The signs of an incomplete D&C (dilation and curettage) procedure, often performed after a miscarriage or abortion, primarily involve symptoms related to retained tissue. Here are the key indicators:
Common Signs of Incomplete D&C
| Symptom | Description |
|---|---|
| Vaginal Bleeding | Moderate to severe vaginal bleeding that is persistent or heavier than expected after the procedure. This should not be ignored. |
| Pain and Discomfort | Frequent lower abdominal or pelvic pain, which can radiate to the lower back, buttocks, genitalia, and perineum. |
Detailed Explanation of Symptoms
1. Vaginal Bleeding
- Persistence: Bleeding that continues beyond the expected duration for recovery after a D&C.
- Severity: Heavy bleeding that requires frequent pad changes or includes passing large clots is a red flag.
- Example: If bleeding persists beyond a week or two post-procedure, this could indicate retained tissue preventing the uterus from healing properly.
2. Pain and Discomfort
- Location: Primarily felt in the lower abdomen or pelvic region.
- Radiation: Pain can extend to the lower back, buttocks, and even the genital area.
- Frequency: Persistent pain that doesn't subside with usual pain relief measures.
- Example: If pain is severe enough to interfere with normal daily activities or if it does not respond to over-the-counter pain relievers, it should be evaluated.
Why These Symptoms Occur
These symptoms occur because the D&C procedure may not have completely removed all of the pregnancy tissue or products of conception from the uterus. Retained tissue can cause inflammation, infection, and continued bleeding and pain.
What to Do if You Experience These Symptoms
It's critical to contact your healthcare provider immediately if you experience any of the above signs after a D&C. They may need to perform an ultrasound or other diagnostic tests to confirm the diagnosis and determine the best course of action. Further intervention, such as a second D&C or medication, may be necessary.
