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Dilation and curettage become necessary when certain uterine conditions have developed. These may include heavy bleeding or the necessity to clear the uterine lining after there has been a miscarriage or abortion. The process involves removal of tissues from inside the uterus.

The dilation and curettage, also sometimes spelled as 'dilatation' and curettage, is so named because in the process, the doctor would use small instruments to open (or dilate) the cervix, i.e. the lower and narrower part of the uterus and use a surgical instrument, called the curette, to remove the uterine tissues. The curettes can either be sharp to cut through the tissues or use suction to pull them out. The professionals at ARC can help you if there is a need for the use of this process for your particular condition. They are quite experienced and can guide you perfectly through the entire process.

Why and when is the process of dilation and curettage deemed as necessary?
There might be two cases when the process of dilation and curettage would be necessary. There might be the need to

  1. diagnose a condition
  2. treat a condition

Diagnosis - It might be recommended to perform a type of dilation and curettage called endometrial sampling to diagnose the following conditions:

  • Bleeding after menopause
  • Endometrial cells during a routine test for cervical cancer
  • Abnormal uterine bleeding  

The test, used in the process, extracts a tissue from the uterus lining and checks the following:

  • Uterine polyps
  • Endometrial hyperplasia
  • Uterine cancer

Treatment - When a therapeutic dilation and curettage is being performed, the doctor would remove not just a tissue sample, but the contents from inside the uterus. The process may be done because of the following conditions:

  • There may be tissue remains after a miscarriage or abortion and they might cause infection or heavy bleeding and thus requires removal.
  • A molar pregnancy might occur, where a tumour is formed, unlike a normal pregnancy.
  • There might be a requirement to remove cervical or uterine polyps, which are non-cancerous.
  • There might be a need to treat a condition of excessive bleeding by clearing out the placenta remaining in the uterus.

The process of dilation and curettage is often followed by a process of hysteroscopy, to make sure that there is nothing abnormal. Even fibroid tumours and hysterine polyps can be removed if needed.

How should you prepare for the process?
The process of dilation and curettage is fairly simple and performed as an outpatient procedure. It can beperformed in theclinic, a hospital or the doctor's office.
The following preparations should, however, be taken:

  • The doctor's instructions on food limitations should be followed.
  • You should have someone with you for assistance as you might be drowsy after the anaesthesia wears off.
  • Enough recovery time should be allowed after the procedure, at least a few hours.

The doctor at ARC take care of everything so that there is no heavy bleeding, fever, foul-smelling discharge, pain and cramps. The professionals at ARC are there to take care of you in any condition.