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Doctor insights on: Dilatation And Curettage With A Hysteroscopy

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Is anesthesia required for dilation and curettage?

Is anesthesia required for dilation and curettage?

Depends why: Often a d & c may be done under sedation with Propofol and other meds such as versed or fentanyl. The gyn doctor may use local anesthesia around the cervix. If it's an emergency situation where the patient doesn't have an empty stomach, if the patient is extremely obese, or if there is heavy bleeding, general anesthesia may be safest. The ob/gyn and anes doctors will decide the best plan. ...Read more

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Dr. Justin Diedrich
386 doctors shared insights

Dilation And Curettage (Definition)

Dilatation and Curettage, known as a D and C, is a common procedure where the cervix is dilated and the doctor will clear the uterus of pregnancy tissue. It can be performed in the office or in an outpatient procedure center. It is done under sedation ...Read more


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Dilation and curettage (d&c) pain?

Dilation and curettage (d&c) pain?

Don't understand: There can normally be some pain after a d&c. Glad to be more helpful if you clarify what you are asking! ...Read more

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Cramping and bleeding 4 days after biopsy and endocervical curettage?

Cramping and bleeding 4 days after biopsy and endocervical curettage?

Normal: The biopsy and curettage bleeding may have been from the endocervical canal and biopsy site causing delayed bleeding. ...Read more

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How accurate is an office hysteroscopy endometrial biopsy &polypectomy in showing cancer or hyperplasia?

How accurate is an office hysteroscopy endometrial biopsy &polypectomy  in showing cancer or hyperplasia?

Not entirely - : To make these diagnoses - of cancer and hyperplasia - a pathologist really must examine slides of biopsies or smears. These diagnoses cannot be made with any certainty without microscopic examination. ...Read more

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What is a dilation and curettage done for?

Failed pregnancy: Usually for failed early pregnancy such as first-trimester miscarriage. It's sometimes used as a diagnostic tool for non-pregnant women with irregular bleeding. There are other reasons as well. ...Read more

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Post menopause break through bleeding. Ultra sound .61 cm endometrial stripe. Heterogeneous uterus with 2 small fibroids. Is D and C necessary?

Post menopause break through bleeding. Ultra sound .61 cm endometrial stripe. Heterogeneous uterus with 2 small fibroids. Is D and C necessary?

Not always.: Anytime their is postmenopausal bleeding then an US evaluation of the uterine lining should be performed. If the endometrial stripe is more than 3-5 mm then an endometrial sample should be taken. This can usually be done in the office and does not require a D and C. Sometimes your doctor may want to insert a thin flexible camera into the uterus to further evaluate the lining. ...Read more

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Histeroscopic polypectomy or histerectomy, what's the diffreence?

Histeroscopic polypectomy or histerectomy, what's the diffreence?

Hysteroscopy: Hysteroscopy uses a small camera inserted through he vagina into the uterus to allow visualization of the lining. A scraping of the lining can then be done to remove it and any small lesions arising from it. A hysterectomy removes the uterus +/- ovaries and tubes. Sometimes a hysteroscopy can lead a physician to recommend hysterectomy. Talk to your GYN about what is best for you. ...Read more

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I had d and c and hysterscopy for abnormal uterine bleeding. Does hysteroacopy detect cancer during procedure or only when removed tissue is analyzed?

I had d and c and hysterscopy for abnormal uterine bleeding. Does hysteroacopy detect cancer during procedure or only when removed tissue is analyzed?

No, it may suggest: No, tissue is needed for diagnosis. Irregularity, nodules or masses on hysteroscopy may suggest likely cancer but rissue analysis by a pathologist is required both to tell what type and grade and prognosis of cancer and to screen out benign causses of irregularity or nodular mass. ...Read more

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Histeroscopic polypectomy or histerectomy, what's the difference?

