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Why do I need a D & C?

By Anonymous December 23, 2008 - 6:55pm
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My recent Pap was abnormal so they screened for HPV and it was negative. The physician's assist. performed a colposcopy. She was not able to view my cervix as it kept bleeding(not coming from the uterus) and she was not able to get any tissue. She said it was a little thin also. Said this could be premenopausal. I am 46. She did perform a an ECC and the results were negative. She wanted me to have a pelvic ultrasound on the 10th day of my next period to possibly see why I may have been bleeding during this procedure. I had one on the 7th day as they couldn't get me scheduled any time near the 10th day. The results of this were a "slightly enlarged uterus". I am not having any menstrual difficulties. My period are regular and not heavy. I do not have any cramping, headaches, etc. My third day is usually heavy and then it's gone by the 5th day. My doctor now wants me to have a D & C. I'm not having any problems. She said the slightly enlarged uterus may be because I've had 2 pregnancies and just plain old muscular atrophy. So why do I need a D & C? I feel like they're not going to "let me go" until they can find something wrong or they're completely turned me inside out!

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EmpowHER Guest

Please do not take offense at this post. I am only seeking information because I am uninformed.

I am dating someone who has been known to be promiscuous (putting it mildly).

Anyway, she suddenly began to tell me that she was bleeding for over a month straight. She began bleeding so bad it was going through her pants at times.

I thought she may have had an abortion at one point but she told me that she was going into menopause and that her "walls" were too thick.

She went through, and is still, going through vicious mood swings. There is a level of hostility, depression, and anger that I have not seen from her in the 10+ years we have been together.

She was hospitalized after about 5 weeks of bleeding because there was no oxygen in her blood.

Does this sound anything like a D + C situation or menopause situation?

I am sorry to ask this here but I do not know where else to turn. I am being supportive and doing what I can to be help her but I do not even know who I am living with anymore.

Her attitude, disposition, and personality is scaring the hell out of me.

April 16, 2013 - 7:36pm

My gyno requested a D&C. I have been having a discharge with blood in it. I am 75 and my periods stopped about 17 years ago. In a 24 hour period, I have gone to the bathroom 44 times with discharge and acute pain and itching. I also have a dry mouth and have been drinking only liquids. I have no appetite and have lost 10 pounds. All I do is drink and urinate.

November 17, 2010 - 6:24pm
Expert HERWriter Guide Blogger (reply to Maddie527)

Maddie - Has your doctor given you any reason for the abnormal bleeding? Please let us know how your procedure goes and what you learn, and if we can help further after you learn more. Your symptoms are concerning, and we'd like to help. Pat

November 17, 2010 - 6:40pm

Dear Anon,
Part of being confident enough to go with a doctor's recommendation has to do with your relationship with that doctor. Have you been seeing this doctor long? Do you feel like she is a good communicator and carefully asks about and considers your questions?

Here is a page that discusses the reasons doctors do a D&C, and just what they can find:


And here's a page about D&C from the American College of Obstetricians and Gynecologists:


Please be sure that before you undergo any procedure, you understand your doctor's reasons for doing it and you've had all your questions answered. Don't feel that you can't take their time -- this is your body, and it's perfectly appropriate to discuss these things in detail. If it makes you nervous, write your questions down before you go, and ask your doctor to go over them with you.

Take care, and let us know what happens, ok?

December 24, 2008 - 11:33am

Dear Anon:
D&C is usually a diagnostic procedure and seldom is therapeutic. It is indicated when irregular or unusual bledding is detected. D&C will help stop the bleeding for a little while (2-6 months), and unfortunately there are times when the prior abnormal bleeding may return.

A D&C is SELDOM done as a lone procedure anymore. It is most frequently done as an adjunct procedure to a hysteroscopy and/or polypectomy. So you may want to ask your doctor the purpose of the D&C so you are well-informed of her reasons for wanting to do one on you. It would not hurt to have a second opinion too.

December 23, 2008 - 11:38pm
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