Dilation and curettage (D&C) is a surgical procedure often performed by obstetricians and gynecologists (OB/GYNs) for various reasons. Some common indications for a D&C include:
1. Miscarriage: If a woman experiences a miscarriage and does not pass all the pregnancy tissue naturally, a D&C may be performed to remove any remaining tissue and prevent infection.
2. Abnormal uterine bleeding: If a woman has heavy or prolonged menstrual bleeding that does not respond to other treatments, a D&C may be done to remove the lining of the uterus and help diagnose the cause of the bleeding.
3. Endometrial biopsy: A D&C can be used to obtain a sample of the uterine lining (endometrium) for further examination if there are concerns about abnormal cells or conditions such as endometrial hyperplasia or cancer.
4. Polyps or fibroids: D&C can be used to remove uterine polyps (small growths on the lining of the uterus) or fibroids (noncancerous tumors) that are causing symptoms such as heavy bleeding or pain.
5. Incomplete abortion: If a medical abortion or spontaneous miscarriage is incomplete, a D&C may be performed to remove any remaining pregnancy tissue.
6. Diagnosis of uterine abnormalities: D&C can be used to investigate and diagnose conditions such as uterine adhesions (scar tissue), uterine septum (a wall dividing the uterus), or uterine cancer.
It is important to note that the specific indications for a D&C may vary depending on the individual patient and their specific circumstances. The decision to perform a D&C is typically made after a thorough evaluation by a healthcare provider.