Dilation and Curettage (D&C) for Bleeding During Menopause
Dilation and curettage (D&C) is a surgical procedure used to locate and treat the cause of sudden, heavy bleeding. It is done by passing a small instrument called a curette through the vagina into the uterus and scraping the endometrium.
What To Expect After Surgery
The recovery period following D&C is short, and most women are able to return to normal activities within 1 to 2 days.
During the recovery period:
Why It Is Done
Dilation and curettage (D&C) is used to diagnose and treat bleeding problems. It is used to control sudden, heavy vaginal bleeding that is causing heavy blood loss (hypovolemia) or a low number of red blood cells (anemia). D&C is the quickest way to stop active bleeding in the uterus.
How Well It Works
Recurrence. Sudden, heavy bleeding may stop for a period of time. But heavy bleeding usually returns following D&C.
Complications from a D&C are rare but include:
What To Think About
Abnormal vaginal bleeding that is not caused by cancer may naturally stop after menopause.
The hospital or surgery center may send you instructions on how to get ready for your surgery or a nurse may call you with instructions before your surgery.
Right after surgery, you will be taken to a recovery area where nurses will care for and observe you. You will likely stay in the recovery area for 1 to 4 hours, and then you will go home. In addition to any special instructions from your doctor, your nurse will explain information to help you during your recovery. You will likely go home with a sheet of care instructions including who to contact if a problem arises.
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