animated goddess mdbs banner animated goddess


MoonDragon's Women's Health Procedures Information
DILATION & CURETTAGE
(D&C)


For "Informational Use Only".
For more detailed information, contact your health care provider
about options that may be available for your specific situation.





  • Dilation & Curettage Description
  • Reasons For Dilation & Curettage
  • Dilation & Curettage Risk Factors
  • Dilation & Curettage Procedure Description
  • Dilation & Curettage Expected Outcome
  • Dilation & Curettage Complications
  • Dilation & Curettage Post Procedure Care
  • Medication
  • Activity Recommendations & Restrictions
  • Diet & Nutrition
  • Notify Your Health Care Provider




  • DILATION & CURETTAGE DESCRIPTION

    Dilation and curettage, also known as a D & C, is a gynecological procedure used for opening the cervix and removing the lining (endometrium) and contents of the uterus. The D & C is often both a diagnostic and a therapeutic procedure.

    D & C


    This procedure is often used to diagnose or treat abnormal uterine bleeding. The D&C is one of the most common surgical procedures performed on women. Dilation and Curettage also provides important information about whether uterine cancer is present.

    The uterus is a pear-shaped, muscular organ that sits in the lower abdomen. The top of the uterus is wide and it narrows like the neck of a bottle at the bottom. The lower third portion of the uterus is its neck which is called the cervix. The cervix is round and has a small opening called the Os. During your exam your health care provider can see the cervix by using a speculum - an instrument used to separate the walls of the vagina.

    The inner wall of the uterus is lined by endometrial tissues. The endometrial tissues thicken during the first part of your menstrual cycle. Once ovulation occurs progesterone acts to stop this thickening, and changes the endometrial lining so that it is ready to accept a pregnancy should it occur. If pregnancy does not occur, hormone production ceases and the endometrium breaks up and is shed as menstrual blood.





    REASONS FOR DILATION & CURETTAGE PROCEDURE

  • Diagnosis of abnormal bleeding. Thickening of the uterus (endometrial hyperplasia). A D&C may be required to diagnosed and/or treat a problem such as heavy or prolonged menstruation, as well as unexplained bleeding between periods. There are many possible causes for these menstrual abnormalities, one of the most common being a hormonal imbalance. Hormonal imbalance causes a thickening of the endometrium which sometimes causes irregular or prolonged menstrual cycles. Although this can happen at any age it most commonly occurs in young women just starting menstruation and in older pre-menopausal women.

  • Uterine Fibroids. Abnormal uterine bleeding is also a warning of various types of growths, which are most often non-cancerous. One of these benign growths are polyps which attach either by a stem or a stalk most often to the lining of the uterus or the cervix. Polyps inside the uterus can usually be removed by D&C. Fibroid tumors are another common benign growth that occurs in the uterus. Fibroids can be silent causing no symptoms, or they can cause heavy bleeding and painful cramping. Although fibroid tumors are sometimes detected during dilation and curettage, another surgical procedure is necessary to remove them.

  • cancer inside the uterus. Abnormal bleeding is sometimes a sign of endometrial cancer, particularly in women over 40. Women over 40, especially those past menopause, may have a D&C or another procedure called an endometrial biopsy. Occasionally a hysteroscopy is performed at the same time as a D&C, allowing the health care provider a better view of inside the cervix, vagina, and uterus.

  • Incomplete spontaneous miscarriage (spontaneous abortion). Dilation and curettage is also commonly performed following miscarriage or abortion in cases where the uterus fails to fully empty its content. Abortions induced before the 12th week of pregnancy are performed in a manner which is similar to the D&C.

  • Treatment of minor diseases of the uterus.

  • Embedded intrauterine device (IUD) used for contraception.

  • Investigation of infertility.

  • Elective abortion during early pregnancy. Because medical and non-invasive methods of abortion now exist, and because D&C requires heavy sedation or general anesthesia and has higher risks of complication, the procedure has been declining as a method of abortion. The World Health Organization recommends D&C as a method of abortion only when manual vacuum aspiration is unavailable. According to the Centers for Disease Control and Prevention, D&C only accounted for 2.4 percent of abortions in the United States in the year 2002, down from 23.4 percent in 1972.

  • Removal of membranes and placenta after childbirth in cases where they fail to deliver spontaneously (retained placenta).





  • DILATION & CURETTAGE RISK FACTORS

    These risk factors may increase the chances of complications associated with a D & C procedure.

