What do doctors during a DnC?

A dilation and curettage (D&C) is a procedure that is performed to remove tissue from the inside of the uterus. This is typically done to diagnose or treat a number of conditions, such as heavy bleeding, abnormal uterine bleeding, or to remove retained products of conception after a miscarriage or abortion.

During a D&C, the cervix is dilated, or stretched open, to allow the doctor to insert a curette, which is a long, thin instrument with a loop at the end. The doctor will use the curette to scrape the inside of the uterus and remove any tissue that is present.

The procedure is typically performed in an outpatient setting, and takes about 10-15 minutes. It is usually done under local anesthesia, which means that the area around the cervix will be numbed. However, general anesthesia may also be used, especially if the patient is anxious or has a history of pain during previous procedures.

After the procedure, the patient may experience some cramping or bleeding. She may also be advised to take it easy for a few days and avoid strenuous activity.

Here is a more detailed explanation of the steps involved in a D&C:

1. The patient is placed in a comfortable position on an exam table, with her feet in stirrups.

2. The cervix is cleansed with an antiseptic solution.

3. A local anesthetic is injected into the cervix to numb the area.

4. The cervix is dilated using a series of dilators, which are small, metal instruments that are gradually increased in size.

5. The curette is inserted into the uterus and used to scrape the inside of the uterus. The tissue that is removed is sent to a laboratory for analysis.

6. The curette is removed and the cervix is allowed to close.

7. The patient is monitored for any signs of complications, such as bleeding or infection.

8. The patient is discharged from the hospital or clinic and given instructions on how to care for herself at home.