![]() 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. 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.Remove a tumor that forms instead of a typical pregnancy (molar pregnancy).Prevent infection or heavy bleeding by clearing tissues that remain in the uterus after a miscarriage or abortion.When performing a D&C to treat a condition, your provider removes the contents from inside your uterus, not just a small tissue sample. This instrument also is called a hysteroscope. Sandyford Nurse Helpline Mon – Fri from 8.30am - 4.During hysteroscopy (his-tur-OS-kuh-pee), a thin, lighted instrument provides a view of the inside of the uterus. Should you experience heavy bleeding, significant abdominal pain, fever or abnormal discharge after the procedure please ask for medical advice, either from your GP or contact Sandyford. There is a small chance of developing an infection in your womb afterwards. Very occasionally the sample does not collect enough tissue and the procedure needs repeated. We will write to you and your GP with the result of the sample when available (provided you have given us permission to do so). You can take simple pain relief like paracetamol or ibuprofen for any discomfort experienced after the procedure. This usually settles within a day or two. Alternatively, if it is decided at your appointment you will be having a biopsy you can take simple pain relief for any discomfort experienced after the procedure.įollowing the sample, you may have a small amount of vaginal bleeding or spotting. It may be helpful to take simple pain relief like paracetamol or ibuprofen 1 hour before your appointment if you have been told you will be having a biopsy. For the majority of women this only lasts for a few seconds and settles quickly. This can be slightly uncomfortable and feel like a cramping pain similar to a period. This is done by passing a narrow straw-like tube into the neck of the womb using an instrument called a speculum, which is also used for a smear test. ![]() An endometrial biopsy involves taking a small sample of cells from the lining of your uterus (womb).
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