What is dilatation and curettage?

dilatation and kyrettage (D&C) is a gynecological procedure that can be performed in various circumstances. Unlike the general beliefs, D&C is often not used as a technique of abortion and doctors instead prefer vacuum methods of the early period. However, this procedure is sometimes used to end the missed abortion or to complete the unpleasant abortion in the process and can also be used as treatment of bleeding between periods, removal of polyps or to evaluate endometrial tissue (uterine lining) for problems. As the name suggests, the D&C includes two separate steps: the dilation of the cervix to get access to the uterus, and scratching or sometimes sucking the uterine lining.

There are some changes in how dilatation and curettage can be made. Some women are subject to D&C while they are under general anesthesia. Increasing preferences are instead of using local anesthesia, but there may be a good reason why general anesthetics is preferred, especially if it is not D&CPlanated and emergency. OtherThe scattering is a place where dilatation and curettage could be made; This could occur in a hospital, a surgical center or a suitably equipped doctor.

The actual procedure of dilation and curette does not last long. It includes inserting a series of rods into the cervical opening to extend it for access to the uterus. Once the opening is large enough, a tool called Curette is inserted into the uterus through the cervix and is used to scrape the uterine lining. The pieces of this lining are removed to give an abortion or get samples that can be tested in the laboratory for anomalies. Curette could also remove polyps present in the uterus if necessary.

alternately, vacuum tissue extraction may be preferred over Curette, otherwise both tools could be used. This can still be called Dilation and Curettage. It can be more precisely called dilatation and extraction (D&E).

The degree of discomfort that women may feel with dilatation and kyrettage usually depend on the anesthetic used. Nothing feels with general anesthesia, but with a local anesthetist, some feelings or convulsions may occur. If they become too unpleasant, women should inform their doctor. It is often possible to have a higher dose of anesthetic before continuing.

Then women are usually given relatively specific instructions for subsequent care. These include the announcement of any fever, severe pain, discharge of odor or severe bleeding, delay in sexual intercourse for at least two weeks, not using tampons for a given period of time and following doctors at a point of six weeks. Such monitoring is twice as much as if the uterus lining is tested to evidence of any form of cancer. It is important to follow all the instructions of the doctor after this procedure and also do not help contact your doctor if there are unusual symptoms or there are questions that are not applied to.

typicalD&C complications are excessive bleeding and infections. In fact, because the cervix remains somewhat open for a few weeks after the procedure, women remain susceptible to infection: therefore warning to prevent inserting things into the vagina or contact. There is another risk that some women should consider.

If dilatation and curettage for missed abortion or abortion, there will be a rapid decrease in pregnancy hormones, which would be the risk of postpartum depression. Strong support can slightly minimize this risk, but women should also pay attention to strong feelings of sadness, hopelessness, isolation or suicide. If these feelings were marked, they should be alerted by a physician to treatment