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Dilation and Curettage (cont.)

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Why is the D and C procedure becoming less common?

In general, the number of D and Cs being performed has declined over the years. This procedure is no longer done to regulate abnormal bleeding patterns in women. Most of these problems are now managed with medications, such as hormones. Ultrasound and other imaging techniques are likewise playing a greater role in helping to evaluate the uterus without surgery.

Probably the single greatest reason for fewer D and Cs is the option of in-office endometrial sampling (biopsy) that can be performed with a very thin plastic suction curette. This procedure is very quick and easy, and generally is only as painful as a bad menstrual cramp. If the patient is given some oral pain medications before the procedure, the cramps are minimal. Furthermore, the tissue sample obtained is in many instances as good as that achieved during a D and C surgery.

Medically reviewed by Mikio A Nihira, MD; American Board of Obstetrics & Gynecology

Previous contributing medical author: Leon J. Baginski, MD, FACOG

REFERENCE:

"Patient information: Dilation and curettage (D and C) (Beyond the Basics)"
uptodate.com


Medically Reviewed by a Doctor on 2/19/2014

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Dilation and Curettage (D&C) - Treatments Question: Why did your doctor order your D&C?
Dilation and Cutterage - Complications Question: Did you experience any complications from a D and C procedure? Please explain your experience.
Source: MedicineNet.com
http://www.medicinenet.com/dilation_and_curettage/article.htm

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