To prevent infection, don't put anything in your vagina until your provider says it's OK. You should be able to resume your activities within a day or two. Typical side effects of a D&C can last a few days and include:įor discomfort from cramping, your provider might suggest taking ibuprofen (Advil, Motrin IB, others) or another medication. This also gives you time to recover from the effects of anesthesia. You'll likely spend a few hours in a recovery room after the D&C so that you can be monitored for heavy bleeding or other complications. Your provider removes the dilation rods and inserts a spoon-shaped instrument with a sharp edge or a suction device and removes uterine tissue.īecause you're either unconscious or sedated during a D&C, you shouldn't feel any discomfort.
#Xloc bleed procedure series
Your provider inserts a series of increasingly thick rods into your cervix to slowly dilate it until it's open enough.Your provider inserts an instrument called a speculum into your vagina, as during a Pap test, to see your cervix.You lie on your back on an exam table while your heels rest in supports called stirrups.The choice of anesthesia depends on the reason for the D&C and your medical history. Next, your provider inserts a long, thin instrument (curette) through your cervix into your uterus and carefully removes the tissue lining the inside of the uterus.įor dilation and curettage, you'll receive anesthesia. Then your provider inserts a series of rods (dilators) of increasing thickness to open (dilate) your cervix and allow access to your uterus. What you can expect During the procedureĭuring a dilation and curettage procedure (D&C), your provider uses a vaginal speculum to hold the walls of the vagina apart. The laminaria gradually expands by absorbing fluid in your cervix, causing your cervix to open. Another dilation method is to insert a slender rod made of laminaria into your cervix. To promote dilation, your provider may use a medication called misoprostol (Cytotec) - given orally or vaginally - to soften the cervix. This helps your cervix open gradually and is usually done when your cervix needs to be dilated more than in a standard D&C, such as during pregnancy terminations or with certain types of hysteroscopy. In some cases, your provider might start dilating your cervix a few hours or even a day before the procedure. Allow time for the procedure and a few hours of recovery afterward.Arrange for someone to take you home because you may be drowsy after the anesthesia wears off.Follow your provider's instructions on limiting food and drink.Foul-smelling discharge from the vaginaĭilation and curettage can be done in a hospital, clinic or your provider's office, usually as an outpatient procedure.Bleeding that's heavy enough that you need to change pads every hour.Infection after a D&C is rare.Ĭontact your health care provider if after a D&C you have: This can lead to unusual, absent or painful menstrual cycles, future miscarriages and infertility. Asherman's syndrome happens most often when the D&C is done after a miscarriage or delivery. Rarely, a D&C results in development of scar tissue in the uterus, a condition known as Asherman's syndrome. This might be prevented if the cervix is softened with medication before the D&C. If the cervix is torn during the D&C, your provider can apply pressure or medicine to stop the bleeding or can close the wound with stitches (sutures). However, if a blood vessel or other organ is damaged, a second procedure might be needed to repair it. This happens more often in women who were recently pregnant and in women who have gone through menopause. This occurs when a surgical instrument pokes a hole in the uterus.
#Xloc bleed procedure full
During a hysteroscopy, uterine polyps and fibroid tumors can be removed.Īt times, a hysteroscopy might be done combined with an endometrial biopsy before a full D&C procedure.Ĭomplications from dilation and curettage are rare. Your provider also checks for polyps and takes tissue samples as needed. Your provider then views the lining of your uterus on a screen, checking for areas that look unusual. During hysteroscopy, your provider inserts a slim instrument with a light and camera on the end into your vagina, through your cervix and into your uterus. Remove cervical or uterine polyps, which are usually noncancerous (benign)Ī D&C might be combined with another procedure called hysteroscopy.Treat excessive bleeding after delivery by clearing out any placenta that remains in the uterus.
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