If implantation of the fertilized egg does not occur, the lining of the endometrium, coupled with blood and mucus from the vagina and cervix the lower, narrow part of the uterus located between the bladder and the rectum , make up the menstrual flow also called menses that leaves the body through the vagina. After menopause, menstruation stops and a woman should not have any bleeding. Causes of abnormal bleeding include the presence of abnormal tissues, such as fibroid tumors benign tumors that develop in the uterus, also called myomas polyps, or cancer of the endometrium or uterus.
Abnormal uterine bleeding may also be due a hormone imbalance or disorder particularly estrogen and progesterone especially in women approaching menopause or after menopause. Infection or heavy bleeding can occur if these tissues are not completely removed. Occasionally following childbirth, small pieces of the placenta afterbirth remain adhered to the endometrium and are not passed. This can cause bleeding or infection.
As with any surgical procedure, complications may occur. Patients who are allergic to or sensitive to medications, iodine, or latex should notify their doctor. If you are pregnant or suspect that you may be pregnant, you should notify your health care provider. There may be other risks depending on your specific medical condition. Be sure to discuss any concerns with your doctor prior to the procedure. Your doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure.
You will be asked to sign a consent form that gives your permission to do the procedure. Read the form carefully and ask questions if something is not clear. In addition to a complete medical history, your doctor may perform a complete physical examination to ensure you are in good health before undergoing the procedure.
You may undergo blood tests or other diagnostic tests. If your procedure requires general, spinal, or epidural anesthesia, you will be asked to fast for eight hours before the procedure, generally after midnight.
If your procedure is to be done under local anesthesia, your doctor will give you instructions about fasting. If you are pregnant or suspect that you are pregnant, you should notify your health care provider.
He or she may recommend a pregnancy test prior to the procedure. Notify your doctor if you are sensitive to or are allergic to any medications, iodine, latex, tape, and anesthetic agents local and general.
Notify your doctor of all medications prescribed and over-the-counter and herbal supplements that you are taking. Notify your doctor if you have a history of bleeding disorders or if you are taking any anticoagulant blood-thinning medications, aspirin, or other medications that affect blood clotting. It may be necessary for you to stop these medications prior to the procedure. If a sedative is given before the procedure, you will need someone to drive you home afterwards.
The type of anesthesia will depend on the specific procedure being performed. If spinal or epidural anesthesia is used, you will have no feeling from your waist down.
The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery. You will be positioned on an operating or examination table, with your feet and legs supported as for a pelvic examination. Your doctor will insert an instrument called a speculum into your vagina to spread the walls of the vagina apart to expose the cervix.
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D and C Dilation and Curettage Procedure. Medically reviewed by Debra Rose Wilson, Ph. The treating team will arrange followup. These include damage to the uterus, cervix or other pelvic organs. All minor procedures are accompanied by some risk. Some women will experience a urinary tract infection. You may have a reaction to the medications used, such as allergic reaction to the general anaesthesia. See your doctor if you are concerned or in pain.
You should take any medication as advised by your doctor. If you are taking antibiotics, make sure to take the whole course, even if you feel well. Two weeks after your procedure, or a few days after bleeding has stopped: Shower instead of taking a bath Avoid sexual intercourse Use sanitary pads instead of tampons Avoid going swimming If you experience any signs of infection such as fever, pain or discharge , see your doctor immediately.
Your doctor will let you know when the results of your laboratory tests if any are available. Give feedback about this page. Was this page helpful? Yes No. View all surgery.
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