A Dilation and Curettage, commonly known as a D&C, is a gynecological procedure involving the gentle widening of the cervix and the removal of tissue from the inner lining of the uterus. This procedure is performed for various reasons, such as diagnosing abnormal uterine bleeding, removing tissue after a miscarriage, or for other gynecological concerns.
Immediate Recovery Expectations
Following a D&C, mild cramping, often comparable to menstrual cramps, is a normal occurrence as the uterus begins to contract and recover. Light bleeding or spotting is also expected, and it may last for a few days to up to two weeks. Using sanitary pads during this time is advisable, as tampons should be avoided to reduce the risk of infection. General fatigue is another common experience, and resting as needed is beneficial for the body’s initial healing. Most individuals can resume their regular daily activities within one to two days, though listening to one’s body and avoiding strenuous activity is recommended.
The Cervix’s Healing Journey
The cervix undergoes a specific healing process after a D&C, primarily involving the closure of the dilated os and regeneration of the internal tissues. The initial closure of the cervical opening typically occurs within a few days to about a week. Complete regeneration of the endometrial lining inside the uterus can take longer, with some studies suggesting it may require up to six months for optimal reproductive recovery, particularly if the D&C was performed after a miscarriage. During recovery, it is recommended to avoid inserting anything into the vagina, including tampons or engaging in sexual activity, for at least two weeks or until bleeding has stopped and a healthcare provider advises it is safe, as this allows the cervix to close and reduces infection risk. The individual’s body response, the reason for the D&C, and whether any minor complications occurred can influence the exact timeline for cervical healing.
When to Seek Medical Advice
While a D&C is considered a safe procedure, be aware of warning signs that require immediate medical attention. Heavy bleeding, defined as soaking more than one sanitary pad per hour for several consecutive hours, is a serious concern. Severe or worsening abdominal pain that is not relieved by medication should also prompt a call to a healthcare provider. A fever over 100.4°F (38°C) or foul-smelling vaginal discharge can signal an infection and requires prompt evaluation. In rare instances, a complete absence of bleeding after a D&C, especially if accompanied by severe cramping, could indicate the formation of intrauterine scar tissue, a condition known as Asherman’s syndrome, which may impact future fertility. Any unusual symptoms or concerns warrant contacting a healthcare professional for proper care.