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Questions and Answers
What are some symptoms that indicate a woman may need to seek medical attention after a D&C?
Heavy bleeding with large clots, severe lower abdominal pain, smelly vaginal discharge, high temperature
Why do most women experience psychological effects after a miscarriage?
Because the pregnancy might have been anticipated with much joy
Who are the women, not pregnant, that may need to undergo a D&C?
Older women experiencing postmenopausal bleeding, and few women under the age of 40 for diagnostic purposes
How soon can a woman usually return to work after a D&C?
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Why are gynecological curettages performed?
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Under what conditions is a D&C performed under general anesthesia?
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What does D&C stand for?
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What are the two main reasons for performing a D&C?
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What is the alternative to surgical evacuation?
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Is D&C necessary in all cases of early pregnancy miscarriage?
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When should a woman contact her doctor after having a D&C?
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What is the most reliable way to determine if there is any tissue remaining in the uterus after a miscarriage?
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What are the possible risks or complications of a D&C in recently pregnant women?
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How is the cervix dilated before a D&C?
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What is hysteroscopy?
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What is recommended by most gynaecologists along with a biopsy procedure?
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What is a common experience for women in the days following a D&C?
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How long does the D&C procedure usually take?
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Study Notes
Symptoms Indicating Need for Medical Attention Post D&C
- Heavy bleeding or blood clots larger than a golf ball may signal complications.
- Severe abdominal pain not alleviated by medications can indicate issues.
- Signs of infection include fever, chills, or foul-smelling discharge.
Psychological Effects After Miscarriage
- Women often experience grief, loss, and anxiety due to emotional attachment.
- Hormonal changes can exacerbate feelings of sadness or depression after a miscarriage.
Women Needing a D&C Not Due to Pregnancy
- Individuals with abnormal uterine bleeding require evaluation.
- Those with uterine polyps, fibroids, or endometrial hyperplasia may need a D&C for diagnosis or treatment.
Recovery Time After a D&C
- Many women can return to work within a few days, depending on their health and comfort levels.
- Physical recovery varies, with some requiring more time for rest.
Purpose of Gynecological Curettages
- Gynecological curettages are performed to diagnose or treat uterine conditions.
- They are often used to remove tissue after a miscarriage or abnormal growths.
D&C Under General Anesthesia
- General anesthesia is used when extensive procedures are necessary or in cases of significant anxiety or pain.
- Patients with certain medical conditions may also require it for safety.
Meaning of D&C
- D&C stands for Dilation and Curettage, a surgical procedure on the uterus.
Main Reasons for Performing a D&C
- The two primary reasons include clearing uterine contents after a miscarriage.
- Another reason is to obtain tissue samples for further evaluation or treatment.
Alternative to Surgical Evacuation
- Medical management, such as medication to induce uterine contraction, can be an alternative to surgical evacuation.
Necessity of D&C After Early Pregnancy Miscarriage
- D&C is not always necessary; some women may choose expectant management or medication.
When to Contact a Doctor Post D&C
- Women should reach out to their doctor if experiencing severe pain, prolonged bleeding, or signs of infection.
Reliable Tissue Assessment After Miscarriage
- Ultrasound is the most reliable method to check for remaining tissue in the uterus post-miscarriage.
Risks or Complications of D&C
- Potential complications may include infection, injury to the uterus, or heavy bleeding.
- Emotional impacts, such as anxiety or depression, may also arise.
Cervical Dilation Techniques
- The cervix is typically dilated using graduated dilators or medications that relax the cervix.
Hysteroscopy Explained
- Hysteroscopy is a diagnostic procedure that uses a thin, lighted telescope to examine the inside of the uterus.
Recommendations Along with Biopsy Procedure
- Most gynecologists recommend performing a hysteroscopy alongside biopsy to visualize and diagnose uterine conditions simultaneously.
Common Post-D&C Experiences
- Many women may experience mild cramping and spotting following the procedure.
- Emotional fluctuations are also common as they process the event.
Duration of D&C Procedure
- The D&C procedure typically lasts between 10 to 30 minutes, depending on individual circumstances.
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Description
Test your knowledge about the possible risks and complications associated with a Dilation and Curettage (D&C) procedure. Learn about uterine perforation, incomplete evacuation, and other related concerns.
