Rule out fibroids and other cancerous growths early

Fibroids and cancer are very common nowadays, especially between 30 -40 years of age group. While Cancer is most prevalent post Menopause. Occurrence of Fibroids is predominantly seen in 80% of the woman when they are reaching 50.

Are you undergoing excessive bleeding or any abnormal vaginal discharge?

What are the ways for early evaluation of such conditions in women?

The solution to this is undergoing D&C procedure. D & C is through biopsy of uterine tissues one can screen the prevalence of cancers at early stage.

What is D&C

Dilatation and curettage is gynaecological procedure wherein the cervix (opening) of uterus is dilated, and the lining of uterus (endometrium) is removed with an instrument called curette.

 Why D&C is done

• To find the cause of abnormal bleeding from uterus
• Helps in diagnosis of cancerous cells by doing biopsy after taking tissue
• After miscarriage to remove the retained products of conception
• Helps in removing polyp tissue overgrowths

Some contraindications

•  Suspected pregnancy
•  In cases of arthritis of hip where there is difficulty in keeping legs apart
• Patient is physically weak and ill

Pre-operative

Patient should not take food and water 7 hours prior to the procedure.

Anaesthesia

• General anaesthesia is given and patient can go home on the same day

Procedure for D&C

• The cervix and vagina are cleansed with betadine (antibacterial scrub) after administration of anaesthesia to the patient.
• The upper part of cervix is grasped by an instrument and then metal dilators are used to widen the opening of uterus up to the size of a large pencil.
• After the process of dilation, an instrument having a flat metal loop at its end , is used to scrape the uterus lining after inserting it in the cavity of uterus
• The surgeon stops scraping when he feels the grittiness of layer of cells just above uterine muscle.
• The whole of inside of uterus is scraped and the obtained tissue is sent for microscopic pathological examination at laboratory

Complications of D & C

• Patient experiences abdominal cramps, vaginal bleeding.
• Narrow cervical opening or abnormal internal anatomy of uterus may lead to perforation
• In some cases tears or cuts in the uterus.
• Infection in uterus

Management

•  Antibiotics are prescribed to avoid infections
•  Tab Methergin is given for controlling bleeding.
•   Tab Paracetamol 500 mg is given to avoid fever.