A E V A F E R T I L I T Y | H Y D E R A B A D Dilatation and Curettage (D&C) A patient guide to a short, safe day - care procedure of the uterus — why it is advised, how it is performed, and what recovery looks like. Book an appointment: + 91 40 27668427 www.aevafertility.com O V E R V I E W What this presentation covers 01 The basics What a D&C is and why it is one of the most common gynaecological procedures. 02 Indications Who needs it — diagnostic reasons, therapeutic reasons, and the conditions treated. 03 The procedure Preparation, anaesthesia, the step - by - step process and hospital stay. 04 After the D&C Recovery, aftercare, warning signs, and what it means for future fertility. www.aevafertility.com T H E B A S I C S What is Dilatation and Curettage? Dilatation and Curettage is a minor surgical procedure in which the cervix is gently dilated (opened) and the lining of the uterus — the endometrium — is scraped away and collected. It is generally an uncomplicated surgery, performed under anaesthesia so that the patient feels no pain during the procedure. "Dilatation" refers to opening the cervix; "Curettage" refers to removing tissue with a curette or gentle suction. The tissue removed can be sent to the laboratory for examination. Day - care procedure No long hospital admission in most cases Under 30 minutes The surgery itself is short and controlled Diagnostic + therapeutic It can both find a problem and treat it www.aevafertility.com I N D I C A T I O N S Who needs to undergo a D&C? 1 Heavy or abnormal bleeding To diagnose and treat conditions causing heavy, prolonged or irregular menstrual bleeding. 2 Investigating infertility To probe the reasons behind female infertility by examining the uterine cavity and its lining. 3 Retained tissue To remove placental tissue left behind in the uterus after delivery, miscarriage or abortion. 4 Abnormal uterine growths To treat growths such as cervical polyps, endometrial polyps and thickened endometrium. www.aevafertility.com T W O P U R P O S E S Diagnostic D&C vs. Therapeutic D&C Diagnostic D&C Performed to find the cause of a problem • Tissue is collected and sent for laboratory study • Helps explain unexplained or post - menopausal bleeding • Identifies endometrial changes affecting implantation • Often combined with hysteroscopy for a direct view Therapeutic D&C Performed to treat a problem already identified • Clears retained products after miscarriage or delivery • Removes polyps and excess endometrial tissue • Controls heavy bleeding that medicines could not settle • Prepares a healthier uterine lining for conception www.aevafertility.com C L I N I C A L C O N T E X T Conditions a D&C helps diagnose or treat Endometrial polyps Benign overgrowths of the uterine lining that can cause bleeding and interfere with implantation. Cervical polyps Small growths at the cervix, often removed at the same sitting. Retained products Tissue remaining after miscarriage, abortion or childbirth. Thickened endometrium Endometrial hyperplasia detected on ultrasound and confirmed on biopsy. Abnormal uterine bleeding Heavy, prolonged, irregular or post - menopausal bleeding needing evaluation. Unexplained infertility Assessment of the uterine cavity when conception is not happening. www.aevafertility.com B E F O R E T H E P R O C E D U R E How patients are prepared 1 Consultation and history A detailed look at past medical history, allergies, medicines and previous surgeries. 2 Tests and scans Blood tests, an ultrasound of the pelvis and, where needed, a pregnancy test. 3 Fasting instructions Nothing to eat or drink for the hours advised before anaesthesia, as instructed by the team. 4 Consent and counselling The procedure, anaesthesia and possible outcomes are explained before consent is taken. 5 Arrange support A companion is advised to accompany the patient home after sedation or anaesthesia. www.aevafertility.com T H E P R O C E D U R E How a D&C is performed, step by step 1 Anaesthesia The patient is made comfortable under anaesthesia so the procedure is pain - free. 2 Dilatation The cervix is gently opened or widened to allow instruments to pass into the uterus. 3 Hysteroscopy A hysteroscope with a camera gives a magnified view of the interior of the womb. 4 Curettage Polyps or excess endometrium are removed with a curette, suction tube or specialised tools. It is completely a day - care process, usually finished in less than 30 minutes. The length of stay depends on the patient's condi tion afterwards — our specialist evaluates whether she is fit to be discharged. www.aevafertility.com A T A G L A N C E Key facts patients ask about < 30 minutes Typical duration of the procedure itself Day care Most patients go home the same day 0 pain Performed under anaesthesia — nothing is felt 1 - 2 weeks Usual time to feel completely back to normal Anaesthesia and hospital stay Depending on the patient and the reason for the procedure, the