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What are the Disadvantages of D&C?

Published in Medical Procedures 2 mins read

A D&C, or dilation and curettage, is a surgical procedure that can have some potential disadvantages. One of the most significant risks associated with D&C is the development of scar tissue in the uterus, known as Asherman's syndrome.

Asherman's Syndrome

  • Cause: Asherman's syndrome primarily occurs after a D&C procedure, particularly when performed following a miscarriage or delivery, as stated in the provided reference.
  • Impact: This condition can lead to a range of complications, including:
    • Unusual menstrual cycles
    • Absent menstrual cycles
    • Painful menstrual cycles
    • Increased risk of future miscarriages
    • Infertility

Other potential risks and disadvantages of a D&C:

Risk/Disadvantage Description
Infection Like any surgical procedure, there is a risk of infection post-procedure.
Uterine perforation The uterus can be accidentally punctured during the procedure, potentially damaging nearby organs.
Heavy Bleeding It's possible to experience excessive bleeding, which may require additional medical intervention.
Cervical damage There is a chance of injury to the cervix.
Reaction to Anesthesia There can be side effects associated with the anesthesia used during the procedure.
Incomplete Removal The procedure may not remove all tissue, potentially requiring another D&C or other intervention.

While these disadvantages are important to consider, it is also important to remember that D&C is often a safe and effective procedure with a low rate of serious complications. If you need to have a D&C, it is vital that you have a thorough consultation with your healthcare provider to address any concerns you have.

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