Dilation and Curettage
|Dilation and Curettage|
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Reasons for Procedure
- Hormone imbalances
- Endometrial polyps
- Abnormal endometrial thickening
- Endometrial cancer
- Complications related to anesthesia
- Injury to the cervix
- Scarring of endometrium
- Infection of the uterus or fallopian tubes
- Uterine perforation (hole in the uterus)
- Damage to other organs in the abdomen
- Need for additional surgery
- Possible need to remove the uterus ( hysterectomy )
What to Expect
Prior to Procedure
- Aspirin and other nonsteroidal anti-inflammatory drugs (eg, ibuprofen , naproxen )
- Blood-thinning drugs, such as warfarin (Coumadin)
- Anti-platelet drugs, such as clopidogrel (Plavix)
- General anesthesia—keeps you asleep throughout the surgery
- Local anesthesia—numbs the area only
Description of Procedure
Immediately After Procedure
How Long Will It Take?
Will It Hurt?
- For uterine cramping, take pain medicine if recommended by your doctor.
- It is common to have some vaginal bleeding and discharge after a D&C. Use sanitary pads, not tampons.
- Refrain from placing anything inside your vagina until instructed by your doctor. The cervix has been opened. This may make it easier for you to get an infection in the uterus.
- Ask your doctor when you will be able to return to work. Also, do not drive until your doctor tells you that it is safe. You may be able to resume your normal activities in a few days.
- Be sure to follow your doctor's instructions .
Call Your Doctor
- Signs of infection, including fever and chills, increasing pain, or foul-smelling vaginal discharge
- Nausea or vomiting that does not stop
- Abdominal pain
- Vaginal bleeding that is saturating more than one sanitary pad per hour
- Cough, shortness of breath, or chest pain
The American Congress of Obstetricians and Gynecologists http://www.acog.org/
The Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org/
Women's Health Matters http://www.womenshealthmatters.ca/
D&C procedure after a miscarriage. American Pregnancy Association website. Available at: http://www.americanpregnancy.org/pregnancycomplications/dandc.html . Updated November 2011. Accessed August 13, 2012.
Dilation and curettage. The American College of Obstetricians and Gynecologists website. Available at: http://www.acog.org/~/media/For%20Patients/faq062.pdf?dmc=1&ts=20120813T1113192776 . Accessed August 13, 2012.
- Reviewer: Andrea Chisholm, MD
- Review Date: 12/2013 -
- Update Date: 00/11/2014 -