Look vs take...: Hysteroscopy is a procedure that looks inside the uterus, without incisions. If a polyp is present, it can be removed with instruments placed thru the hysteroscope - short recovery. A hysterectomy is the removal of the uterus (containing the polyp) - with or without the removal of the ovaries thru incisions- longer recovery. ...Read more

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What's dilation and curettage average cost?

Depends.: It depends on your insurance (or lack thereof), the setting in which it is performed and any additional testing or complications. On average, i would guesstimate it ranges in the several hundreds of us dollars to little over a thousand $ as co-payment. ...Read more

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What is removed during a cone biopsy of cervix?

What is removed during a cone biopsy of cervix?

A piece of cervix: If you have to have a cone biopsy, it is usually done by the leep method and usually in the office.Rarely it is done in the hospital. I do 99% of mine in office. A piece of cervix is removed and sent to the pathology doctor so he can see whether you just have pre cancer or cancer rarley it is done with a knife and sttiches. In most cases the problem is removed, but you will need more monitoring. ...Read more

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What are the differences between an endometrial biopsy and an endocervical curetage?

What are the differences between an endometrial biopsy and an endocervical curetage?

Different: Endometrial biopsy is a biopsy of the lining of the uterus, done to detect endometrial polyps, hyperplasia or cancer . Endocervical currttage is scrapping from inside of the cervix usually done for abnormal pap smear to diagnose cervical dysplasia or cancer. ...Read more

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Histological section shows mainly decidualised endometrial tissue with hyperplastic glandular component specimen: uterine evacuation?

Histological section shows mainly decidualised endometrial tissue with hyperplastic glandular component

specimen: uterine evacuation?

Hyperplasia: The sample you describe is suggestive of overgrowth of tissue in the uterus due to irregular menstrual cycles. It is seen in women who go for > 6 months without bleeding and suggests overstimulation due to estrogen effect. If left untreated, it could lead to endometrial cancer. Still, it is very slow growing but needs to be monitored. ...Read more

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Extensive residual endo, endometrioma involves rectosigmoid junction back of uterus & cervix dense tissue infiltration deep pelvic endo wot this mean?

Extensive residual endo, endometrioma involves rectosigmoid junction back of uterus & cervix dense tissue infiltration deep pelvic endo wot this mean?

Severe disease: You are describing severe endometriosis that is difficult to treat and that they were unable to completely remove. Some sort of medical treatment is probably your next step. It will be best if you can find a specialist with experience with these difficult cases since the usual gynecologist encounters these rarely. ...Read more

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Should I do dilatation and curettage if miscarriage?

Should I do dilatation and curettage if miscarriage?

Depends.: D&c is not mandatory after miscarriage - that would depend on how far along the pregnancy was when it was lost, whether you have fibroids, hematologic disorders or other medical problems. Altaernative options: Misoprostol to induce abortion and expectant management. ...Read more

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Dilation and curettage (d&c) pain?

Don't understand: There can normally be some pain after a d&c. Glad to be more helpful if you clarify what you are asking! ...Read more

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I have to have a dilation and curettage. What should I expect?

I have to have a dilation and curettage. What should I expect?

Mild cramping: There will be mild cramping and perhaps some residual bleeding post-op. The cervix will be open after dilation and therefore there is a slight risk for infection if there are "visitors" in the vagina during the first post-op week. It was once considered a "minor " surgery, but of course "minor surgery" is what happens to someone else. ...Read more

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What is a dilation and curettage done for?

Failed pregnancy: Usually for failed early pregnancy such as first-trimester miscarriage. It's sometimes used as a diagnostic tool for non-pregnant women with irregular bleeding. There are other reasons as well. ...Read more

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What's dilation and curettage average cost?

Depends.: It depends on your insurance (or lack thereof), the setting in which it is performed and any additional testing or complications. On average, i would guesstimate it ranges in the several hundreds of us dollars to little over a thousand $ as co-payment. ...Read more

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How long does the dilation and curettage take?

How long does the dilation and curettage take?

