a safe, routine process. But like any surgery, it has some risks. D&C risks include:
- Uterine perforation (a modest tear in the uterus), which may happen if the tip of the curette passes through the uterine wall.
- Uterine infection.
- Uterine bleeding.
In rare cases, if you had a D&C subsequently a miscarriage, you may develop Asherman'south syndrome. This status occurs when adhesions, or bands of scar tissue, form in the uterus. In Asherman's syndrome, scar tissue builds upwards betwixt the uterine walls. The walls then stick together. This condition tin cause infertility and alter your menstrual period. But providers can normally care for the adhesions with surgery.
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Recovery and Outlook
What'due south the follow-upward care for a dilation and curettage (D&C)?
You'll need someone to drive you abode from the process. You tin normally get home a few hours after a D&C. Yous might have mild pain or light haemorrhage for a few days. Utilise pads, not tampons, for the bleeding. Within a week, yous should be able to get back to your regular activities. You unremarkably render to your provider about a week or 2 later the process.
Volition a dilation and curettage (D&C) affect my menstrual cycle?
Later on having a D&C, your next period may be early or late. You'll need to avoid using tampons or having sex for a while after the procedure. Until your cervix returns to its normal, closed state, you're at college risk of bacteria entering your vagina and causing an infection. Your provider will tell you when you can resume having sex and using tampons.
When to Call the Doc
When should I call my healthcare provider about a dilation and curettage (D&C)?
Complications from a D&C are treatable when they're diagnosed early on. If you lot observe symptoms afterwards a D&C, phone call your provider so they can diagnose and treat the problem. Symptoms may include:
- Abdominal (belly) pain.
- Fever.
- Heavy bleeding.
- Severe cramps.
- Unusual or bad-smelling belch, the fluid that leaks from your vagina.
Additional Details
If I had a miscarriage, practice I demand a dilation and curettage (D&C)?
About half of women who miscarry don't need a D&C procedure. If the miscarriage occurs before 10 weeks of pregnancy, it volition most likely happen on its own and not cause any problems. Afterward the tenth week of pregnancy, there's a higher chance of having an incomplete miscarriage. In that case, you demand a D&C process to make sure the uterus is clean.
You lot may be able to determine if you desire to miscarry naturally or have a D&C procedure. Talk to your provider to decide what's correct for you.
A note from Cleveland Clinic
A D&C, or dilation and curettage, is a procedure to remove tissue from your uterus. You may demand a D&C process if you had a miscarriage or abortion. Your healthcare provider tin can utilize a D&C and hysteroscopy to diagnose unexplained bleeding. A D&C is an outpatient procedure. You lot may accept some mild cramping and haemorrhage for a few days afterwards a D&C. If you had a miscarriage or have bleeding between your periods, talk to your healthcare provider to see if you need a D&C.
Source: https://my.clevelandclinic.org/health/treatments/4110-dilation-and-curettage-d--c
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