Why would my doctor recommend a DNC?

A doctor may recommend a dilation and curettage (D&C) procedure for various reasons. Here are some common reasons:

1. Incomplete Miscarriage: If a miscarriage occurs naturally or is medically induced, a D&C may be necessary to ensure that all pregnancy tissues are removed from the uterus.

2. Evaluation of Abnormal Bleeding: When a woman experiences abnormal bleeding, a D&C can help the doctor determine the cause and appropriately treat the underlying condition.

3. Retained Products of Conception (RPOC): If there are any remaining pregnancy tissues in the uterus after a miscarriage or childbirth, a D&C can be performed to remove them, preventing potential complications.

4. Diagnostic Purposes: A D&C can provide tissue samples for further examination in cases where there are concerns about uterine abnormalities, certain types of cancers, or other underlying conditions.

5. Removal of Placenta Accreta: In rare cases, the placenta may adhere too deeply to the uterine wall (placenta accreta), leading to complications after childbirth. A D&C may be necessary to remove the remaining placental tissue.

6. Postpartum Bleeding: In cases where excessive bleeding occurs after childbirth, a D&C can be performed to control bleeding and ensure proper healing of the uterus.

7. Termination of Pregnancy: D&C is sometimes used to terminate a pregnancy, either due to medical reasons or personal choice, within specific legal and medical guidelines.

8. Treatment of Molar Pregnancy: A molar pregnancy is an abnormal condition characterized by the growth of non-viable tissue. A D&C is typically performed to remove molar tissue and prevent complications.

9. Biopsy for Uterine Abnormalities: If there are concerns about uterine abnormalities, such as polyps, fibroids, or endometrial hyperplasia, a D&C can provide tissue samples for biopsy and evaluation.

10. Removal of Intrauterine Devices (IUDs): A D&C procedure may be necessary for the removal of certain types of intrauterine devices (IUDs) if they cannot be easily removed through routine methods.

It's important to note that a D&C is typically performed when other treatment options have been unsuccessful or are not suitable for the specific condition. Your doctor will recommend this procedure after carefully considering your individual situation and conducting a thorough evaluation.