A Dilation and Curettage (D&C) is a medical procedure that involves gently opening the cervix and removing tissue from the uterus. It is frequently performed for various reasons, such as managing abnormal uterine bleeding, investigating uterine conditions, or clearing the uterine lining after a miscarriage or abortion. Understanding the expected recovery, particularly bleeding and clotting, can help individuals feel more prepared. This article provides guidance on what to anticipate regarding bleeding and clots following a D&C, and when specific symptoms warrant medical attention.
Expected Post-Procedure Bleeding and Clotting
Following a D&C, it is normal to experience some bleeding and cramping as the uterus begins to heal. Initially, bleeding may resemble a heavy menstrual period, gradually becoming lighter. This bleeding typically lasts a few days to a couple of weeks, though some may spot for up to three to four weeks.
Along with bleeding, passing small blood clots is common during recovery. These clots are generally dark red and jelly-like, usually measuring less than a quarter in size. Cramping, similar to menstrual cramps, is expected as the uterus contracts to return to its normal size. These symptoms are part of the body’s natural healing process as the uterine lining regenerates.
Identifying Concerning Clotting
While some bleeding and clotting are normal after a D&C, certain signs indicate a need for medical evaluation. Clots consistently larger than a quarter, or even a golf ball, warrant attention. Passing multiple large clots frequently (e.g., for over an hour or two) is also a concern.
Heavy bleeding that soaks through one or more maxi pads per hour for several consecutive hours indicates excessive blood loss. Bleeding that remains bright red and continuously heavy, rather than gradually lightening, can also be a warning sign. Other symptoms can signal potential complications, including a fever of 100.4°F (38°C) or higher, chills, worsening abdominal pain not relieved by medication, or a foul-smelling vaginal discharge. Symptoms such as dizziness, lightheadedness, a rapid heart rate, or feeling faint could indicate shock, requiring immediate attention.
When to Seek Medical Attention
Prompt medical attention is necessary if any concerning symptoms arise after a D&C. For severe bleeding (e.g., soaking more than one maxi pad per hour for consecutive hours) or signs of shock (e.g., profound dizziness or fainting), seek immediate medical help. These situations may require calling emergency services or going to the nearest emergency room.
For other concerning symptoms like large or frequent clots, persistent heavy bleeding, fever, or foul-smelling discharge, contact your doctor or clinic without delay. It is important not to postpone seeking medical advice when these warning signs appear, as early intervention can prevent more serious complications. Healthcare providers can assess the situation and determine the appropriate course of action based on the symptoms presented.
Post-Procedure Recovery and Care
Beyond monitoring bleeding and clotting, general care practices after a D&C support overall recovery. Resting when feeling tired and gradually returning to normal activities over a few days is beneficial. Avoiding strenuous physical activity, as advised by your doctor, helps with healing.
To minimize infection risk, avoid tampons, douching, and sexual intercourse for a specified period, often around two weeks or as guided by your healthcare provider. Sanitary pads should be used for any bleeding. Following up with your doctor for scheduled appointments is important to ensure proper healing and address any lingering questions or concerns. Emotional recovery is also part of the process; support from friends, family, or a counselor can be helpful.