Monday to Friday – 5pm to 8pm | Saturday – 10am to 1pm | Sunday – Closed
A-289, Sector-43, Noida | +91 98106 40531
Dr Puja Jain Dewan
sr gynecologist | obstetrician | Laparoscopic Gynae Surgeon
MBBS | MD | DGO | FMAS | FICOG
Uterine Cleaning with
Dilation and Curettage
Dilation and Curettage (D&C) is a surgical procedure performed to remove tissue from the inside of the uterus.
Dilation and Curettage (D&C) is a surgical procedure performed to remove tissue from the inside of the uterus. It is commonly used for diagnostic or therapeutic purposes, such as treating abnormal uterine bleeding, clearing the uterine lining after a miscarriage, or diagnosing uterine conditions like polyps or cancer. During the procedure, the cervix is dilated (widened), and a curette (a surgical instrument) is used to scrape or suction the uterine lining.
D&C is typically performed in a hospital or clinic, either under general anesthesia or local anesthesia, depending on the patient’s condition and the complexity of the procedure. It is often recommended for women experiencing heavy menstrual bleeding, unexplained uterine pain, or after pregnancy complications. The procedure usually takes less than an hour and can be both diagnostic and therapeutic.
Symptoms That Lead to Dilation and Curettage
- Dilation and Curettage is recommended in cases where women experience symptoms that indicate a potential problem with the uterus or the need for intervention. Common symptoms that may lead to a D&C procedure include:
- Abnormal Uterine Bleeding: This includes heavy menstrual periods, bleeding between periods, or postmenopausal bleeding, which may require investigation and treatment.
- Incomplete Miscarriage: If tissue remains in the uterus after a miscarriage, D&C is used to clear the uterus and prevent infection or excessive bleeding.
- Uterine Pain: Persistent pain in the pelvic region or uterus that doesn't resolve with other treatments may require a D&C to diagnose the underlying issue.
- Endometrial Hyperplasia: Thickening of the uterine lining due to hormonal imbalances may necessitate a D&C to remove excess tissue.
- Polyps or Fibroids: These growths within the uterus can cause pain and bleeding, and a D&C may be needed to remove them.
- Early intervention through D&C can prevent complications and provide relief from these symptoms.
Meet your Doctor
Dr Puja Jain Dewan - Sr Gynecologist & Obstetrician
M.B.B.S., M.D., D.G.O., F.MAS, FICOG
Dr Puja Jain Dewan is an experienced gynecologist and laparoscopy specialist in Noida. She is known for handling severe Uterine Prolapse cases and complex surgeries as well. Dr Puja always carries a comprehensive approach and works in the best interest of the patient. If You are looking for the best gynecologist in Noida, You have reached the right place!
Impact of Dilation and Curettage on Women's Health
- Dilation and Curettage can have both short-term and long-term impacts on women's health, depending on the reason for the procedure and the individual's medical history. In the short term, D&C is generally effective in treating conditions such as abnormal bleeding or removing tissue after a miscarriage, providing relief from symptoms and preventing further complications like infections or heavy bleeding.
- Long-term, D&C can help diagnose conditions like uterine cancer, polyps, or endometrial hyperplasia, which can be crucial for early treatment. However, there are risks associated with the procedure, including infection, uterine perforation, or scarring of the uterine lining (Asherman’s syndrome), which may affect fertility. In most cases, though, D&C is a safe procedure with minimal recovery time, and its benefits typically outweigh the risks.
- After the procedure, women may experience cramping and light bleeding, but these symptoms usually subside within a few days. Proper follow-up care and monitoring are essential to ensure a smooth recovery and address any potential complications.
Alternate Treatment to Dilation and Curettage
- There are several alternative treatments to Dilation and Curettage, depending on the condition being treated. These alternatives are less invasive and may be suitable for some women based on their medical needs and preferences:
- Medication: In cases of early miscarriage or abnormal bleeding, medications like misoprostol may be used to help expel tissue from the uterus without the need for surgery.
- Hysteroscopy: A minimally invasive procedure where a small camera is inserted into the uterus to diagnose or treat certain conditions like polyps or fibroids. This can sometimes replace the need for a D&C.
- Hormonal Therapy: For abnormal uterine bleeding or endometrial hyperplasia, hormonal treatments such as birth control pills, progestin, or other hormonal medications may help regulate the menstrual cycle and reduce bleeding.
- Endometrial Ablation: This procedure removes or destroys the lining of the uterus and is used as an alternative to D&C for women with heavy menstrual bleeding. It is a less invasive option but may not be suitable for women who wish to become pregnant in the future.
- Each of these treatments has its own set of benefits and risks, and the choice between a D&C and an alternative treatment will depend on the individual’s symptoms, diagnosis, and health history.
D & C
Frequently Asked Questions
D&C is usually performed under anesthesia (either local or general), so patients typically don’t feel pain during the procedure. Some cramping and discomfort may occur afterward, but it can be managed with pain relief medications.
Most women recover from a D&C within a few days. Some may experience light bleeding or cramping for a short period, but these symptoms should subside in about a week.
While D&C is generally a safe procedure, there is a small risk of developing uterine scarring (Asherman’s syndrome), which can affect fertility. However, this is a rare complication, and most women have no long-term reproductive issues after the procedure.
Doctors may recommend a D&C to treat abnormal bleeding, investigate uterine conditions like cancer or polyps, remove tissue after a miscarriage, or diagnose the cause of infertility.
Though rare, risks include infection, uterine perforation, and scarring of the uterine lining. It’s important to discuss potential risks with your gynecologist before undergoing the procedure.
Some Kind Words By My
Patients along my journey
Care
Surgeries
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I was referred to Dr. Puja Jain Dewan after developing high blood pressure in the early stages of my pregnancy. She immediately put me on a closely monitored plan that included regular check-ups, medication adjustments, and dietary changes. Her proactive approach helped me avoid any severe complications. When I experienced issues towards the end of my pregnancy, Dr. Puja was there every step of the way, ensuring both my baby and I were safe. I successfully delivered a healthy baby girl, and I am forever grateful for the extraordinary care Dr Puja provided.
I was going through a pre-menopausal phase where I was having trouble managing my symptoms of hot flashes, irritability and mood swings. I am so glad that I visited Dr Puja for that. She listened to me patiently, made me feel comfortable and assured me that everything is going to be alright. She then suggested some lifestyle changes, dietary changes and prescribed some meds. I didn't know that all these things will make such a huge difference. I finally feel like myself again! Thank you Dr Puja You are an amazing doctor and a good human being.
As I was experiencing various annoying symptoms, My friend recommended Dr Puja So I visited her clinic. I was quite sceptical as I had never visited a gynac before. But the experience was great, she understood my concerns and diagnosed PCOS. She also reassured me that some lifestyle changes and meds will have it managed. I followed her advice religiously and I am perfectly fine again. All those annoying symptoms, mood swings and acne are now gone. Such gynaecologists are rare these days. She is now going to be my gyne for life! Thank You so much Ma'am
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Book an Appointment with Dr Puja Jain Dewan, Best Gynecologist in Noida, Delhi & NCR
Our Clinic is located at Lower Ground Floor, A 289, Sector 43, Noida, Uttar Pradesh 201301, India
Monday to Friday – 5 PM to 8 PM
Saturday – 10 AM to 1 PM
OPD fees is 1000 INR.
A-289, LGF,Sector-43, Noida,
Uttar Pradesh, India
Pin – 201301
Important Links
Pregnancy Care
Gynecology Treatments
laproscopic surgeries
Dewan's Ortho Gyne Clinic
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