What Happens During A DNC Surgery

By Alma Fisher


Commonly referred to as DNC surgery, Dilation and Curettage is a uterine procedure done on a diagnostic basis. Many conditions within the uterus are benefited by the use of this procedure. Being invasive, a high level of care must be adhered to, to limit any complications that can result into serious problems if overlooked. Alternative treatments are available in place of D&C for some conditions. Speaking with your health care professional will help you devise the best plan of action for your specific case.

During the procedure your gynecologist will use various sized dilation rods to open the cervix by stretching it mechanically. The gynecologist will then use the larger rods in succession making the cervix wide enough to continue. Once dilation has taken place, the curettage process is started. A long metal spoon shaped instrument is used to scrape samples for diagnosis or to remove any unwanted matter.

D & C as a means of treatment or diagnosis has been useful for a number of uterine conditions. Dilation and Curettage has been used to remove any residual pieces of the placenta that has not naturally exited the uterus. It is also used in the case of postpartum hemorrhage. A number of pregnancy conditions and complications have been treated using this procedure, such as miscarriage, and elective abortion. The diagnosis of cancer and the removal of polyps have been successfully treated as well.

During the procedure the patient is put under heavy sedation. The gynecologist then begins dilation followed by curettage. The doctor may choose to use an ultrasound or hysteroscope to get better visualization of the area being operated on. Once this process is finished the patient is watched closely for any adverse signs.

The procedure is known as a blind surgery because of the inability of the doctor to clearly view the area being operated on. This increases the risk of possible injury to the uterine wall and may result in scarring due to over scrapping, referred to as Asherman's Syndrome. This can lead to a reduced capability of fertility as well as a higher miscarriage rate.

Keeping a close eye on your recovery is a good idea. Some things you can be aware of is any changes in how you are feeling such as any pain or an increase in pain. Abnormalities in your menstruation should be noted and reported to your doctor. If you experience a change in color, longer or shorter duration, or heavier flow a follow up with your doctor should be scheduled to see how you are recovering.

D & C use to be a common practice for elective abortion, however less invasive options have become available and many woman and doctors choose where appropriate to use the alternative. Your gynecologist can go over with you the pros and cons of each option and together you can decide how to proceed with your care.

Having any procedure done can be a scary thing. Having DNC surgery is no different and should be carefully and thoroughly discussed with your health professional so that the best outcome is achieved.




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