This is especially true in women around menopause. Infection or heavy bleeding can happen if these tissues are not fully removed. Sometimes after giving birth, small pieces of the placenta stay stuck to the endometrium and are not passed.
This can cause bleeding or infection. Tell your healthcare provider if you are allergic to or sensitive to medicines, iodine, or latex. You may have other risks based on your condition. Be sure to discuss any concerns with your healthcare provider before the procedure. Procedures may vary based on your condition and your healthcare provider's practices.
The type of anesthesia will depend on what procedure you have. You may be asleep under general anesthesia. Or, you may stay awake under spinal or epidural anesthesia. In this case, you will have no feeling from your waist down.
The anesthesiologist will continuously check your heart rate, blood pressure, breathing, and blood oxygen level during the surgery. The recovery process will vary based on the type of procedure done and type of anesthesia that was used. If you get regional or general anesthesia, you will go to the recovery room and be watched. Once your blood pressure, pulse, and breathing are stable and you are alert, you will go to your hospital room or be discharged home.
If you had this procedure as an outpatient, have another person drive you home. You may want to wear a sanitary pad for bleeding. It is normal to have some spotting or light vaginal bleeding for a few days after the procedure. You may also have other limits on your activity, including no strenuous activity or heavy lifting. Your next period may start earlier or later than usual. Take a pain reliever for cramping or soreness as recommended by your healthcare provider.
Aspirin or certain other pain medicines may increase the chance of bleeding. When this happens, as long as no internal organs intestines, bladder, or rectum or large blood vessels are damaged, the hole will usually heal itself without further surgery. The risk for this problem is increased in patients with a narrowed opening to the cervix cervical stenosis or in females with distorted internal uterine anatomy.
This risk is also increased if the uterus is infected or has undergone previous surgeries such as cesarean sections or myomectomies. Injury to the cervix is another possible complication.
Tears or cuts in the cervix can usually be treated by the application of pressure and application of local medications to stop bleeding. In some cases, stitches in the cervix may be required, but this is not common.
Other complications, as with any surgery, include bleeding and infection. Most bleeding is mild and resolves on its own. Infection is also rare and can normally be managed with oral antibiotics.
Scar tissue on the uterine wall. This can lead to unusual, absent or painful menstrual cycles, future miscarriages and infertility. It can often be treated with surgery. Dilation and curettage can be done in a hospital, clinic or your provider's office, usually as an outpatient procedure.
In some cases, your provider might start dilating your cervix a few hours or even a day before the procedure. To promote dilation, your provider may use a medication called misoprostol Cytotec — given orally or vaginally — to soften the cervix. Another dilation method is to insert a slender rod made of laminaria into your cervix.
The laminaria gradually expands by absorbing fluid in your cervix, causing your cervix to open. Then your provider inserts a series of rods dilators of increasing thickness to open dilate your cervix and allow access to your uterus.
Next, your provider inserts a long, thin instrument curette through your cervix into your uterus and carefully removes the tissue lining the inside of the uterus. For dilation and curettage, you'll receive anesthesia. This also gives you time to recover from the effects of anesthesia. For discomfort from cramping, your provider might suggest taking ibuprofen Advil, Motrin IB, others or another medication. To prevent infection, don't put anything in your vagina until your provider says it's OK.
Ask when you can use tampons and resume sexual activity. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
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