D&C Dilation and Curettage
D&C, or dilation and curettage, is a common surgical procedure. The cervix is dilated (widened) and the lining of the uterus is scraped away (curettage). It’s used to investigate or treat abnormal bleeding, remove tissue after a miscarriage or childbirth, or obtain a tissue sample for testing. A D&C is used for:
Diagnosing conditions: To investigate abnormal uterine bleeding, identify growths like polyps or cancer, or assess the uterine lining. 
Treating conditions: To remove tissue after a miscarriage or childbirth (evacuation of retained products of conception or ERPC), to remove polyps, or to manage heavy bleeding.
During a D&C the cervix is dilated using either medication or surgical instruments. A curette (a spoon-shaped instrument) is used to scrape the uterine lining. The procedure is usually performed under general anaesthesia, but local anaesthesia may also be used. It’s often a day procedure, with patients going home the same day.
After a D&C mild cramping and some light spotting or bleeding are normal. Pain relief (like paracetamol) can be taken as needed. Patients should avoid baths, swimming, and tampons for a period of time (usually a couple of weeks). Sexual intercourse should be avoided until bleeding stops and the doctor gives the go-ahead. If there are signs of infection (fever, pain, discharge), a doctor should be seen immediately.
Risks
The risks of D&C can be significant. Potential complications include infection, damage to the uterus or cervix (perforation), heavy bleeding, removal of too much endometrial lining, adhesions and infertility.
If you had a D&C after a miscarriage, you may develop Asherman’s syndrome. When there is scarring in the uterus these are adhesions. These adhesions can cause infertility and change to the menstrual flow. This causes chronic pain each month.
There are treatments but they do not always result in returned fertility.
Call us today
If you’re ready to discuss your situation or have any questions please contact Dr Victoria Handley today. Don’t suffer in silence. Call FREE on 0800 470 2009 or email vhandley@handleylaw.co.uk