  • Obesity.
  • Smoking.
  • Cervical infection or ongoing uterine infection.
  • Excess alcohol consumption.
  • Recent or chronic illness, including anemia, diabetes mellitus, and heart or lung disease.
  • Use of drugs, such as antihypertensives; cortisone; diuretics; or insulin.
  • Use of mind-altering drugs, including narcotics; psychedelics; hallucinogens; marijuana; sedatives; hypnotics; or cocaine.





  • D & C surgical instruments


    DESCRIPTION OF DILATION & CURETTAGE PROCEDURE

    A D & C procedure is normally performed in a hospital or a surgery center. Where your D&C takes place depends on individual factors about your health. It can be performed in a hospital setting using general anesthesia or in your health care provider's office using a local anesthetic. An injection around the cervix will minimize pain or discomfort from the procedure and produce numbness in the area.

  • Do not eat or drink anything before surgery for a time period to be determined by your health care provider.
  • A general anesthetic, local anesthetic, or both will be administered.
  • The vagina and cervix and the skin around the vagina are cleansed with an antiseptic solution.
  • The health care provider inspects the pelvic reproductive organs for any abnormal changes.
  • A speculum is inserted into the vagina to open the walls so the health care provider can see the cervix.
  • The cervix is carefully opened with dilators (tapered rods of increasing widths) by inserting them into the cervical opening (os).
  • A curette is inserted into the uterus. The curette can be a suction device through a narrow tube or a looped knife.
  • The curette is used to scrape the endometrium from the uterine wall.
  • The tissue may be removed for microscopic examination and diagnosis, or for treatment of heavy or irregular uterine bleeding.
  • Occasionally, ultrasound can be used for guidance of the instruments.
  • The instruments are removed.




  • Patient is positioned. Inspection for abnormal changes and location of the cervix.

    The vaginal opening is expanded and the cervix is grasped using forceps and brought forward (side view). The cervix is carefully grasped and its position is stabilized for procedure (front view).

    The cervix is probed and carefully opened with a small dilator by inserting it into the cervical opening. The cervix is carefully opened with a larger dilator by inserting it into the cervical opening.

    A curette is inserted into the uterus ad is used to scrape the endometrium from the uterine wall.




    Following the procedure, you may have some discomfort from general anesthesia which can include nausea, vomiting, and a sore throat that can last a few days. Many women will notice mild cramping for a few days following D&C, as well as spotting or slight bleeding for up to a week. Your next period may be early or late.

    You will need a friend or family member to accompany you home a few hours after your D&C. The affects of anesthesia wear off at different rates for each individual; however you should be able to drive and return to normal activities within a few days.





    DILATION & CURETTAGE EXPECTED OUTCOME

  • Tissue obtained successfully without complications. Allow about 4 to 6 weeks for recovery from surgery.





  • DILATION & CURETTAGE POTENTIAL COMPLICATIONS

  • Anesthesia complications include reactions to medications and problems with breathing.
  • Surgical-wound infection with pain and fever.
  • Excessive bleeding.
  • Inadvertent injury to the uterus. Perforation of the uterine wall caused by the tip of the surgical instrument. This injury rarely requires treatment and additional surgery and heals on its own. Uterine lining (endometrium) scarring.
  • Laceration (tear) of the cervix.
  • Having two or more sharp curettage procedures may increase the risk of complications in future pregnancies, such as ectopic pregnancy, miscarriage, and placenta previa.





  • DILATION & CURETTAGE POST PROCEDURE CARE

    To prevent bacteria from entering the cervix following a D&C, you should refrain from sexual intercourse, tampon use and douches for at least a week.

  • Do not douche unless your health care provider recommends it.
  • Wear cotton underpants and pantyhose with a cotton crotch.
  • Avoid underpants made from nylon, polyester, silk or other non-ventilating materials.
  • Expect slight vaginal bleeding during recovery from surgery.
  • Use a sanitary pad to protect clothing.
  • Avoid tampons temporarily; they may lead to infection.





  • MEDICATION

  • Antibiotics are often given during, or following, the procedure to help prevent any infections.
  • Prescription pain medication should generally only be required for 2 to 7 days following the procedure.
  • You may use non-prescription drugs, such as acetaminophen, for minor pain.
  • Hormones, if necessary to correct an imbalance.





  • ACTIVITY RECOMMENDATIONS & RESTRICTIONS

  • Resume driving in 1 or 2 days.
  • To help recovery and aid your well-being, resume daily activities, including work, as soon as you are able.
  • Resume sexual relations when spotting ceases.





  • DIET & NUTRITION

  • No special diet. However, you should follow a healthy, balanced nutritional program for a healthy immune system and to assist in a rapid recovery from your surgery.


