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Frequent questions | |
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Beginning | |
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UTERINE SCRAPE (Dilation and Curettage) | |
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 DENOMINATION DESCRIPTION INDICATIONS EXPECTATIONS SPECIALIST TO CONSULT |
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The dilation and curettage (D. and C.) is a minor surgical operation, in which the first doctor dilates the cérvix and then it inserts an instrument in the shape of carved spoon (legra) and uses it to scrape the wall of the womb. The entry to the cérvix is, normally, tiny and narrow. To dilate it during the D. and C. the doctor must insert a series of sharp rods, each of thicker than them the previous one, or expand it with another type of instruments. The D. and C. can be realized by it in a medical consultation with local anesthesia. Anyway sometimes the doctor prefers to realize it in a hospital and use general anesthesia. Thus the cervical muscles relax completely and the examination is more perfect. Often the D. and C. it is used to diagnose an illness. If you have very painful, very frequent menstruations or with many flow quantity, the doctor must be capable of determining the cause examining in a microscope the uterine curettages. Sometimes the D. and C. enclosed priest the temporary problem or definitely. Also the D. is used and C. to diagnose uterine fibromas, endometriales polyps, uterine cancer or cancer of cérvix. Also the D. is used and C. to diagnose uterine fibromas, endometriales polyps, uterine cancer or cancer of cérvix. The D. and C. can be used by it like treatment of certain problems more than to diagnose them. The polyps endometriales that go out across the cérvix can be scraped during the D. and C. Occasionally the fibromas can be scraped completely, although it is not very frequent. Sometimes the D. and C. it is done also to remedy an illness, call hiperplasia endometrial, in which the wall of the womb is very thick. Also, if you suffer an abortion, finished or incomplete, he will need that they do a curettage of the womb to him to prepare possible infections although, in this case, the D. and C. is being replaced by it by an aspiration. If the procedure it is realized in a hospital, it will be able to go to house the same day or on the following day. It can experience more vaginal flow, or bleed for some days and, later, notice a light pain in the low part of the back. With everything it can begin a normal life almost immediately. It must neither use tampons nor support sexual relations for some weeks, until the cérvix is normal and the endometrio recovers completely. Although the D. and C. is a minor procedure, all the operations have some risk. In very rare cases an infection or a hemorrhage can appear, or the womb or some next organ be perforated during the procedure. Also complications derived from the anesthesia can appear.
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