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Dr Sushma Prasad Sinha
Dr Sushma Prasad Sinha

Senior Consultant - Obstetrics & Gynecology

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
31 years
SURGERIES :
9000+

Treatment Price on request

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Treatment Price on request

Dr Sushma Prasad Sinha
Dr Sushma Prasad Sinha

Senior Consultant - Obstetrics & Gynecology

CONSULTS AT

Indraprastha Apollo Hospital

EXPEREIENCE :
31 years
SURGERIES :
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Dr. Tanveer Aujla
Dr. Tanveer Aujla

Senior Consultant - Obstetrics & Gynaecology

CONSULTS AT

Jaypee Hospital

EXPEREIENCE :
20 years
SURGERIES :
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Dr. Tanveer Aujla
Dr. Tanveer Aujla

Senior Consultant - Obstetrics & Gynaecology

CONSULTS AT

Jaypee Hospital

EXPEREIENCE :
20 years
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Dr Sandeep Talwar
Dr Sandeep Talwar

Senior Consultant - Ivf

CONSULTS AT

Max Healthcare Saket

EXPEREIENCE :
25 years
SURGERIES :
5000+

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Dr Sandeep Talwar
Dr Sandeep Talwar

Senior Consultant - Ivf

CONSULTS AT

Max Healthcare Saket

EXPEREIENCE :
25 years
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5000+
Dr. Shereshtha Sagar
Dr. Shereshtha Sagar

Senior Ivf Consultant

CONSULTS AT

Art Fertility Clinics

EXPEREIENCE :
14 years
SURGERIES :
NA

Treatment Price on request

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Dr. Shereshtha Sagar
Dr. Shereshtha Sagar

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Introduction:

Dilation and Curettage, commonly known as D&C, is a gynecological procedure that involves dilating the cervix and removing tissue from the uterus. It is a versatile procedure used for both diagnostic and therapeutic purposes. D&C may be performed to investigate abnormal bleeding, diagnose certain conditions, treat miscarriages or incomplete abortions, and remove abnormal or cancerous tissue from the uterus. This article explores the principles, symptoms, causes, treatment, benefits, cost in India, and the significance of D&C in gynecological care.

Principles of Dilation and Curettage (D&C): D&C is typically performed as an outpatient procedure, and it involves the following steps:

  • Anesthesia: The patient is given either local or general anesthesia to ensure she is comfortable and pain-free during the procedure.
  • Dilating the Cervix: The cervix is gently dilated (widened) using dilators or medication to allow access to the uterine cavity.
  • Curettage: A curette, a thin, spoon-shaped instrument, is inserted through the dilated cervix to gently scrape and remove tissue from the lining of the uterus.
  • Tissue Examination: The removed tissue is sent to the laboratory for examination, which can help in diagnosing various gynecological conditions.
  • Post-Procedure Care: After the procedure, the patient is monitored for a brief period before being allowed to go home. Recovery time is relatively short, and most women can resume their normal activities within a few days.

Symptoms and Indications for Dilation and Curettage (D&C):

D&C may be recommended for various gynecological symptoms and indications, including:

  • Abnormal Uterine Bleeding: D&C may be performed to investigate the cause of abnormal uterine bleeding, such as heavy or prolonged menstrual bleeding.
  • Diagnosis of Uterine Conditions: D&C allows for the diagnosis of uterine conditions, such as polyps, fibroids, endometrial hyperplasia, and endometrial cancer.
  • Miscarriage or Incomplete Abortion: In cases of miscarriage or incomplete abortion, D&C can be used to remove remaining fetal tissue and prevent complications.
  • Treatment of Excessive Menstrual Bleeding: For some women with excessive menstrual bleeding or heavy periods, D&C can be a therapeutic option to alleviate symptoms.
  • Evaluation of Infertility: D&C may be part of the evaluation process for infertility to assess the uterine cavity and endometrial lining.

Treatment:

Dilation and Curettage (D&C): D&C is a well-established and relatively safe procedure when performed by skilled healthcare professionals. It can be done as a standalone procedure or in combination with other gynecological interventions. In addition to diagnosing certain conditions, D&C can be used therapeutically to treat specific gynecological issues, such as excessive bleeding.

