D&C Procedure – Understanding the Basics

The D&C, or dilation and curettage procedure, is a common surgical procedure performed to diagnose and treat certain conditions related to the uterus. A D&C is most commonly used as a diagnostic tool to evaluate abnormal uterine bleeding and to assess the health of the uterine lining, but it can also be used to treat conditions such as removing tissue after a miscarriage or termination. In this article we’ll discuss the basics of a D&C procedure and why it’s important to understand.

What is a D&C Procedure?

A D&C is a short, outpatient surgical procedure in which the vaginal canal is dilated, or opened, and the inner walls of the uterus are scraped with a curette, or a metal loop-shaped instrument. Using the curette, the doctor removes any pre-existing tissue from the inside of the uterus, such as a fetus in the case of a miscarriage, or any abnormal growths or lesions. The tissue collected by the curette is then sent to a lab for further testing.

How is a D&C Procedure Performed?

The D&C procedure is usually performed using local anesthetic to numb the area and general anesthesia to put the patient to sleep throughout the procedure. The area around the cervix is first swabbed with antiseptic and then generally is dilated using metal dilators to make it easier to insert the curette. During the procedure, the doctor will insert the curette into the uterus, and then scrape gently along the walls of the uterus. The tissue collected by the curette is then sent to a laboratory for further testing. Once the procedure is complete, the doctor may need to make a few additional stitches to close the uterus.

Recovery and Possible Risks

Most patients tolerate a D&C procedure quite well, though some may experience some minor discomfort during the first few weeks after the procedure. Common side effects include mild cramping and light spotting or bleeding, which can usually be managed with over-the-counter pain medications. Recovery time after the procedure tends to be relatively short, usually just a few days to a week, and once the patient has recovered from the anesthesia and the local anesthetic has worn off, they can typically return to their regular routines.

There are also certain risks associated with a D&C procedure that patients should be aware of. These risks include infection, injury to the uterus, or even potential damage to other organs in the area. While the risks are fortunately very low, it’s important for patients to understand them prior to undergoing the procedure.

Overall, knowing the basics of a D&C procedure can help you make an informed decision should you ever need to undergo one. It’s important to discuss the details of your specific case with your doctor, so that they can answer any questions you may have and address any concerns you may have.