Post-D&C: Is Bleeding Normal After Uterine Curettage?

Q: Post-D&C: Is Bleeding Normal After Uterine Curettage?

Hello： It is normal to have some spotting after a dilation and curettage (D&C) procedure. <br>You only need to return for a follow-up appointment if the bleeding is excessive; otherwise, you can follow up as scheduled in one week. <br>Wishing you good health.

Post-D&C (Dilation and Curettage)

Hello: After undergoing a dilation and curettage (D&C) due to endometrial hyperplasia, I am experiencing spotting on the fourth day post-operation.
Is this normal? Could it be due to poor wound healing or uterine contraction? I have an appointment for a follow-up visit in one week; should I return for a check-up immediately?

amy, 40~49 year old female. Ask Date: 2014/01/13

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello: It is normal to have some spotting after a dilation and curettage (D&C) procedure.
You only need to return for a follow-up appointment if the bleeding is excessive; otherwise, you can follow up as scheduled in one week.
Wishing you good health.

Reply Date: 2014/01/13

More Info

After undergoing a D&C (dilation and curettage) procedure, it is not uncommon to experience some bleeding or spotting as part of the recovery process. The uterus undergoes significant changes during and after the procedure, and the healing process can vary from person to person.
Typically, light bleeding or spotting can last for a few days to a couple of weeks post-D&C. This is often due to the shedding of the uterine lining and the healing of the endometrial tissue. However, if you are experiencing persistent bleeding, especially if it is heavy or accompanied by severe pain, it is essential to consult your healthcare provider.

In your case, since you mentioned that you are on day four post-D&C and are still experiencing spotting, this can be considered within the realm of normal recovery. However, it is crucial to monitor the amount and nature of the bleeding. If the bleeding increases significantly, or if you notice large blood clots, or if you experience severe abdominal pain, these could be signs of complications such as retained tissue or infection, which would require immediate medical attention.

Regarding your concern about whether the bleeding is due to poor uterine contraction or if there is a problem with the healing of the wound, it is important to note that the uterus typically contracts to help control bleeding after a D&C. If the contractions are insufficient, it could lead to prolonged bleeding. However, without a thorough examination, it is difficult to determine the exact cause of your symptoms.

You mentioned that you have a follow-up appointment scheduled for one week post-procedure. If your bleeding remains light and manageable, it may be appropriate to wait for that appointment. However, if you have any concerns or if your symptoms worsen, it is advisable to reach out to your healthcare provider sooner. They may want to perform an ultrasound or other diagnostic tests to ensure that everything is healing properly and that there are no complications.

In summary, while some bleeding after a D&C is normal, it is essential to be vigilant about your symptoms. If you experience heavy bleeding, severe pain, or any other concerning symptoms, do not hesitate to seek medical attention. Your health and well-being are paramount, and it is always better to err on the side of caution when it comes to post-operative care.

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