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What is the difference between fractional curettage and dilation and curettage?

Jeremy Anderson

What is the difference between fractional curettage and dilation and curettage?

Dilation and curettage (D&C) is a basic, but important procedure with many applications in obstetrics and gynecology. Fractional D&C provides comprehensive sampling of the endocervix and subsequently the uterus.

What is D and C procedure for miscarriage?

Female reproductive system Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Health care providers perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

What is hysteroscopy D and C?

D&C (Dilation and Curettage) with Hysteroscopy are procedures that are performed together, these procedures are used to: Diagnose or treat abnormal bleeding from the uterus, such as heavy or long menstrual periods or bleeding between periods Remove polyps or fibroid Find out whether a woman has cancer of the uterus.

What should I avoid after a D&C?

You may be instructed not to douche, use tampons, or have intercourse for two to three days after a D&C, or for a period of time recommended by your doctor. You may also have other restrictions on your activity, including no strenuous activity or heavy lifting.

Is D and C painful?

Whether a D and C is painful depends on whether the person is awake during the procedure. Without sedation or anesthetic, it can be painful. Some feel little pain at all, while others feel considerable pain. A 2020 study reports that most people who have a D and C experience moderate to severe pain.

Does D and C remove polyps?

Polyps. Polyps are growths attached to the inner wall of your uterus that extend into the uterine cavity (space inside your uterus). They’re usually benign, but some can be cancerous or precancerous (lead to cancer). Polyps can be removed during a D&C.

Are you put to sleep for a D&C?

Some D&C procedures may be performed while you are asleep under general anesthesia, or while you are awake under spinal or epidural anesthesia. If spinal or epidural anesthesia is used, you will have no feeling from your waist down.

What should I expect with a D&C?

Generally, a D&C follows this process: You will be asked to remove clothing and be given a gown to wear. You will be instructed to empty your bladder. You will be positioned on an operating or examination table, with your feet and legs supported as for a pelvic examination. An intravenous (IV) line may be started in your arm or hand. A urinary catheter may be inserted.

What to expect after a D&C?

Heavy bleeding

  • Infection. Infection after a D&C is possible,but rare.
  • Perforation of the uterine wall or bowel.
  • Damage to the cervix.
  • A reaction to the anaesthetic
  • Adhesions (scar tissue) may develop inside the uterus,leading to infertility or changes to your menstruation – known as Asherman syndrome,this is very rare and can often be treated

    • What should I do to prepare for a D&C?

    You may go to your doctor’s office on the day before the procedure.

  • Be sure you have someone to take you home.
  • Understand exactly what procedure is planned,along with the risks,benefits,and other options.
  • If you take aspirin or some other blood thinner,ask your doctor if you should stop taking it before your procedure.

    • What are the side effects of a D&C procedure?

    After a D&C, there are possible side effects and risks. Common side effects include: Complications such as a damaged cervix and perforated uterus or bladder and blood vessels are rare. But be sure to contact your doctor if you have any of the following symptoms after a D&C: In very rare cases, scar tissue (adhesions) may form inside the uterus.

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