Dilation and Curettage (D&C) (cont.)
Dilation and Curettage Risks and Complications
The following are risk factors of dilation and curettage:
- Hemorrhage: Heavy bleeding is rare, but it can happen if an instrument injures the walls of
the uterus. It also can occur if an undetected fibroid is cut during curettage.
- Infection: There is always a slight possibility of infection once
instruments are inserted into the uterus. Most infections can be easily cured
- Perforated uterus: This complication, though rare, is
more common in women who have a uterine infection at the time of the
procedure, in elderly postmenopausal women, and if the procedure is being done for a miscarriage. If
the doctor suspects this condition has developed, the patient may be asked to stay in the hospital for observation or further surgery.
- Asherman syndrome: This complication is rare and involves the
formation of scar tissue in the uterus, caused by aggressive scraping or
abnormal reaction to the scraping. Thick scars can result, which can fill up the
uterus completely. This can lead to infertility and cessation of menstrual
- Missed disease: Since the procedure cannot completely remove all the endometrium (lining tissue of the uterus), there is a chance that disease could go undetected. This is why the procedure is seldom done without a hysteroscopy (examination of the uterine lining using an instrument that allows direct visualization ).
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