DnC

A Dilation and Curettage (D&C) is a minor surgical procedure performed by a gynecologist to remove tissue from the inside of the uterus. It is commonly used to diagnose or treat various uterine conditions. During the procedure, the cervix is dilated (opened) and a special instrument is used to scrape or suction tissue from the uterine lining (endometrium).

Procedure

Preparation:

• Anesthesia: The patient may receive general anesthesia (to be asleep during the procedure), local anesthesia (to numb the area), or sedation.
• Dilation of the Cervix: A speculum is inserted into the vagina, and the cervix is dilated (widened) using medication or special instruments to allow access to the uterus.

Curettage:

• Once the cervix is dilated, a surgical instrument called a curette (which may be sharp or suction-based) is inserted into the uterus to remove the uterine lining or other tissue.
• The tissue removed is often sent to a lab for examination to determine the cause of abnormal bleeding or to check for cancerous or pre-cancerous cells.

Completion: After the tissue has been removed, the instruments are withdrawn, and the patient is monitored as they recover from the anesthesia.

Recovery After a D&C

• Rest: Patients are usually able to go home the same day but will need to rest for a day or two.
• Light Bleeding or Spotting: Mild bleeding or spotting is common for a few days after the procedure.
• Cramping: Mild cramping similar to menstrual cramps may occur for a few hours to a day.
• Avoid Sexual Activity and Tampons: Patients are usually advised to avoid sexual activity, tampons, and douching for about 1-2 weeks to prevent infection and allow the cervix to heal.