Dilation and curettage (D&C) is a relatively common procedure, but like any surgical intervention, it carries potential complications. While serious complications are rare, it's crucial to be aware of the possibilities.
Potential Complications of D&C
Several sources cite the following as potential complications of a D&C:
1. Infection
Infection is a recognized risk following a D&C. Symptoms might include fever, increased pain, unusual discharge, or foul-smelling vaginal odor. Prompt medical attention is necessary if an infection develops.
2. Bleeding
Heavy or prolonged bleeding is another potential complication. While some bleeding is expected after a D&C, excessive bleeding that requires frequent pad changes (e.g., every 10-20 minutes) warrants immediate medical attention. Passing large blood clots is also a concern.
3. Cervical Lacerations
The cervix can be injured during the dilation process, resulting in lacerations (cuts). These are usually managed during the procedure but may require further intervention.
4. Uterine Perforation
In rare cases, the uterine wall can be perforated (punctured) during the procedure. This is a serious complication requiring immediate medical attention.
5. Postoperative Uterine Adhesions
Scar tissue (adhesions) can form inside the uterus after a D&C. This can lead to future fertility problems in some cases.
6. Pain
Some post-operative pain, typically mild cramping, is expected. However, severe or persistent pain should be reported to a medical professional.
7. Other Possible Complications:
Several other sources mention additional potential, albeit less common, complications:
- Bowel perforation: In rare instances, the bowel can be perforated during the procedure.
- Urinary tract issues: Some women may experience urinary tract complications.
It's important to note that many of these complications are rare. The risk factors associated with increased complication rates are not explicitly discussed in the provided text.
