Endometrial Thickening and Polyps: What to Expect from D&C Procedure

Endometrial thickening, uterine polyps?

Hello Dr.
Huang,
I visited the clinic, and the doctor mentioned that my endometrium is thickened and that there is a small polyp.
The doctor said that a diagnostic dilation and curettage (D&C) would be performed to check for any abnormalities.
I researched a lot online, but I am still unclear about this diagnostic D&C procedure.
Is it just taking a small sample of the endometrium for testing, or is the entire endometrium removed? Additionally, I would like to know if only the endometrium is sampled, or if the polyp also needs to be sampled, either partially or completely, for testing.
Thank you for taking the time to answer my questions.
I truly appreciate it, as the more I search online, the more confused I become.
Wishing you good health and success in your work!
Best regards,
Momo

momo, 50~59 year old female. Ask Date: 2018/09/19

Dr. Huang Jianzhong reply Obstetrics and Gynecology

The doctor said that my endometrium is thickened and that there is a small polyp.
The doctor mentioned that a sample needs to be taken for examination to check for any abnormalities (performing a "diagnostic" endometrial dilation and curettage).
I researched a lot online but still don't understand what this diagnostic dilation and curettage entails.
Is it just taking a small piece of the endometrium for testing, or is the entire endometrium removed? Additionally, I would like to know if only the endometrium is sampled, or if the polyp also needs to be removed partially or entirely for examination.
Thank you for taking the time to answer my questions; I really appreciate it, as the more I search online, the more confused I become.

Answer: Your questions should not be researched online; your doctor has the obligation to provide a clear explanation.

Reply Date: 2018/09/19

More Info

Hello Momo,
Thank you for your thoughtful questions regarding the diagnostic dilation and curettage (D&C) procedure. I understand that navigating medical terminology and procedures can be quite confusing, especially when it concerns your health. Let’s break down your concerns step by step.

What is a D&C Procedure?
A dilation and curettage (D&C) procedure is a surgical method used to remove tissue from the inside of the uterus. It is often performed for diagnostic purposes, such as to investigate abnormal uterine bleeding, or to remove tissue after a miscarriage. In your case, the D&C is being performed to obtain samples of the thickened endometrial tissue and the polyp for further examination.

What Happens During a D&C?
1. Dilation: The cervix is gently dilated (opened) to allow instruments to enter the uterus.

2. Curettage: A curette (a surgical instrument) is used to scrape the endometrial lining. This can involve removing a small sample of the endometrial tissue, which includes the thickened areas and any polyps present.

What Will Be Removed?
- Endometrial Tissue: The procedure typically involves taking a sample of the endometrial lining. This does not mean that the entire lining is removed; rather, a small portion is taken for analysis.

- Polyp: If a polyp is present, the surgeon may also remove it during the D&C. Depending on its size and attachment, the polyp may be entirely excised or just a portion of it may be taken for testing.

What to Expect After the Procedure?
After a D&C, it is common to experience some cramping and light bleeding, similar to a menstrual period. Your doctor will provide specific aftercare instructions, including what symptoms to watch for that might require further medical attention.

Why is This Procedure Important?
The tissue samples obtained during the D&C will be sent to a laboratory for histopathological examination. This is crucial for determining whether the thickening of the endometrium or the polyp is benign or if there are any signs of abnormal or precancerous changes.

Understanding Endometrial Thickening and Polyps
Endometrial thickening can occur for various reasons, including hormonal imbalances, polyps, or other conditions like endometrial hyperplasia. Polyps are generally benign growths, but they can sometimes be associated with abnormal bleeding or, in rare cases, cancer. The D&C will help clarify the nature of these findings.

Conclusion
In summary, a D&C is a diagnostic procedure that allows your doctor to collect tissue samples from the endometrium and any polyps present. It is not a complete removal of the endometrium but rather a targeted sampling to assess for any abnormalities. The results from the pathology report will guide your doctor in determining the next steps in your care.

If you have any further questions or concerns, do not hesitate to reach out to your healthcare provider. They can provide personalized information based on your specific situation. Wishing you all the best for your procedure and a smooth recovery!
Take care and stay healthy!

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