Dilation and Curettage: What to Expect at Home (2024)

Your Recovery

Dilation and curettage (D&C) is a procedure to remove tissue from the inside of the uterus. The doctor used a curved tool, called a curette, to gently scrape tissue from your uterus.

You are likely to have a backache, or cramps similar to menstrual cramps, and pass small clots of blood from your vagin* for the first few days. You may have light vagin*l bleeding for several weeks after the procedure.

You will probably be able to go back to most of your normal activities in 1 or 2 days.

This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.

How can you care for yourself at home?

Dilation and Curettage: What to Expect at Home (1)Activity

  • Rest when you feel tired. Getting enough sleep will help you recover.
  • Most women are able to return to work the day after the procedure.
  • You may have some light vagin*l bleeding. Use sanitary pads until you stop bleeding. Using pads makes it easier to monitor your bleeding. Do not rinse your vagin* with fluid (douche).
  • Ask your doctor when it is okay for you to have sex.

Dilation and Curettage: What to Expect at Home (2)Diet

  • You can eat your normal diet. If your stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.
  • Drink plenty of fluids (unless your doctor tells you not to).

Dilation and Curettage: What to Expect at Home (3)Medicines

  • Your doctor will tell you if and when you can restart your medicines. You will also get instructions about taking any new medicines.
  • If you stopped taking aspirin or some other blood thinner, your doctor will tell you when to start taking it again.
  • Be safe with medicines. Take pain medicines exactly as directed.
    • If the doctor gave you a prescription medicine for pain, take it as prescribed.
    • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
  • If you think your pain medicine is making you sick to your stomach:
    • Take your medicine after meals (unless your doctor has told you not to).
    • Ask your doctor for a different pain medicine.
  • If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

When should you call for help?

Dilation and Curettage: What to Expect at Home (4)

Call 911 anytime you think you may need emergency care. For example, call if:

  • You passed out (lost consciousness).
  • You have chest pain, are short of breath, or cough up blood.

Call your doctor or nurse advice line now or seek immediate medical care if:

  • You have bright red vagin*l bleeding that soaks one or more pads in an hour, or you have large clots.
  • You have vagin*l discharge that increases in amount or smells bad.
  • You are sick to your stomach or cannot drink fluids.
  • You have pain that does not get better after you take pain medicine.
  • You cannot pass stools or gas.
  • You have symptoms of a blood clot in your leg (called a deep vein thrombosis), such as:
    • Pain in your calf, back of the knee, thigh, or groin.
    • Redness and swelling in your leg.
  • You have signs of infection, such as:
    • Increased pain, swelling, warmth, or redness.
    • Red streaks leading from the area.
    • Pus draining from the area.
    • A fever.

Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

Enter D453 in the search box to learn more about "Dilation and Curettage: What to Expect at Home".

Current as of: July 11, 2023

Author: Healthwise Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dilation and Curettage: What to Expect at Home (2024)

FAQs

Dilation and Curettage: What to Expect at Home? ›

A dilation and curettage (or D&C) is a procedure to remove tissue from your uterus. A gynecologist or obstetrician performs this surgery in their office, hospital or a surgical center. It's usually an outpatient procedure, so you go home the same day.

Do you go home same day after D&C? ›

A dilation and curettage (or D&C) is a procedure to remove tissue from your uterus. A gynecologist or obstetrician performs this surgery in their office, hospital or a surgical center. It's usually an outpatient procedure, so you go home the same day.

Can you drive yourself home from D&C? ›

After the procedure

If this procedure was performed on an outpatient basis, you should plan to have another person drive you home. After a D&C using local anesthesia, you may rest for about two hours before going home. You may want to wear a sanitary pad for bleeding.

How do I prepare myself for a D&C? ›

What happens on the day of the procedure?
  1. Follow the instructions exactly about when to stop eating and drinking. If you don't, your procedure may be cancelled. ...
  2. Take a bath or shower before you come in for your procedure. Do not apply lotions, perfumes, deodorants, or nail polish.
  3. Take off all jewellery and piercings.

How long do you have to rest after dilation and curettage? ›

After you have a D&C you should rest when you get home. You can go back to normal activities after 1 to 2 days (although the effects of the anaesthetic may make you feel tired). It is normal to experience some cramping or mild abdominal discomfort after a D&C.

What are the don'ts after a D&C? ›

To prevent bacteria from entering your uterus, delay sex and use of tampons until your doctor says it's OK. Don't put anything into your vagin* after a D&C. Ask your doctor when it will be safe to have sex, use tampons, or put anything else into your vagin*.

How long do I need to be off work after a D&C? ›

You will probably be able to go back to most of your normal activities in 1 or 2 days. This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace. Follow the steps below to get better as quickly as possible.

How do I take care of myself after a D&C? ›

Taking care of yourself at home after D and C
  1. Some cramping or mild abdominal discomfort is considered usual after a D&C. See your doctor if you are concerned or in pain.
  2. You should take any medication as advised by your doctor.
  3. If you are taking antibiotics, make sure to take the whole course, even if you feel well.

How painful is a D&C without anesthesia? ›

Whether a D and C is painful depends on whether the person is awake during the procedure. Without sedation or anesthetic, it can be painful. Some feel little pain at all, while others feel considerable pain.

How painful is a D&C procedure? ›

You may feel a pinch and a sting with the injection. Once your cervix is numb, you won't be in any pain when your doctor dilates your cervix. However, you may experience some cramping in your uterus when the doctor removes the lining with a curette. A local anesthetic is an option in your doctor's office or a clinic.

Should I shave before D&C? ›

Additional preparations include: Most likely, you will be asked to not eat or drink anything after midnight the night prior to your surgery. The morning of your surgery, take a shower but do not shave. Remove any jewelry or piercings as these are best left at home.

Why shouldn't you wear deodorant before surgery? ›

You can't wear deodorant during surgery because it can leave a residue on your skin that's difficult to remove. This residue might make it challenging for the surgeon to cut through the incision site or accurately assess your skin circulation during surgery.

What is the best way to lay after D&C? ›

One of the best sleeping positions after any kind of surgery requires lying straight on your back.

Does it burn when you pee after a D&C? ›

Notify our office if any of the following occurs: Increased abdominal pain. Pain or burning with urination or frequent urge to urinate.

Should you walk after D&C? ›

Exercise and Rest

Let your body be your guide. No matter how well you are feeling, you should not do heavy exercise for 1 week after your procedure. Heavy exercise may make bleeding heavier and may cause more cramping. If you are having these symptoms, reduce your activity for the next several days.

How long does it take for your uterus to shrink after a D&C? ›

It takes about six weeks for your uterus to return to its pre-pregnancy weight and size.

Do they keep you overnight for a D&C? ›

Since D&C is usually performed on an outpatient basis, most patients are able to go home within two to three hours of surgery. 2 However, your stay will be longer and may even need to stretch overnight if there are complications.

What happens at follow up after D&C? ›

After the procedure

You'll likely spend a few hours in a recovery room after the D&C so that you can be monitored for heavy bleeding or other complications. This also gives you time to recover from the effects of anesthesia. Typical side effects of a D&C can last a few days and include: Mild cramping.

How soon can I shower after a D&C? ›

You may shower or bathe the day after surgery. Absolutely nothing in the vagin* (sex, douching, tampons) for 6 weeks. You may resume all normal activity the day after surgery.

Is D and C painful without anesthesia? ›

It may hurt, but the procedure is short. A person may choose to receive sedation or general anesthetic to reduce the pain. After a D and C, it is important to take time to rest and recover.

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