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DNCs & Menopause

Menopause is a time of many changes, the biggest of which is a slowing and eventually stopping of the menstrual cycle. DNCs can sometimes be used to allow doctors to help women deal with disruptions in this process.

  1. Definition of DNC

    • A DNC is also called a dilatation and curettage. It is surgical procedure used to remove the lining of the uterus.

    Method

    • The DNC is performed under local anesthetic by a surgeon. The cervix, the opening of the uterus, is stretched out to allow the gynecologist to insert a surgical tool. With the tool, he scrapes the lining of the uterine walls.

    Test for Cancer

    • According to the CDC, the majority of uterine cancers are found in menopausal and postmenopausal women. Doctors can take a sample of the material they scrape from the uterine walls during a DNC to use for cancer biopsy.

    Abnormal Bleeding

    • Once menopause has occurred, periods should stop. Some women will have a period after their periods have stopped for months or even years. Along with testing for causes, a DNC can be used after menopause to stop abnormal bleeding, especially if it is heavy bleeding.

    Limitations

    • Some doctors criticize the DNC because it is an older procedure that is done without a visual image of the uterine lining. The fear is that polyps, fibroids, or even cancers might be missed because the only thing that is seen is what is removed.

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