Dilation and curettage (D&C) is a medical operation that entails opening up the cervix and suctioning or scraping the endometrium from the uterus. It can be carried out for both therapeutic and diagnostic objectives. It aids in the diagnosis of abnormal uterine bleeding and obtains tissue samples for further investigation. D&C is a therapeutic treatment used to address certain diseases such as severe or protracted bleeding, incomplete miscarriage, or to remove abnormal tissue growths in the uterus.
The fee of a D&C procedure in Pakistan ranges from 500-5000 PKR. Depending on the kind of gynecologist, you select, the charge of this process may also change.
D&C (diagnostic/therapeutic) may be conducted for the following diagnoses or conditions:
Abnormal uterine bleeding or irregular menstrual cycles
Investigation of the cause of postmenopausal bleeding
Suspected uterine polyps or fibroids
Evaluation of abnormal endometrial cells
Presence of endometrial hyperplasia
Evaluation of infertility or recurrent miscarriages
The procedure involves the following steps:
Preparation:
Before the procedure, the patient may undergo a pelvic exam and other tests to assess their health and determine the need for D&C.
Anesthesia:
General anesthesia may be used for D&C procedures, depending on their complexity and the patient's condition.
Dilation of the Cervix:
The cervix is gently dilated (opened) using dilators or medication, allowing access to the uterus.
Diagnostic Phase:
If the D&C is being performed for diagnostic reasons, the cervix may be punctured to allow the insertion of a hysteroscope, a tiny, illuminated tube with a camera. The uterine lining is sampled for evaluation using tissue samples (biopsies).
Therapeutic Phase:
In therapeutic D&C, once the cervix is dilated, the uterine lining is scraped or suctioned using a curette or a suction device. This helps to remove abnormal tissue, manage bleeding, or treat specific conditions.
This may include:
Bleeding
Infection
Uterine Perforation
Adverse Reaction to Anesthesia
Asherman's Syndrome
You may expect the following:
After the D&C, the patient is monitored in a recovery area. They may experience some cramping and light bleeding for a few days.
Pain medication and antibiotics may be prescribed as needed.
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Cost varies depending on the type of surgery and locality.
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