Suction and sharp dilation and curettage (D&C) is a procedure used to remove tissue from the inside of the uterus. It is often performed to diagnose or treat certain uterine conditions, such as heavy bleeding, incomplete miscarriage, or to remove abnormal tissue.
Why Is a D&C Performed?
- To diagnose the cause of abnormal uterine bleeding.
- To remove tissue after a miscarriage or abortion.
- To treat retained placenta after childbirth.
- To investigate or treat uterine polyps or fibroids.
- To remove abnormal endometrial tissue (hyperplasia).
Procedure Overview
- Preparation:
- Avoid eating or drinking for 8 hours before the procedure if general anesthesia is used.
- You may need to take a medication to soften the cervix before the procedure.
- A pregnancy test may be performed to confirm that you are not pregnant.
- During the Procedure:
- The procedure is usually performed under sedation or general anesthesia.
- A speculum is inserted into the vagina to hold it open.
- The cervix is gradually widened using dilators.
- A suction device is used to remove tissue from the uterus.
- A sharp curette (a small surgical instrument) may be used to gently scrape the uterine lining.
- The procedure typically lasts 10 to 20 minutes.
- Aftercare:
- You may experience mild cramping and spotting for a few days.
- Avoid sexual intercourse, tampon use, and douching for at least 2 weeks.
- Pain medication may be prescribed if needed.
- Watch for signs of infection (fever, heavy bleeding, foul-smelling discharge).
Possible Risks and Complications
- Infection of the uterus.
- Heavy bleeding or prolonged spotting.
- Uterine perforation (rare).
- Scar tissue formation (Asherman’s syndrome).
- Damage to the cervix (rare).
Frequently Asked Questions
1. Is a D&C painful?
You may experience mild to moderate cramping after the procedure, but pain relief medication is usually effective in managing discomfort.
2. How long does it take to recover from a D&C?
Most women recover within a few days, but you should avoid strenuous activity and sexual intercourse for at least two weeks.
3. Can a D&C affect my fertility?
In most cases, a D&C does not affect fertility. However, complications such as scar tissue formation (Asherman’s syndrome) may impact future fertility.
4. How will I know if I have an infection after a D&C?
Signs of infection include fever, heavy bleeding, foul-smelling discharge, and severe abdominal pain.
5. Is a D&C the same as an abortion?
A D&C can be used to manage a miscarriage or perform an abortion, but it is also used for diagnosing and treating uterine conditions.
6. When can I expect my period to return after a D&C?
Your period usually returns within 4 to 6 weeks after the procedure.
7. How soon can I try to get pregnant after a D&C?
You should wait at least one full menstrual cycle before trying to conceive, but your doctor will provide specific guidance based on your condition.