  • MoonDragon's Nutrition Information: Adult Regular Diet
    MoonDragon's Nutrition Information, Guidelines, Dietary Recommendations





    NOTIFY YOUR HEALTH CARE PROVIDER

  • Vaginal discharge increases or smells unpleasant.
  • You experience pain that simple pain medication does not relieve quickly.
  • Unusual vaginal swelling or bleeding develops.
  • You develop signs of infection: general ill feeling and fever, headache, muscle aches or dizziness.






  • MoonDragon's Womens Health Index

    | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z |






    Health & Wellness Index





    AROMATHERAPY: ESSENTIAL OILS DESCRIPTIONS & USES


    Allspice Leaf Oil
    Angelica Oil
    Anise Oil
    Baobab Oil
    Basil Oil
    Bay Laurel Oil
    Bay Oil
    Benzoin Oil
    Bergamot Oil
    Black Pepper Oil
    Chamomile (German) Oil
    Cajuput Oil
    Calamus Oil
    Camphor (White) Oil
    Caraway Oil
    Cardamom Oil
    Carrot Seed Oil
    Catnip Oil
    Cedarwood Oil
    Chamomile Oil
    Cinnamon Oil
    Citronella Oil
    Clary-Sage Oil
    Clove Oil
    Coriander Oil
    Cypress Oil
    Dill Oil
    Eucalyptus Oil
    Fennel Oil
    Fir Needle Oil
    Frankincense Oil
    Geranium Oil
    German Chamomile Oil
    Ginger Oil
    Grapefruit Oil
    Helichrysum Oil
    Hyssop Oil
    Iris-Root Oil
    Jasmine Oil
    Juniper Oil
    Labdanum Oil
    Lavender Oil
    Lemon-Balm Oil
    Lemongrass Oil
    Lemon Oil
    Lime Oil
    Longleaf-Pine Oil
    Mandarin Oil
    Marjoram Oil
    Mimosa Oil
    Myrrh Oil
    Myrtle Oil
    Neroli Oil
    Niaouli Oil
    Nutmeg Oil
    Orange Oil
    Oregano Oil
    Palmarosa Oil
    Patchouli Oil
    Peppermint Oil
    Peru-Balsam Oil
    Petitgrain Oil
    Pine-Long Leaf Oil
    Pine-Needle Oil
    Pine-Swiss Oil
    Rosemary Oil
    Rose Oil
    Rosewood Oil
    Sage Oil
    Sandalwood Oil
    Savory Oil
    Spearmint Oil
    Spikenard Oil
    Swiss-Pine Oil
    Tangerine Oil
    Tea-Tree Oil
    Thyme Oil
    Vanilla Oil
    Verbena Oil
    Vetiver Oil
    Violet Oil
    White-Camphor Oil
    Yarrow Oil
    Ylang-Ylang Oil
    Aromatherapy
    Healing Baths For Colds
    Aromatherapy
    Herbal Cleansers
    Using Essential Oils


    AROMATHERAPY: HERBAL & CARRIER OILS DESCRIPTIONS & USES


    Almond, Sweet Oil
    Apricot Kernel Oil
    Argan Oil
    Arnica Oil
    Avocado Oil
    Baobab Oil
    Black Cumin Oil
    Black Currant Oil
    Black Seed Oil
    Borage Seed Oil
    Calendula Oil
    Camelina Oil
    Castor Oil
    Coconut Oil
    Comfrey Oil
    Evening Primrose Oil
    Flaxseed Oil
    Grapeseed Oil
    Hazelnut Oil
    Hemp Seed Oil
    Jojoba Oil
    Kukui Nut Oil
    Macadamia Nut Oil
    Meadowfoam Seed Oil
    Mullein Oil
    Neem Oil
    Olive Oil
    Palm Oil
    Plantain Oil
    Plum Kernel Oil
    Poke Root Oil
    Pomegranate Seed Oil
    Pumpkin Seed Oil
    Rosehip Seed Oil
    Safflower Oil
    Sea Buckthorn Oil
    Sesame Seed Oil
    Shea Nut Oil
    Soybean Oil
    St. Johns Wort Oil
    Sunflower Oil
    Tamanu Oil
    Vitamin E Oil
    Wheat Germ Oil





    HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS

  • MoonDragon's Nutrition Basics Index
  • MoonDragon's Nutrition Basics: Amino Acids Index
  • MoonDragon's Nutrition Basics: Antioxidants Index
  • MoonDragon's Nutrition Basics: Enzymes Information
  • MoonDragon's Nutrition Basics: Herbs Index
  • MoonDragon's Nutrition Basics: Homeopathics Index
  • MoonDragon's Nutrition Basics: Hydrosols Index
  • MoonDragon's Nutrition Basics: Minerals Index
  • MoonDragon's Nutrition Basics: Mineral Introduction
  • MoonDragon's Nutrition Basics: Dietary & Cosmetic Supplements Index
  • MoonDragon's Nutrition Basics: Dietary Supplements Introduction
  • MoonDragon's Nutrition Basics: Specialty Supplements
  • MoonDragon's Nutrition Basics: Vitamins Index
  • MoonDragon's Nutrition Basics: Vitamins Introduction


  • NUTRITION BASICS ARTICLES

  • MoonDragon's Nutrition Basics: 4 Basic Nutrients
  • MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients
  • MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute?
  • MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods
  • MoonDragon's Nutrition Basics: Foods That Destroy
  • MoonDragon's Nutrition Basics: Foods That Heal
  • MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals
  • MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods
  • MoonDragon's Nutrition Basics: Phytochemicals
  • MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce
  • MoonDragon's Nutrition Basics: Limit Your Use of Salt
  • MoonDragon's Nutrition Basics: Use Proper Cooking Utensils
  • MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water





  • RELATED MOONDRAGON HEALTH LINKS & INFORMATION

  • MoonDragon's Nutrition Information Index
  • MoonDragon's Nutritional Therapy Index
  • MoonDragon's Nutritional Analysis Index
  • MoonDragon's Nutritional Diet Index
  • MoonDragon's Nutritional Recipe Index
  • MoonDragon's Nutrition Therapy: Preparing Produce for Juicing
  • MoonDragon's Nutrition Information: Food Additives Index
  • MoonDragon's Nutrition Information: Food Safety Links
  • MoonDragon's Aromatherapy Index
  • MoonDragon's Aromatherapy Articles
  • MoonDragon's Aromatherapy For Back Pain
  • MoonDragon's Aromatherapy For Labor & Birth
  • MoonDragon's Aromatherapy Blending Chart
  • MoonDragon's Aromatherapy Essential Oil Details
  • MoonDragon's Aromatherapy Links
  • MoonDragon's Aromatherapy For Miscarriage
  • MoonDragon's Aromatherapy For Post Partum
  • MoonDragon's Aromatherapy For Childbearing
  • MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing
  • MoonDragon's Aromatherapy Chart of Essential Oils #1
  • MoonDragon's Aromatherapy Chart of Essential Oils #2
  • MoonDragon's Aromatherapy Tips
  • MoonDragon's Aromatherapy Uses
  • MoonDragon's Alternative Health Index
  • MoonDragon's Alternative Health Information Overview
  • MoonDragon's Alternative Health Therapy Index
  • MoonDragon's Alternative Health: Touch & Movement Therapies Index
  • MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy
  • MoonDragon's Alternative Therapy: Touch & Movement - Massage Therapy
  • MoonDragon's Alternative Health: Therapeutic Massage
  • MoonDragon's Holistic Health Links Page 1
  • MoonDragon's Holistic Health Links Page 2
  • MoonDragon's Health & Wellness: Nutrition Basics Index
  • MoonDragon's Health & Wellness: Therapy Index
  • MoonDragon's Health & Wellness: Massage Therapy
  • MoonDragon's Health & Wellness: Hydrotherapy
  • MoonDragon's Health & Wellness: Pain Control Therapy
  • MoonDragon's Health & Wellness: Relaxation Therapy
  • MoonDragon's Health & Wellness: Steam Inhalation Therapy
  • MoonDragon's Health & Wellness: Therapy - Herbal Oils Index







  • For a full list of available products from Mountain Rose Herbs, click on banner below:






    Starwest Botanicals




    HerbsPro Supplement Store


    HerbsPro




    Up to 70% Off Bath & Beauty - evitamins


    eVitamins








    Kalyx.com Herbs, Foods, Supplements, Bath & Body


    Chinese Herbs Direct


    Ayurvedic Herbs Direct


    Pet Herbs Direct


    TakeHerb.com


    Wild Divine - Stress relief training software and meditation.


    Aleva Health - Hosiery, Orthopedics, Wound Care, Support, Diabetic Socks


    ShareASale Merchant-Affiliate Program








    MOONDRAGON'S REALM - WEBSITE DIRECTORY


    A website map to help you find what you are looking for on MoonDragon.org's Website. Available pages have been listed under appropriate directory headings.




    Top