Dilation and curettage: steps and importance that women should not overlook
Dilation and curettage of the uterus is the removal of tissue from the uterus for examination or treatment of abnormalities arising from the uterus, such as excessive vaginal bleeding or women who have had a miscarriage. Sometimes the placenta that remains in the uterus must be removed for cleaning and to prevent dangerous bleeding or infection.
Conditions that should be investigated or treated with a D&C
- Have abnormal uterine bleeding or postmenopausal bleeding.
- Suspected abnormal endometrial cells
- Incomplete miscarriage or complications after miscarriage
there is a method of curettage using a vacuum suction device called MVA (Manual vacuum aspirator), which increases safety and reduces complications such as perforation of the uterus from curettage. - Postpartum Hemorrhage
Preparation before D&C
- If a patient suspects that she may be pregnant, she should inform her doctor.
- Inform the doctor if the patient is taking anticoagulants, has a blood disorder, or has a history of allergies.
- Some patients may need to undergo blood tests before D&C, such as a complete blood count or coagulation test.
- Do not eat or drink anything for about 6-8 hours before the D&C.
Treatment Procedure
The doctor will insert a speculum, which is คาสิโนออนไลน์ UFABET ฝากถอนรวดเร็ว เริ่มต้นเล่นง่าย similar to a spoon, to open the vaginal wall and access the cervix. The
doctor will then insert a tissue scraper, which looks like a spoon, and scrape away tissue around the uterine wall.
The sample will be sent to a laboratory for further analysis.
Post-curettage procedure
- The patient will stay in the hospital for 2-3 hours.
- Nausea and vomiting may occur due to the effects of anesthesia or local anesthesia.
- After treatment, patients should rest for 1-2 days. Patients can do their daily activities as usual. In the initial period, they should not lift heavy objects and should not use tampons, douche, or have sexual intercourse.
- During the first week, you should not soak in bathtubs, rivers, canals, or swimming pools.
- D&C may cause changes in your menstrual cycle or cramps in your lower abdomen.
- Patients should see their doctor for follow-up appointments.
If you experience the following symptoms, you should see a doctor immediately.
- Have a fever
- There is increasing pain in the lower abdomen that continues for more than 48 hours.
- There is so much bleeding that you may need to change your pad every hour.
- There is a foul-smelling discharge from the vagina.