Understanding a D&C Procedure and What to Expect

If your doctor recommends a dilation and curettage (D&C) procedure, it's normal to have questions about why it's necessary, what it involves, and how you'll feel afterward. A D&C is a common and safe medical procedure to diagnose or treat various uterine conditions. Dr. Anu Kothari at Comprehensive OB/GYN Healthcare in Hicksville, NY, provides personalized, compassionate care to ensure you’re informed and comfortable at every step.

What Is a D&C Procedure?

Dilation and curettage (often shortened to D&C) involves gently opening the cervix—the lower part of your uterus—so tissue from the uterine lining can be carefully removed. This is done with a specialized scraping instrument called a curette or through gentle suction. In most cases, a D&C is an outpatient procedure, so you can go home the same day.

When Might You Need a D&C?

Dr. Kothari may recommend a D&C to diagnose or treat certain conditions. For diagnostic purposes, it can help pinpoint the cause of issues like irregular uterine bleeding, heavy periods, or postmenopausal bleeding by collecting tissue for closer examination. When used as a treatment, a D&C can clear the uterus after a miscarriage or childbirth to prevent complications or remove uterine polyps and excess endometrial tissue that cause troublesome symptoms.

Your doctor will discuss your situation and explain why a D&C may benefit your health.

How Is a D&C Performed?

Understanding the steps involved can alleviate concerns and help you feel more comfortable about the procedure:

Initially, Dr. Kothari will review your medical history and provide clear instructions to prepare you, including fasting or medication adjustments. Depending on your specific needs, you'll receive either local anesthesia (numbing the area) or general anesthesia (helping you sleep comfortably).

During the procedure, your cervix is gently dilated with specialized instruments or medication. Next, Dr. Kothari carefully removes tissue from your uterus using a curette or suction. This typically takes only 10 to 20 minutes. Afterward, you’ll rest briefly in a recovery area until the anesthesia wears off.

Recovery and Aftercare

It’s common to experience mild cramping and light spotting for a few days after a D&C. Dr. Kothari will give you specific aftercare instructions, which may include taking it easy for the rest of the day, avoiding strenuous activities, using sanitary pads instead of tampons, and holding off on sexual activity until your doctor clears you. Most women can return to their regular routines within a day or two.

When to Contact Your Doctor

Though complications from a D&C are rare, you should promptly call Dr. Kothari if you experience heavy bleeding (soaking a pad in an hour), severe pain, fever or chills, or unusual discharge. Early intervention ensures your health and safety.

Compassionate Gynecological Care in Hicksville, NY

Being informed about your D&C procedure can provide reassurance and help you confidently approach it. If you have questions or need guidance about your reproductive health, Dr. Anu Kothari at Comprehensive OB/GYN Healthcare in Hicksville, NY, is here to support you. To schedule your appointment or learn more about a D&C procedure, call (516) 822-4600 today.