anaesthetist may advise short general anaesthesia, sedation or re gional anaesthesia. Vital signs are monitored throughout, and the patient is observed in recovery until she is alert, comfortable an d s table enough to be discharged. www.aevafertility.com C A R E A T A E V A What to expect from our team Aeva's team of experts takes excellent care of patients undergoing the procedure and ensures the Dilatation and Curettage treatment is administered smoothly. By making use of advanced medical equipment and a protocol - driven process — including a detailed look at the patient's past medical history to identify allergic issues that may have troubled her in the past — we greatly reduce any chance of complications during the procedure. Experienced specialists Fertility and gynaecology consultants who perform the procedure routinely. Advanced equipment Hysteroscopic visualisation and modern theatre facilities. Protocol - driven safety Checklists, monitored anaesthesia and infection - control standards. Follow - up you can reach Clear discharge advice and a team available for questions afterwards. www.aevafertility.com A F T E R C A R E Recovery: what helps and what to avoid Normal after a D&C • Light bleeding or spotting for a few days • Mild cramping, similar to period pain • Feeling drowsy for a few hours after anaesthesia • Next period arriving in about 2 to 6 weeks • Returning to desk work within a day or two Best avoided for now • Intercourse until your doctor advises it is safe • Tampons, douching and swimming pools • Heavy lifting and strenuous exercise • Skipping prescribed antibiotics or pain relief • Ignoring symptoms and waiting them out General guidance only — always follow the specific discharge instructions given by your treating doctor. www.aevafertility.com S A F E T Y Possible risks and when to call us Uncommon risks • Infection of the uterus, usually treatable with antibiotics • Bleeding that is heavier than expected • Injury to the cervix or, rarely, perforation of the uterine wall • Intrauterine adhesions (Asherman's syndrome) in rare cases • Reaction to anaesthesia Call the hospital if you notice • Bleeding that soaks a pad in an hour or less • Fever, chills or feeling generally unwell • Foul - smelling vaginal discharge • Severe or worsening abdominal pain • Dizziness, fainting or breathlessness Serious complications are uncommon when the procedure is performed by an experienced team in a well - equipped facility. www.aevafertility.com F E R T I L I T Y D&C and your chances of conceiving For most women, a D&C does not reduce fertility. In many cases it improves the uterine environment by removing polyps, retained tissue or overgrown lining that were standing in the way of a healthy pregnancy. Cycles return Periods usually resume within 2 to 6 weeks, and ovulation returns with them. A clearer diagnosis Laboratory results from the tissue can guide the next step in fertility treatment. Better implantation Removing polyps or retained tissue gives an embryo a healthier lining to settle into. Planning conception Your specialist will advise when to start trying again — often after one or two normal cycles. www.aevafertility.com C L E A R I N G D O U B T S Myths and facts M Y T H "A D&C means I can never conceive again." F A C T Most women conceive normally afterwards; the procedure often removes the very problem blocking conception. M Y T H "It is a major operation with a long hospital stay." F A C T It is a minor, day - care procedure that usually takes under 30 minutes. M Y T H "The procedure will be very painful." F A C T It is performed under anaesthesia, so nothing is felt during the surgery. Mild cramping afterwards is normal. M Y T H "I will need weeks of bed rest." F A C T Most patients resume light routine activity within a day or two, avoiding strenuous work briefly. F A Q Questions patients ask most Q Will I be admitted overnight? Usually not. It is a day - care procedure, though the length of stay depends on your condition after the surgery — our specialist decides when you are fit for discharge. Q How soon can I go back to work? Many patients return to light, desk - based work within a day or two, once the effects of anaesthesia have fully worn off. Q Will I get the reports? If tissue is sent for laboratory examination, the report is discussed with you at your follow - up visit along with the next steps. Q Can a D&C be repeated? It can be, if clinically needed. Your doctor will weigh the benefit against repeating instrumentation of the uterus. www.aevafertility.com Building the future of a beautiful family At Aeva Fertility , our experienced and compassionate fertility specialists give you the care and confidence you need to make your dream of building a family come true. Call us +91 40 27668427 +91 70323 41439 Email us aevafertility@gmail.com Visit us H.No. 1 - 10 - 224/A, Ashok Nagar X Roads, Hyderabad 500 020, Telangana www.aevafertility.com