Post-Curettage Discharge: Is It Normal or a Sign of Infection? - Obstetrics and Gynecology

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Post-curettage discharge can be a common concern for many women who have undergone a dilation and curettage (D&C) procedure. In your case, experiencing a small amount of brownish discharge with a texture resembling "tofu" can be quite normal, especially in the days or weeks following the procedure. However, it is essential to understand the context of your symptoms and the typical healing process after a D&C.

A D&C is often performed for various reasons, including the removal of tissue after a miscarriage, to treat heavy menstrual bleeding, or to obtain a sample for further examination. After the procedure, it is common for women to experience some vaginal discharge as the body sheds any remaining tissue and begins to heal. This discharge can vary in color and consistency, ranging from light pink to brown, and may contain small clots or tissue remnants. The "tofu-like" texture you describe could indicate the presence of old blood or tissue that is being expelled from the uterus.

The absence of itching, abdominal pain, or other signs of infection is a positive indicator. Typically, signs of infection may include:
1. Foul-smelling discharge: If the discharge has a strong, unpleasant odor, it could indicate an infection.

2. Increased pain: Persistent or worsening abdominal pain, especially if it is severe, may suggest complications.

3. Fever: A significant increase in body temperature (over 100.4°F or 38°C) could be a sign of infection.

4. Heavy bleeding: If you experience soaking through a pad in an hour or passing large clots, this may require medical attention.

Given that your pathology report indicated no issues with the endometrial tissue, and you are not experiencing other concerning symptoms, it is likely that your discharge is part of the normal healing process. However, it is essential to monitor your symptoms closely. If you notice any changes, such as the development of a foul odor, increased pain, or heavy bleeding, you should contact your healthcare provider promptly.

In terms of timing, it is not uncommon for some women to experience discharge for several weeks after a D&C. The duration can vary based on individual healing processes, the reason for the procedure, and any underlying health conditions. If your discharge persists beyond a few weeks or if you have any concerns, it would be prudent to follow up with your healthcare provider for further evaluation.

In summary, while some discharge after a D&C can be normal, it is crucial to remain vigilant for any signs of infection or complications. If you have any doubts or if your symptoms change, do not hesitate to seek medical advice. Your health and peace of mind are paramount, and your healthcare provider can offer personalized guidance based on your specific situation.