Dilation and curettage of the uterus (D&C) is a surgical procedure in which the cervix is dilated to clean the uterus after an abortion.
What is meant by expansion and curettage of the uterus?
Dilation and curettage is a minor surgical procedure to remove tissue from the uterus. An obstetrician-gynecologist performs this surgery in his or her office 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:
- Cervical dilation: The cervix is dilated or opened. The cervix normally only dilates 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:
- miscarriage.
- Remains of tissue in the uterus after a miscarriage. any for Cleaning the uterus after an abortion
- Unexplained bleeding between menstrual periods.
Sometimes, you may need both a dilatation and curettage and a hysteroscopy. A device is inserted into the cervix to see the lining of the uterus. He may perform these two procedures together if he needs to diagnose a specific problem.
Preparing for endometrial dilation and curettage
Before starting the procedure of dilation and curettage of the uterus, the doctor may dilate the cervix using a special stick (laminaria) from time to time. Where this thin rod is inserted into the cervix and left for several hours. You can get up and walk around while the laminaria bacillus is in your cervix. The laminaria stick 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 dilatation 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, just like 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 course before you go 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 dilatation and endometrial curettage, your doctor sends a sample of cells to a lab where pathologists can determine whether you have normal or abnormal tissue, polyps, or cancer.
A curettage and dilatation of the uterus after abortion 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 uterine dilation and curettage include:
- Uterine perforation (a small tear in the uterus), when the tip of the curette passes through the wall of the uterus.
- Uterine infection.
- uterine bleeding
In rare cases, if you have an invasive D&C 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 sterility and obstructing menstrual blood flow. But doctors can usually break up the 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.
- Fever.
- 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. You can usually go home a few hours after the D&C. You may feel slight pain or light 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 the D&C, the next menstruation 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 more at risk of bacteria entering the vagina and causing inflammation and infection. Your doctor will tell you when you can resume having sex and using tampons.
If I had a miscarriage, do I need a dilation and curettage?
Half of all women who have a miscarriage do not need a D&C. If the miscarriage occurs before the completion of 10 weeks of pregnancy, it will most likely go away on its own and not cause any problems. After the tenth week of pregnancy, there is a higher risk of this occurring incomplete abortion. In this case, you need to perform a dilatation and curettage curettage To ensure that the uterus is cleaned and the contents of the pregnancy are removed. So talk to your doctor to determine what is right for you.
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