Dilation And Curettage (D&C)

What is dilation and curettage (D&C)?

A dilation and curettage procedure also called D & C procedure for miscarriage, is a surgical procedure in which the cervix is dilated so that the lining of the uterine, i.e., endometrium, can be scraped with a curette, which is a spoon-shaped instrument to remove abnormal tissues. Let's explore this topic further by reading this article till the end.

What are female pelvic organs?

The organs and structures of the female pelvis are:

• Uterus Lining is called endometrium.
• Uterus: The uterus is a hollow, pear-shaped organ in a woman's lower abdomen, between the bladder and the rectum. The uterus sheds its lining each month during menstruation unless a fertilized egg (ovum) implodes and pregnancy follows.
• Ovaries: Two female reproductive organs located in the pelvis where egg cells (ova) develop and are stored and where the female sex hormones estrogen and progesterone are produced.
• Cervix: The narrower lower part of the uterus is between the bladder and the rectum. This forms a canal that opens into the vagina, which opens it outside the body.
• Vagina is also called the birth canal: During the Menstrual cycle, this passage through which fluid passes out of the body. The cervix and the vulva get connected by the vagina.
• Vulva: External portion of the female genital organs.
• Fallopian tube: Two thin tubes that extend from each side of the uterus toward the ovaries as a passageway for eggs and sperm.

Reasons for the procedure

• D&C act as both diagnostic and therapeutic procedure for abnormal bleeding. It is performed to determine the cause of abnormal or excessive uterine bleeding, for detecting cancer, or as part of an infertility investigation.
• Causes of abnormal bleeding include the presence of abnormal tissues, such as fibroid tumors, polyps, or cancer of the endometrium or uterus. We can examine the tissue obtained from D&C under the microscope.
• Due to a hormone imbalance or disorder (particularly estrogen and progesterone), especially in women approaching menopause or after menopause, there may be abnormal uterine bleeding.
• To remove uterine contents in suction Dilation and Curettage, we use suction. Following a miscarriage, for removing the fetus and other tissues, if they have not all been naturally passed, we use suction D&C. If these tissues are not entirely removed, Infection or heavy bleeding can occur.
• Sometimes, after the birth of the child, small pieces of the placenta (afterbirth) remain adhered to the endometrium and are not passed, which can cause bleeding or Infection. In these cases, D&C may also remove these fragments so that the endometrium can heal properly.
• Apart from this, there are plenty of other reasons for your doctor to recommend a D&C.

What is the cost of D&C surgery in Delhi?

The cost of D&C surgery in Delhi can vary depending on factors such as the healthcare facility, the region, and whether it is performed as an outpatient or inpatient procedure. Generally ranging from INR 10,000 to INR 30,000 or more, the cost encompasses the procedure, anesthesia fees, pre-operative assessments, and post-operative care. Patients are advised to inquire about the detailed breakdown of expenses and payment options to make informed decisions regarding the financial aspects of a D&C procedure.

Conclusion

Dilation and Curettage are done for miscarriage. This is a medical procedure that is designed to provide both physical and emotional relief to those women who have experienced the loss of pregnancy. Sehgal Nursing Home, one of the best D&C hospitals, offers a compassionate approach to solving the complications of pregnancy loss. By understanding the purpose, procedure, and importance of compassionate care, women can make informed decisions and explore the healing process with support from their gynecologist.