A Dilation and Curettage (D&C) is a medical procedure that removes tissue from the uterus. It involves widening the cervix and using a surgical instrument or suction to clear the uterine lining. A D&C serves various purposes, including clearing the uterus after a miscarriage, managing abnormal uterine bleeding, or obtaining tissue samples for diagnostic analysis. It is typically an outpatient procedure, allowing individuals to return home the same day.
Physical Recovery Timeline
Following a D&C, individuals commonly experience physical symptoms. Mild cramping, similar to menstrual cramps, is typical for a few days; over-the-counter pain relievers and heat packs can help manage this discomfort.
Light vaginal bleeding or spotting is also common, often lasting several days to two weeks, sometimes intermittently for up to four weeks. Use sanitary pads instead of tampons to monitor bleeding and reduce infection risk. Fatigue is another frequent symptom, due to the procedure, anesthesia, or hormonal shifts. Most can resume daily routines within a few days, though individual recovery times vary.
Emotional Well-being
Beyond the physical aspects, emotional recovery after a D&C can be significant and varies greatly among individuals. If the procedure followed a miscarriage, grief, sadness, or anxiety are common responses. Some may also experience relief, depending on the circumstances.
Hormonal fluctuations after a D&C, particularly if related to pregnancy, can contribute to fatigue and emotional shifts. These hormonal changes gradually resolve as the body returns to its pre-pregnancy state. Acknowledging these emotions is an important part of the healing process. Seeking support from loved ones, support groups, or professional counseling can be beneficial during this time.
Resuming Normal Activities
Return to normal activities after a D&C generally occurs quickly, but listen to your body. Many can resume light daily activities within one to two days, but avoid heavy lifting and strenuous exercise for at least 24 hours. Gradually increase activity as comfort allows.
Healthcare providers advise restricting sexual activity and tampon use for one to two weeks, or until a follow-up indicates it is safe. This prevents infection while the cervix closes and the uterus heals. The menstrual period usually returns within two to six weeks, but timing can vary based on body adjustment and procedure reason.
Signs of Complications
While a D&C is generally considered safe, be aware of potential complications requiring immediate medical attention. Heavy bleeding is a concern, especially if it soaks through more than one sanitary pad per hour for two consecutive hours. Passing large blood clots, particularly larger than a 50-cent piece, also indicates a need for medical review.
Other warning signs include fever, which could suggest infection, or severe abdominal pain that does not improve with medication or worsens. Foul-smelling vaginal discharge is another indicator of possible infection. Promptly contact a healthcare provider if any of these symptoms arise for timely assessment and treatment.