Dilation and curettage (D&C) is a surgical procedure in which the lower, narrow part of the uterus (cervix) is widened to remove tissue from inside the uterus and clean the uterus after an abortion.
What is meant by expansion and curettage of the uterus?
Uterine dilation and curettage is a minimally invasive procedure to remove tissue from the uterus. An obstetrician and gynecologist performs this surgery in his or her clinic or surgery center. It is often performed on an outpatient basis, so patients can go home the same day.
The process of dilatation and curettage of the uterus is called by this name because of its steps, in which it is:
- Cervical dilation: The cervix is dilated or opened. The cervix only expands naturally during childbirth.
- Curettage: The surgeon uses this thin instrument to scrape the curettage of the endometrium and remove tissue.
For whom is the process of expanding and curettage of the uterus?
You may need a dilation and curettage if you have:
- Tissue remnants in the uterus after miscarriage.
- Unexplained bleeding between menstrual periods.
Sometimes, you may need D&C and hysteroscopy together. A device is inserted into the cervix to view the lining of the uterus. He may do these two procedures together if he needs to diagnose a specific problem.
Preparing for endometrial dilation and curettage
Before starting a dilation and curettage of the uterus, the doctor may dilate the cervix using a stick dedicated to this (laminaria) from time to time. This thin rod is inserted into the cervix and left for several hours. You can get up and walk around while the laminaria wand is in your cervix. The laminaria wand absorbs fluid from the cervix. When this happens, the cervix opens and allows easy access to the uterus.
What are the steps of the process of expansion and curettage of the uterus in Turkey?
Before the curettage and dilation, your doctor will give you medication that will make you feel comfortable. The procedure may be done under general anesthesia, or your doctor may give you medication to relax and sedate, but you'll be kept awake for the procedure.
During the procedure, you'll lie on a table with your feet in a designated place, as during a gynecological examination. The steps are as follows:
- A vaginal speculum is inserted. This smooth, duckbill-shaped device helps open the cervix.
- Use a clamp to hold the cervix in place.
- Ensure that the cervix is dilation sufficiently, using a series of rods to open it slowly.
- A curettage, a type of suction or curettage device, helps clean tissue from the uterus (the curettage).
- Send a tissue sample to the laboratory for analysis.
How long does endometrial dilation and curettage take?
It takes about five to 10 minutes. But it may be longer. You will need to wait in the recovery room for a few hours after the cortage before going home.
Is the process of expansion and curettage of the uterus painful?
You may feel cramps similar to menstrual cramps. But pain relievers can relieve cramps.
What are the benefits of expanding and curettage of the uterus?
Dilation and curettage can help your doctor diagnose the cause of abnormal bleeding. It can also help detect abnormal endometrial cells, which may be a sign of infection uterine cancer. After the dilation and curettage of the endometrium, your doctor sends a sample of cells to a lab where pathologists can determine if you have normal or abnormal tissue, polyps, or cancer.
A post-abortion uterine dilatation and curettage is necessary to clean the uterus to prevent excessive bleeding and infection.
What are the risks of expansion and curettage of the uterus?
D&C is a safe routine procedure. But like any surgery it has some risks. Complications of dilation and curettage of the uterus include:
- Uterine perforation (a small tear in the uterus), if the tip of the scraper passes through the wall of the uterus.
- Uterine infection.
- uterine bleeding
In rare cases, if you do extensive dilation and curettage after a miscarriage, you may develop Asherman's syndrome. This syndrome occurs when adhesions form in the uterus. In Asherman's syndrome, scar tissue builds up between the walls of the uterus. The walls then stick together, causing infertility and obstructing menstrual blood flow. But doctors can usually remove adhesions with surgery.
When should you contact the doctor after the operation of dilation and curettage of the uterus?
Complications from dilation and curettage can be treated when diagnosed early. If you notice symptoms after dilation and curettage,call the doctor So that he can diagnose and treat the problem. Symptoms may include:
- Abdominal pain.
- heavy bleeding
- severe contractions;
- Unusual or foul-smelling discharge.
What after the process of expansion and curettage of the uterus?
The woman will need someone to drive her home after the cortage procedure. You can usually go home a few hours after the dilation and curettage. You may have mild pain or slight bleeding for a few days. Use sanitary pads, not tampons for bleeding. Within a week, you should be able to return to your usual activities. You should see your doctor about a week or two after the procedures.
Will expansion and curettage affect the menstrual cycle?
After D&C, the next period may be early or late. You will need to avoid using tampons or having sex for a while. Until the cervix returns to its normal closed state, it is at greater risk of bacteria entering the vagina and causing inflammation and infection. Your doctor will tell you when you can resume sex and the use of tampons.
If I had a miscarriage, do I need a dilation and curettage?
About half of women who miscarry do not need a D&C procedure. If the miscarriage occurs before 10 weeks of pregnancy are complete, it will most likely be done on its own and will not cause any problems. After the tenth week of pregnancy, there is a higher risk of an incomplete miscarriage. In this case, you will need to do a curettage to make sure the uterus is cleaned and the contents of the pregnancy are expelled. So talk to your doctor to determine what's right for you.
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Frequently asked questions and answers about uterine dilation and curettage in Turkey
What is the expansion process?
Dilation refers to the dilation of the cervix to reach the uterus and scrape the lining for diagnostic or therapeutic purposes.
Cervical dilation for abortion
A process of dilatation and curettage of the uterus is used during the second trimester miscarriage. Curettage helps remove the contents of the uterus and tissues of the deceased fetus.
The answer to this question varies depending on the doctor's goal of performing this step, Consult your doctor.
What is the period of rest after the process of cleaning the uterus?
The patient may only need to stay in the hospital for a few hours, and she can return to her daily activities within a day or two of the surgery.
Is the process of cleaning the contents of the uterus dangerous in Turkey?
Curettage and dilation of the cervix is a relatively safe procedure with a complication rate of 1-2% according to another studies.