Hysteroscopic Dilation and Curettage
Hysteroscopic dilation and curettage (D&C) is a procedure that removes from the uterus the tissue involved in a miscarriage. A suction device is used to remove the tissue. The endometrium (lining of the uterus) is then scraped to ensure that all of the material from the conception process is gone from the uterus. No incisions are made for the procedure because it is conducted through a hysteroscope, a type of endoscope that allows the physician to view the interior of the uterus through the cervix. Operative times vary greatly depending on the findings at the time of surgery. Average times range from 15 to 30 minutes. Patients will be under either local anesthesia plus intravenous sedation or general anesthesia. Anti-inflammatory pain medicine, such as ibuprofen and naproxen, is usually required for the first several days after the procedure. Patients will have moderate cramping that should respond to this medication. Driving is allowed on the day after the procedure. If they desire, patients may return to work on the day following the procedure. They may experience a mild vaginal bleeding for several days after the procedure. As long as it is not associated with increasing pain or fever, it is nothing to worry about and will resolve.
As part of the UAB Division of Women's Reproductive Healthcare, UAB Obstetrics and Gynecology’s services range from complete obstetric care to the medical and surgical treatment of complicated gynecological concerns. We work closely with the UAB Medicine Interventional Radiology team to diagnose and treat your condition, using the latest and most accurate technology and imaging methods, including fluoroscopy, ultrasound, and CT scans. Because UAB Medicine is an academic health center, patients may be offered participation in clinical research trials, which can give you access to new techniques and treatments that are not available elsewhere in the area. Our physicians are here for you at all times, from your first routine gynecological exam, to delivering your baby, to guiding you through menopause. When you establish a relationship with our doctors, you can rely upon that relationship throughout your lifetime.
UAB is an active participant in research and clinical trials. We encourage you to speak to your physician about research and clinical trial options and browse the link below for more information.View Clinical Trials
Celebrating Easter Safely During COVID-19
As Easter approaches, celebrating the holiday during a pandemic may seem more optimistic than last year, but community members should remain diligent in their efforts to prevent the spread of COVID-19.
Here are a few tips for celebrating Easter more safely this year:
Consult with your primary care physician for any concerns you have about the vaccine. The vaccines approved for use in the United States are intended to train the body to successfully fight the virus and minimize symptoms. There is still a possibility of contracting COVID-19 or infecting others even after vaccination.
UAB Medicine currently offers four vaccination sites across central Alabama. For more information appointment requests and eligibility, visit our COVID-19 vaccination website.
Wear a mask
Wear a mask securely over your nose and mouth, and make sure it fits snugly along the sides of your face. Mandates and guidelines for masking may vary by location, although the CDC still recommends wearing a mask in public indoor spaces and around those outside your household. There’s a health bonus, too: masking has been shown to reduce those pesky springtime allergies caused by various pollens in the air, according to a recent study.
If your place of worship offers an online or streaming service, consider tuning in to reduce the amount of in-person contact. Reach out to family, friends, or members of your congregation to see if there is a way to help them celebrate virtually. Instead of a traditional Easter egg hunt, coordinate with neighbors to place large, bright-colored paper eggs in their windows for neighbors to “hunt” while on a family walk.
If you still plan to hold or attend an in-person gathering, be sure there is ample space to spread out. Avoid poorly ventilated indoor spaces and buffet-style dining with shared serving utensils. Consider enjoying your Easter meal, or other activities and crafts, outside.
Wash Your Hands
Continue good hand hygiene before, during, and after meals and events. Keep a bottle of hand sanitizer in your purse, backpack, or car for times when soap and water is not easily accessible.
If you or someone in your household is experiencing symptoms, or has recently been exposed to someone with COVID-19, cancel plans to gather with others and seek medical attention as necessary.
With the rollout of vaccine distribution across the United States, it is tempting to rush toward the light at the end of the tunnel. Continue taking precautions to protect yourself and those around you.