“D & C” stands for dilation and curettage, a common surgical procedure performed by gynecologists to remove tissue from the uterus. It involves opening the cervix, dilating it, and using a special instrument called a curette to scrape and remove the lining of the uterus. This procedure can be done for both diagnostic and therapeutic purposes and is commonly used in cases of abnormal uterine bleeding, miscarriage, and to remove remaining tissue after a delivery.
The procedure is usually performed under general anesthesia, but in some cases, local anesthesia may be used. The patient lies on their back with their legs in stirrups, and the gynecologist inserts a speculum into the vagina to visualize the cervix. The cervix is then dilated using a series of progressively larger dilators until it is wide enough to allow the curette to be inserted. Once the curette is inside the uterus, the gynecologist scrapes the uterine lining to remove any abnormal tissue.
D & C is commonly used to diagnose and treat various conditions related to the uterus. Some of the diagnostic indications include abnormal uterine bleeding, to collect tissue samples for biopsy, to investigate the cause of infertility or repeated miscarriages, and to remove polyps or fibroids. Therapeutic indications include treating abnormal uterine bleeding, removing retained tissue after a miscarriage or delivery, and managing endometrial hyperplasia, a condition characterized by the overgrowth of the uterine lining.
Like any surgical procedure, D & C carries some risks, including infection, bleeding, and damage to surrounding organs such as the bladder or bowel. However, these risks are relatively low and can be minimized with proper technique and good surgical practices.
After the procedure, the patient may experience cramping, spotting, or light bleeding for a few days, and it is recommended that they avoid sexual intercourse and strenuous activity for a week or two to allow the cervix to heal properly.
In conclusion, D & C is a common gynecological procedure used for both diagnostic and therapeutic purposes. It involves dilating the cervix and using a curette to scrape and remove tissue from the uterus. The procedure is generally safe and effective, but like any surgical procedure, it carries some risks that can be minimized with proper technique and good surgical practices. If you are experiencing abnormal uterine bleeding or have concerns about your reproductive health, it is important to speak with your healthcare provider to determine if D & C is an appropriate course of treatment.