Understanding medical procedures can be daunting, especially when it involves surgery. Dilation and Curettage, or D&C, is one such procedure commonly performed in gynecology. This article aims to demystify D&C, providing patients and those considering the procedure with essential information about its purpose, process, and what to expect.

What is Dilation and Curettage?

D&C is a surgical procedure where the cervix (the lower part of the uterus) is dilated to allow the surgical removal or sampling of the uterine lining. Typically, this is a short procedure, often completed in under an hour, and is performed in a clinical or hospital setting.

Reasons for Undergoing a D&C

D&C serves several medical purposes, both for diagnosis and treatment. It’s used diagnostically to investigate causes of abnormal uterine bleeding or to diagnose potential uterine conditions like cancer. Therapeutically, it’s employed in treating incomplete miscarriage by removing remaining tissue, addressing postpartum hemorrhage by clearing out placental remnants, or in managing excessive menstrual bleeding.

The D&C Procedure Explained

The procedure involves two steps – dilation of the cervix and curettage of the uterus. Dilation involves gently opening the cervix with dilators, and curettage involves scraping or suctioning away the lining of the uterus using a curette or suction tool. Anesthesia is used during the procedure, and the type depends on various factors, including patient preference and health status.

Pre-Procedure Preparations

Prior to a D&C, your gynecologist will conduct a thorough physical examination at your preferred location in Winston-Salem, Kernersville, Mount Airy, or King, NC. Additional tests, such as blood tests or ultrasounds, may be required. Patients receive detailed instructions about eating, drinking, and medication adjustments before the procedure.

Recovery and Post-Procedure Care

Most patients recover swiftly from a D&C, with a return to normal activities typically within a couple of days. Some post-procedure symptoms like light bleeding or cramping are common. Your doctor will provide detailed aftercare instructions, including guidelines on when to resume certain activities, like sexual intercourse.

Potential Risks and Complications

As with any surgical procedure, D&C has its risks, albeit low. These can include uterine perforation, infection, heavy bleeding, or potential scarring of the uterine lining. It’s important to discuss these risks with your doctor beforehand and to closely follow post-procedure care instructions.

Dilation and Curettage is a widely used and generally safe surgical procedure in gynecology. It’s crucial for patients to be well-informed about the procedure to alleviate any concerns. For more comprehensive information, please consult reliable medical resources like the American College of Obstetricians and Gynecologists (ACOG) and the Mayo Clinic, and always seek individualized guidance from your gynecologist at Lyndhurst Gynecologic Associates.

For further reading on D&C, head to these trusted sources:

American College of Obstetricians and Gynecologists (ACOG): https://www.acog.org/womens-health/faqs/dilation-and-curettage#:~:text=D%26C%20is%20used%20to%20diagnose,whether%20any%20cells%20are%20abnormal.

Mayo Clinic: https://www.mayoclinic.org/tests-procedures/dilation-and-curettage/about/pac-20384910