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Dilation and Curettage: Current Information







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Signs You Have Suffered Complications

IMMEDIATE COMPLICATIONS:

  • Severe lower abdominal pain, discharge, fever, chills immediately after surgery.
  • Heavy bleeding: bleeding through a pad every 1-2 hours for several hours, passing clots the size of a golf ball or larger.
  • No bleeding in the days following a D&C may indicate obstruction of the cervix. If this occurs, there may be pain or cramping and the abdomen may swell. Note: Many women with Asherman’s Syndrome have no bleeding the day after surgery and the following days, but it has not yet been studied. Scar formation does begin immediately following injury and if there was significant trauma to the cervix and internal os (entrance to the uterus), the swelling and scar formation could inhibit blood from exiting.
LONG TERM COMPLICATIONS:
  • Periods do not resume within 6-8 weeks following the D&C or change in quality (darker) and/or quantity (lighter, shorter). These are symptoms of Asherman’s Syndrome. Go to: www.ashermans.org. 
  • Recurrent miscarriages (due to cervical insufficiency or intrauterine adhesions/Asherman’s Syndrome)
  • Infertility (due to Asherman’s Syndrome)
  • Bleeding during pregnancy, placental attachment issues (placenta previa, placenta accreta, placenta percreta, placenta increta), postpartum hemorrhage in future deliveries.
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