Benefits of Dilation and Curettage (D&C):

D&C offers several benefits for women with gynecological concerns:

  • Diagnostic Clarity: D&C allows for the precise examination of uterine tissue, aiding in the accurate diagnosis of various conditions, such as cancer, polyps, or hyperplasia.
  • Treatment of Abnormal Uterine Bleeding: In cases of heavy or prolonged menstrual bleeding, D&C can serve as a therapeutic option to reduce bleeding and alleviate symptoms.
  • Post-Miscarriage Management: For women experiencing a miscarriage or incomplete abortion, D&C can help remove remaining tissue and prevent complications.
  • Fertility Evaluation: In the evaluation of infertility, D&C provides valuable information about the uterine cavity and endometrial lining, guiding further treatment decisions.
  • Precise Tissue Sampling: D&C enables targeted sampling of tissue from specific areas of the uterus, improving the accuracy of pathology results.

Cost of Dilation and Curettage (D&C) in India:

The cost of D&C in India can vary based on factors such as the hospital or clinic, the complexity of the procedure, the type of anesthesia used, and any additional services required. On average, the cost of D&C in India ranges from ?15,000 to ?50,000 or more.

Conclusion:

Dilation and Curettage (D&C) is a valuable gynecological procedure used for both diagnostic and therapeutic purposes. It provides valuable information about the uterine cavity and endometrial lining, aiding in the accurate diagnosis of various gynecological conditions. D&C also offers therapeutic benefits, including the management of abnormal uterine bleeding, post-miscarriage care, and evaluation of infertility.

As with any medical procedure, D&C should be performed by skilled and experienced healthcare professionals in a safe and controlled environment. The procedure is generally safe, but like any medical intervention, it carries potential risks and requires careful consideration of individual patient factors and medical indications.

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FAQs

A dilation and curettage (D&C) is a medical procedure that is used to remove tissue from the uterus. The procedure is performed by a doctor or other healthcare provider.
D&Cs are typically performed for the following reasons: To remove tissue after a miscarriage: If a miscarriage does not complete on its own, a D&C may be necessary to remove the remaining tissue from the uterus. To diagnose or treat abnormal uterine bleeding: A D&C may be performed to diagnose the cause of abnormal uterine bleeding, such as fibroids or polyps. A D&C may also be performed to treat abnormal uterine bleeding, such as by removing a polyp or fibroid. To collect tissue for testing: A D&C may be performed to collect tissue for testing, such as to test for cancer.
D&Cs are generally safe procedures, but there are some risks associated with them. These risks include: Bleeding: Some bleeding is expected after a D&C, but excessive bleeding can occur. Infection: The risk of infection is low, but it can occur. Damage to the uterus: This is a rare complication, but it can occur
The recovery time from a D&C varies from person to person. Most women are able to go home from the hospital the same day as the procedure. However, some women may need to stay in the hospital overnight. The recovery process from a D&C will also vary from person to person. Some women may experience mild cramping and bleeding for a few days after the procedure. Other women may experience no symptoms at all.
Your doctor will give you specific instructions after a D&C. These instructions may include: Rest: You should rest for a few days after a D&C. Avoid strenuous activity: You should avoid strenuous activity for a few days after a D&C. Use sanitary pads: You should use sanitary pads instead of tampons after a D&C. Call your doctor if you have any concerns: If you have any concerns after a D&C, you should call your doctor.
There are a few alternatives to D&Cs. These include: Medical management: In some cases, abnormal uterine bleeding can be managed with medication. Hysteroscopy: Hysteroscopy is a procedure that allows a doctor to look inside the uterus with a small camera. Hysteroscopy can be used to diagnose and treat some conditions that require a D&C.
There are a few alternatives to D&Cs. These include: Medical management: In some cases, abnormal uterine bleeding can be managed with medication. Hysteroscopy: Hysteroscopy is a procedure that allows a doctor to look inside the uterus with a small camera. Hysteroscopy can be used to diagnose and treat some conditions that require a D&C. What are the chances of getting pregnant after a D&C? The chances of getting pregnant after a D&C are good. However, it is important to wait until you have fully recovered from the procedure before trying to conceive.

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