10-20 minutes: It takes longer to prepare than to do. Once you've received a light anesthetic (or local injection) it's under 5 minutes to measure the length of the cervix and dilate it. The curettage part takes another 3-5 minutes. If it's not pregnancy related, a camera (hysteroscopy) can be used to visualize the uterine cavity and this part can more than double the amount of time. ...Read more

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I had a dilation and curettage and my period stopped/ why?

I had a dilation and curettage and my period stopped/ why?

Endometrium gone: The material expelled during a period is the lining of the womb.A D&C removes all the lining(down to the muscle layer) and often takes a few cycles to reform. ...Read more

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Is anesthesia required for dilation and curettage?

Depends why: Often a d & c may be done under sedation with Propofol and other meds such as versed or fentanyl. The gyn doctor may use local anesthesia around the cervix. If it's an emergency situation where the patient doesn't have an empty stomach, if the patient is extremely obese, or if there is heavy bleeding, general anesthesia may be safest. The ob/gyn and anes doctors will decide the best plan. ...Read more

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Why do you have to wait to become pregnant after dilation and curettage?

Why do you have to wait to become pregnant after dilation and curettage?

You don't.: Older dictum was to wait for 3-6 months after a miscarriage before resuming sexual activity. More recent studies show that women who wait have lower fertility rates than women who don't. So, if you are trying to get pregnant, you can determine when you feel ready to resume sexual activity. Take Folic Acid 1-5 mg daily to prevent preterm birth, neural tube and cardiac anomalies in your offspring! ...Read more

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How long should you wait until after your d & c (dilation and curettage) to have sex?

How long should you wait until after your d & c (dilation and curettage) to have sex?

2-4 weeks at least.: Once 2-4 weeks have passed there are no restrictions to your activity. ...Read more

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I had dilation and curettage last saturday and my hubby will becoming home on the 21st, is it possible to have sex

I had dilation and curettage last saturday and my hubby will becoming home on the 21st, is it possible to have sex

Depends on the D &C: If the D&C was for diagnostic purpose and there is no further discharge, sex would be ok. If it was for an abortion, i would advise waiting for a normal period before resuming sex. ...Read more

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After a dilation and curettage, can u have sex with a condom?

After a dilation and curettage, can u have sex with a condom?

After healing: Once the cervix and uterus have healed, intercourse with a condom is just fine. However that healing process may take 1-2 weeks. Intercourse sooner than that may increase the chance of infection, whether or not you use a condom. ...Read more

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Had a Hysteroscopy + Cervical Polypectomy & Curettage done today (polyp removed) & home in the same day. When is it safe to resume intercourse? Doctor said after 10+ days at least. True? Or do I need more? Any more advice for me in this regards? Thnx

Had a Hysteroscopy + Cervical Polypectomy & Curettage done today (polyp removed) & home in the same day. When is it safe to resume intercourse? Doctor said after 10+ days at least. True? Or do I need more? Any more advice for me in this regards? Thnx

True!: The cervix was opened at the surgery making intrauterine infection more likely with intercourse before the healing period is completed. Ask your surgeon any further questions at your follow up post surgical appointment. ...Read more

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Is it necessary to undergo a dilatation & curettage after a lost pregnacy?

Is it necessary to undergo a dilatation & curettage after a lost pregnacy?

Not always: Early miscarriages of less than 6 to 8 weeks sometimes do not retain products of conception obviating the d & c. Always check with your ob-gyn md for examination post miscarriage to determine the necessity of d & c or not. ...Read more

Dr. Shiao-Yu Lee
347 doctors shared insights

Hysteroscopy (Definition)

Hysteroscopy is a procedure utilizing a thin telescope with a light cord and camera attached to visualize the inside of the uterus. The scope is inserted through the vagina, into the cervix and then entered ...Read more


Curettage (Definition)

The removal of tissue or growths from the interior of a body cavity, such as the uterus, by ...Read more