Dilation and Curettage – A Procedure to Treat Uterine Conditions

Dilation and curettage (D&C) is a medical procedure used to remove tissue from inside the uterus. It is employed to diagnose and treat certain uterine disorders such as heavy bleeding or to clear the uterine lining following abortion or miscarriage.

Who should get dilation and curettage (D&C) Treatment?

Dilation and curettage treatment is a surgical procedure that a person undergoes when she has had:

• Leftover tissue in the uterus post-abortion
• Miscarriage
• Abnormal uterine bleeding between menstruation periods
• Bleeding post menopause
• Presence of abnormal endometrial cells discovered during cervix cancer testing

What are the Dilation and Curettage surgical procedures?

The healthcare providers administer anesthesia to the patient. During the procedure, the patient lies on their back on the operating table with their heels supported by stirrups. The surgeon performs a Pap test by inserting a small instrument called a speculum into the vagina to view the cervix.

Following this, the surgeon gradually inserts a series of thicker rods into the cervix to slowly dilate it until it is sufficiently open. The dilation rods are then removed, and a spoon-shaped instrument with a sharp edge or a suction tool is used to remove the uterine tissue. Throughout the procedure, the patient does not feel any discomfort due to sedation or being in an unconscious state.

How long does a dilation and curettage (D&C) procedure take?

A dilation and curettage (D&C) procedure typically takes about 5 to 10 minutes to complete. However, the overall process may take longer, as the patient needs to spend a few hours in the recovery room after the procedure before being released.

What are the post-operative procedures or discharge care?

Post-surgery, the patient needs to rest for a few hours in the hospital’s recovery room for monitoring. Healthcare providers observe the patient for heavy bleeding or any other complications. This period is also crucial for the patient to recover from the effects of general anesthesia.

The doctor usually recommends visiting for regular checkups after a week or two.

What are the risks and complications of the dilation and curettage procedure?

Complications due to dilation and curettage are certainly rare.However, there are some possible risks that include:

• Infection
• Foul smell vaginal discharges
• Perforation in case a surgical instrument jabs and makes a hole in the uterus.
• Cervix damage
• Lasting dizziness
• Scar tissue on the uterine wall
• Asherman’s syndrome
• Prolonged cramps
• Heavy bleeding that compels them to change menstrual pads every hour
• Fever

Dilation and Curettage Treatment cost in India are as follow