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Dilatation and curettage (D&C)/ uterine scrapping is a minor surgical procedure to remove tissue from the endometrium (lining of the womb). The most important role is in the evacuation of retained products of conception. Others are:
Diagnose or rule out conditions such as uterine cancer
Remove tissue after a miscarriag
Treat heavy menstrual bleeding or irregular periods
Perform a therapeutic or elective abortion
Abnormal bleeding while on hormone replacement therapy
An embedded intrauterine device (IUD)
Bleeding after menopause
Thickening of the uterus etc.
This procedure can be done in a hospital or a clinic by a gynaecologist (a specialist in treating conditions of the female reproductive system). It is recommended that you take nothing by mouth (food, water, etc.) for at least 7 hours before the schedule.
The cervical canal is widened using a dilator and the doctor gently scrapes the tissue from the inner layer of uterus, called the endometrium. The whole procedure might take 10-15min but you need to stay in the hospital/clinic for about 5 hours.
Taking a shower is acceptable after the procedure.
Avoid using tampons
Avoid sexual intercourse approximately for 10-14 days after the procedure. But exactly how long you will need to avoid having sex will depend on your individual circumstances, as well as the reason why the procedure was carried out. Consult your doctor for same.
For the first 6-8hours after the procedure eat light foods like soups and fluids etc which you can tolerate and then proceed to usual diet. In the later days you increase your fluid intake especially water.
Avoid intake of alcohol with prescribed pain medications
Constipation is common for the first few days after the procedure which is due to the procedure itself and also the pain medications.
Concentrate on a well balanced diet. Include roughage in your diet like fruits and vegetables especially prune lettuce and celery. Drink plenty of water daily.
You may use over-the-counter laxatives, milk of magnesia, mineral oil, or stool softeners if needed.