Arizona Dilation and Curettage: When It’s Right for You and When It’s Not!
Arizona dilation and curettage (D and C) is a minor, safe procedure to remove tissue from inside your uterus. As with any medical procedure, there are certain risks involved. It is important that your doctor helped you understand these risks so you can make an informed decision about whether this is the best procedure for you.
What Is D and C?
D and C is a procedure in which the lining of the uterus is scraped. Doctors typically perform it to diagnose and treat certain uterine conditions such as heavy bleeding, or to clear the uterine lining after a miscarriage or abortion. The test can check for uterine cancer, uterine polyps or endometrial hyperplasia, which is a precancerous condition in which the uterine lining becomes too thick.
Arizona Dilation and Curettage: Is It Right for You?
D and C is a procedure that is recommended in many different situations. It is sometimes used as a diagnosis tool, and other times it is used for treatment of certain conditions, including:
- Abnormal uterine bleeding and/or pain;
- Bleeding after menopause;
- Abnormal endometrial cells discovered during a routine test for cervical cancer;
- Excessive pain during menstruation;
- Perform an infertility investigation to determine why you can’t become pregnant;
- Diagnose or treat growths such as fibroids, polyps, or endometriosis, hormonal imbalances;
- Remove non-cancerous tumors, or fibroids;
- Remove and examine potentially cancerous tumors;
- Remove infected tissue (often related to a sexually transmitted disease called pelvic inflammatory disease;
- Remove tissue left behind in the womb after a miscarriage;
- Perform an elective abortion;
- Remove an IUD.
Arizona Dilation and Curettage: When It’s Not Right for You
There are some women who should not have a dilation and curettage procedure. These should be discussed with you before your dilation and curettage. Some of these factors include:
- A viable pregnancy;
- Inability to visualize the cervical because of obstructions or cervical irregularities;
- Severe arthritis of the hips;
- Too ill for surgery;
- Pelvic infection because infection can be carried from the vagina and cervix to the uterus during the procedure;
- Blood disorders which can result in excessive bleeding after this procedure;
- Certain medical problems where general anesthesia or other forms of anesthesia may become risky;
- Uncontrolled hypertension or diabetes.
In some cases, a dilation and curettage procedure might still be appropriate, providing that certain steps are taken to ensure the procedure is performed properly and carefully. If you have these risk factors, it is doubly important that your doctor discuss how they can potentially impact your risk of dilation and curettage complications.
Arizona Dilation and Curettage Alternative Options
Depending on the reason for doing the D and C, there are a number of alternatives. Hysteroscopy is much better than dilation and curettage for many different conditions. Polyps, fibroids, and retained products of conception detection are much more accurate with hysteroscopy than with dilation and curettage.
A total hysterectomy permanently removes the uterus and cervix. This procedure is generally recommended only if a woman no longer desires to have children and no other forms of treatment have been successful. Most hysterectomies are performed to treat uterine fibroids and endometriosis.
Because of the possible risks associated with dilation and curettage, it’s important that you be informed of alternative treatments, especially when dilation and curettage has a low success rate for your condition.
If you want to know if you are a candidate for Arizona dilation and curettage call our office today to schedule a consultation. During your appointment, we will discuss your symptoms, goals and available options for treatment.