Yes, a D&C (dilation and curettage) can remove fibroids, although it's not always the primary method for fibroid removal. A D&C involves widening the cervix and scraping or suctioning the uterine lining. While it can remove some fibroids, especially smaller ones, it's more commonly used for diagnostic purposes or to remove other uterine tissue like polyps or the products of conception after a miscarriage. Larger fibroids usually require more extensive procedures like myomectomy (surgical removal of fibroids) or hysterectomy (removal of the uterus).
Understanding D&C and Fibroid Removal
A D&C is a relatively straightforward procedure, but its effectiveness in removing fibroids depends on the size and location of the fibroids.
- Suitable for small fibroids: A D&C might successfully remove small, superficial fibroids.
- Limited effectiveness for large fibroids: Larger fibroids are generally too deeply embedded in the uterine wall for removal via a D&C.
- Diagnostic tool: A D&C can be used to obtain tissue samples for diagnosis, which is important in determining treatment for fibroids and other uterine conditions.
- Alternative procedures for larger fibroids: For larger or numerous fibroids, procedures like myomectomy or uterine fibroid embolization (UFE) are more suitable. A hysterectomy is an option for women who are done having children.
Note: While a D&C can remove some fibroids, it's crucial to consult a gynecologist to determine the best treatment approach based on individual circumstances, including fibroid size, location, number, and overall health. A D&C is often used in conjunction with other procedures or as a separate diagnostic tool. Several sources mention its use in removing abnormal uterine tissue, which includes fibroids.