Dilation and Curettage in Busan

D&C stands for dilation and curettage. During the procedure, the cervix is opened and tissue is removed from inside the uterus using suction or a surgical instrument.

D&C may be performed for diagnosis, treatment, or both. Depending on the reason, it may be combined with hysteroscopy for direct visualization of the uterine cavity.

Why Is a D&C Performed?

A doctor may recommend D&C for:

• Heavy or prolonged uterine bleeding
• Bleeding after menopause
• Abnormal endometrial biopsy results
• A thickened uterine lining
• Endometrial polyps
• Retained tissue after miscarriage
• Incomplete pregnancy loss
• Retained tissue after childbirth
• Tissue sampling when office biopsy is insufficient
• Treatment of selected uterine conditions

The doctor should explain the specific reason and possible alternatives before treatment.

Diagnostic D&C

A diagnostic D&C collects uterine-lining tissue for laboratory examination. It may help identify:

• Endometrial hyperplasia
• Precancerous changes
• Endometrial cancer
• Hormonal changes
• Endometrial polyps
• Other causes of abnormal bleeding

Hysteroscopy may improve accuracy when a focal abnormality is suspected.

D&C After Pregnancy Loss

D&C may remove pregnancy tissue remaining after miscarriage. It may be considered when:

• Bleeding is heavy
• Infection is suspected
• Tissue remains inside the uterus
• Medication has not worked
• The patient prefers surgical management
• Prompt completion is medically necessary

Medication or observation may also be appropriate in selected stable patients.

What Happens During a D&C?

During the procedure:

1. Anesthesia or sedation is administered.
2. A speculum is inserted.
3. The cervix is gradually dilated.
4. Suction or a curette removes uterine tissue.
5. Hysteroscopy may be performed.
6. Tissue may be sent for pathology.
7. The patient is monitored during recovery.

Many patients can return home on the same day if there are no complications.

Anesthesia and Pain Management

Pain-management options may include:

• Local cervical anesthesia
• Intravenous sedation
• Regional anesthesia
• General anesthesia

The choice depends on the procedure’s purpose, medical history, patient preference, and hospital protocol.

Cramping similar to menstrual pain may occur after treatment.

Preparing for a D&C

Before the procedure:

• Tell the clinic if pregnancy is possible
• List medications and allergies
• Mention blood-thinning medication
• Report fever or infection symptoms
• Ask about fasting requirements
• Confirm the anesthesia plan
• Arrange transportation home
• Bring a sanitary pad
• Ask when regular medication should be taken

Do not stop prescribed medication without instructions.

Pathology Testing

Removed tissue may be examined for:

• Pregnancy tissue
• Retained placental tissue
• Benign endometrial changes
• Endometrial hyperplasia
• Polyps
• Precancerous cells
• Endometrial cancer

The pathology result helps determine whether additional monitoring or treatment is needed.

Recovery After D&C

Temporary effects may include:

• Menstrual-like cramps
• Light vaginal bleeding
• Spotting
• Fatigue from anesthesia
• Temporary changes in the next period

Patients may be advised to:

• Use pads instead of tampons
• Avoid vaginal intercourse temporarily
• Avoid strenuous exercise
• Rest after anesthesia
• Take prescribed or approved pain medication
• Attend a follow-up appointment

Follow the hospital’s instructions because recovery varies according to the procedure. ACOG D&C guidance

Possible Risks

D&C is generally safe, but possible complications include:

• Heavy bleeding
• Infection
• Cervical injury
• Uterine perforation
• Incomplete tissue removal
• Reaction to anesthesia
• Scar tissue inside the uterus

Complications are uncommon, but patients should understand the risks before giving consent.

D&C and Future Fertility

Most patients can become pregnant normally after recovery. Rarely, uterine adhesions may form and affect menstruation or fertility.

Seek evaluation if periods become very light or absent after D&C or if fertility problems develop.

When Will the Next Period Begin?

The menstrual cycle may take several weeks to return. The next period may be earlier, later, heavier, or lighter than usual.

After pregnancy-related D&C, ovulation can occur before the next menstrual period. Discuss contraception or pregnancy timing with the doctor.

D&C vs Endometrial Biopsy

An office endometrial biopsy removes a small tissue sample through a thin tube and generally does not require anesthesia.

A D&C:

• Removes more uterine tissue
• Requires cervical dilation
• Often uses anesthesia or sedation
• May be combined with hysteroscopy
• Can provide diagnosis and treatment

English-Speaking D&C Care in Busan

Foreigner-friendly hospitals may provide:

• English-speaking gynecology consultations
• Pelvic ultrasound
• D&C procedures
• Hysteroscopy
• Pregnancy-loss care
• Anesthesia consultations
• Pathology testing
• Follow-up explanations in English

Patients in Seomyeon, Haeundae, Centum City, Gwangalli, Nampo, and nearby Busan areas can seek accessible hospital care.

When Should You Seek Prompt Medical Care?

Contact the hospital or seek emergency care for:

• Heavy vaginal bleeding
• Severe or worsening abdominal pain
• Fever or chills
• Foul-smelling discharge
• Persistent vomiting
• Fainting or significant dizziness
• Difficulty breathing
• Rapidly worsening symptoms

Worsening bleeding, pain, fever, or offensive discharge may indicate a complication requiring urgent assessment. Post-procedure guidance

Frequently Asked Questions

Can foreigners receive a D&C in Busan?

Yes. International residents and visitors can receive D&C, anesthesia, pathology testing, and follow-up care in Busan.

Is D&C always performed after a miscarriage?

No. Observation or medication may be appropriate for selected patients. The best option depends on symptoms, ultrasound findings, and preference.

Is general anesthesia required?

Not always. The anesthesia plan depends on the procedure, facility, and individual circumstances.

How long does recovery take?

Many patients resume light activities within several days, but recovery varies. Follow the hospital’s instructions.

Will D&C affect future fertility?

Most patients retain normal fertility. Rarely, uterine adhesions or another complication may affect menstruation or conception.

When can I have sex after D&C?

Wait for the period recommended by the doctor and until bleeding has stopped to reduce infection risk.

How long do pathology results take?

Processing time varies between hospitals. Confirm how and when results will be provided.

Is D&C the same as hysteroscopy?

No. D&C removes uterine tissue, while hysteroscopy uses a camera to examine the uterine cavity. They may be performed together.

Book a D&C Procedure in Busan, Korea

If abnormal bleeding, pregnancy loss, retained tissue, or uterine pathology requires surgical treatment, arrange a gynecology consultation in Busan. The doctor can explain D&C, anesthesia, alternatives, pathology testing, and recovery.