An overview of Dilation and Curettage
Dilation and curettage (D&C) is a medical procedure in which a healthcare provider opens the cervix of the uterus and removes uterine tissue to diagnose or treat certain uterine conditions. It is usually performed under anesthesia to ensure the patient feels no discomfort. D&C can be used to diagnose or treat heavy bleeding, clear the uterine lining after a miscarriage or abortion, or remove cervical or uterine polyps. The procedure may also be combined with hysteroscopy to view and examine the uterus lining and remove any abnormalities.
What is Dilation and Curettage used for?
Dilation and curettage (D&C) is a medical procedure to remove tissue from inside the uterus. It is performed to diagnose or treat certain uterine conditions such as heavy bleeding, or to clear the uterine lining after a miscarriage or abortion. D&C involves dilation of the cervix and use of a curette to remove uterine tissue.
How to prepare for Dilation and Curettage?
Before a dilation and curettage (D&C) procedure, patients should follow their healthcare provider's instructions on limiting food and drink. Patients should also arrange for someone to take them home after the procedure, as they may be drowsy from the anesthesia. Additionally, patients should allow time for the procedure and a few hours of recovery afterward. In some cases, the cervix may need to be dilated a few hours or even a day before the actual D&C, using medications or other dilation methods. It is important to follow the provider's guidance on preparation and pre-procedure instructions.
How is Dilation and Curettage conducted?
The Dilation and Curettage (D&C) test is conducted by a healthcare provider. During the procedure, the provider dilates the cervix using small instruments or medication, and then uses a curette to remove uterine tissue. The patient receives anesthesia and lies on an exam table with their heels in stirrups. The procedure helps diagnose or treat uterine conditions, such as heavy bleeding or a buildup of the uterine lining. After the procedure, the patient spends time in a recovery room to monitor for complications.
Understanding the report
After a dilation and curettage (D&C) procedure, the removed uterine tissue is examined to determine the diagnosis or treatment plan. The results of the D&C are interpreted by a health care provider, such as a gynecologist or pathologist. They analyze the tissue sample to identify any abnormalities or signs of disease. The findings can help diagnose conditions such as heavy bleeding, infection, or abnormal growths in the uterus.
In some cases, additional tests may be needed to further interpret the D&C results. For example, if a biopsy was performed during the D&C, the removed tissue will be examined under a microscope to determine if there are any cancerous or precancerous cells.
It's important to follow up with your health care provider to discuss the D&C results and any necessary next steps. Based on the findings, your provider may recommend further treatment or procedures to address the underlying condition.