Hysteroscopy + Dilation and curettage (D&C)

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What is a Hysteroscopy

Hysteroscopy is a surgical procedure which checks the uterus to make sure it does not get affected by any abnormal bleeding. This is done using a hysteroscope, which is a thin tube inserted inside the vagina. This process can be done in two ways – diagnostic or operative.

What is diagnostic hysteroscopy?

This is a process that checks the condition and the problems of the uterus. This gynecologic procedure checks the endometrial system. This is a low-risk technique that is a must for patients who face abnormal uterine bleeding. It provides for treatment and diagnosis of the same.

What is operative hysteroscopy?

Operative hysteroscopy is a gynaecological procedure where an optical lens is put through the cervix. This process looks into the endometrial cavity and offers treatment for intrauterine pathology.

Why should hysteroscopy be performed?

There are some people for whom this is a very beneficial process. However, it does not work out for everyone, which is why only a specialised doctor can tell you if it is suitable for you or not. Here are a few reasons why you should get a hysteroscopy done.

  1. If your results are not normal.
  2. You are bleeding after menopause.
  3. There are some disturbances like fibroids on your uterus.
  4. A past miscarriage.
  5. Problems getting pregnant or conceiving in the past.
  6. You need to get sterilized as a part of birth control.
  7. Your IUD is not in place.

How is hysteroscopy performed?

Before the hysteroscopy, you will be given sedatives in order to relax, after which you are prepared for anaesthesia. This is how the process goes about.

  1. A hysteroscope is inserted inside your uterus through the vagina and cervix.
  2. Carbon dioxide gas is inserted, which inflates the uterus and clears any mucus or blood in it.
  3. The doctor can then clearly see your uterus and the fallopian tubes.
  4. For the surgery, small instruments are inserted in the uterus with the help of the hysteroscope.
  5. The time involved in completing this process ranges from five minutes to above than an hour. It depends on how the operation is carried out, whether it is diagnostic or operative, is there any additional procedure involved, where and how it is taking place.

Dilation and curettage (D&C).

This process involves the removal of tissues from the inside of a uterus. It dilates the cervix and removes the inner lining of the uterus. This gynaecological procedure usually takes place after someone goes through miscarriage or abortion. This process involves sharp curettage because it involves dilation and removal of uterine contents

When do you need a Dilation and Curettage

You may be recommended to get a D&C done if your condition involves one of the following things:

  1. You have experienced abnormal uterine bleeding.
  2. You are bleeding after menopause.
  3. There are abnormal endometrial cells in your body.

How to treat the condition

When a D&C is being performed, all the parts of your uterus are removed and not only a small tissue sample. Here are a few things that can be done regarding this:

  1. Remove a molar pregnancy, where there is the formation of a tumour instead of normal pregnancy.
  2. If you bleed extensively after delivery or after your placenta or uterus is cleaned, get treated.
  3. Remove cervical or uterine polyps.
  4. Remove fibroid tumours.
  5. Remove any tissue that remains in the uterus after a miscarriage or abortion so as to prevent infection or heavy bleeding.

Hysteroscopy is performed along with the process of Dilation and Curettage. A thin instrument that has a camera on it is inserted into the vagina, which goes from the cervix and the uterus. The view of the uterus lining is then visible on the screen. It depicts anything that may seem different or abnormal. The doctor will make sure that they are no polyps, fibroid tumours, or anything else, and take the required tissue samples.

Benefits of hysteroscopy and D&C combined

This procedure, as compared to the other invasive ones, hysteroscopy has several advantages to itself. They are as following.

  1. You don’t have to stay in the hospital for too long.
  2. Your recovery period is relatively shorter.
  3. You don’t require too many pain medications after surgery.
  4. You might not need to get open abdominal surgery done.

Safety of the procedure

Hysteroscopy with Dilation and Curettage is a relatively safe procedure. However, being surgical in nature, a few complications are possible. The complication risk in cases is as low as 1% of cases and they may include:

  1. Any issue with anaesthesia.
  2. Infection.
  3. Heavy bleeding.
  4. Injuries to the lower body in places including cervix, uterus, bowel or bladder.
  5. Formation of scars in Intrauterine scarring.
  6. Any other reaction to the substances used.

If anaesthesia is used during the hysteroscopy, you will be observed for a couple of hours before you are permitted to go home. There might be some kind of cramping or vaginal bleeding for a couple of days. You may also experience some shoulder pain if carbon dioxide or any other gas was used in your hysteroscopy. If you feel sick, it is not unusual.

But if you face any of the other problems mentioned below, then make sure to contact your doctor:

  1. High Fever
  2. Severe abdominal pain
  3. Heavy vaginal bleeding or discharge

Apollo Cradle Nehru Place


Apollo Cradle is one of the best maternity hospitals in India. It offers quality treatment and cares to its patients. With its high standards and efficiency in its staff, you will find an array of professionals here to help you with your problems in nearly everything including Gynecology, Laparoscopy, Pediatrics, Neonatology, Fertility, Fetal Medicine.


  1. Apollo Cradle Royale is a place of clinical excellence with more than 30 years of experience.
  2. It brings perfection and efficiency in its treatment processes and looks after the betterment of each individual, be it a mother, or a child.
  3. The surgical teams are qualified staff, among the most experienced and skilled in the entire country.
  4. The hospital constantly looks after its improvement and skill development programs.
  5. It provides extensive medical education to all the staff and makes sure to get reviews from the patients, keeping room for improvement.
  6. Anyone who is expecting is properly assessed to make sure there are no risks to the mother or the baby.
  7. If she is at high risk, all efforts and necessary treatment protocols are followed in order to ensure her safety.


  1. This is the best Maternity Hospital in Delhi which has a space of 35,000 sqft. It is exclusive for women and children and brings a style statement to New Delhi, which was launched in 2015.
  2. If you want the best possible treatment for yourself and make sure that you remain healthy, this 7-star treatment will bring the best for you and make you feel at home.
  3. With personal pampering sessions and the best panel to take care of you, you will receive the best medical care possible.
  4. There are fully automated beds, availability of good hospital food with multi-cuisine dining, no restrictions on visiting hours, comfortable beds for the patients and giving them the best.
  5. There is a level III Neonatal Intensive Care Unit. This provides the topmost care for all newborn babies.
  6. For any baby that is born with illnesses or problems, intrinsic care is provided to them. The mother gets extreme emergency care, at the Maternal ICU.

Experience and Doctors

The hospital has about 50 of New Delhi’s best doctors working with them. They are specialists who have years of experience. Apollo has multiple operation theatres as well. Some of them include:

  1. Dr Vimal Grover, who has completed her MBBS and MD in Obstetrics and Gynaecology. She has an experience of 42 years and is a Gynecologist, Obstetrician and Infertility Specialist.
  2. Dr Helai Gupta, who has completed her MBBS and MD in Obstetrics and Gynaecology. She has an experience of 25 years and is a Gynecologist and an Obstetrician.
  3. Dr Ranjana Sharma, who has completed her MBBS and MD in Obstetrics and Gynaecology. She has done an  MRCOG (UK) and has been a part of the Fellow of Indian College of Obstetrics and Gynecology. She has an experience of 37 years and is an Obstetrician, Gynecologist, Infertility Specialist, Reproductive Endocrinologist.
  4. Dr Shakti Bhan Khanna, who has completed her MBBS and MD in Obstetrics and Gynaecology. She has an experience of 48 years and is a Gynecologist and an Obstetrician.
  5. Dr Geeta Chadha, who has completed her MBBS and MD in Obstetrics and Gynaecology. She has an experience of 32 years and is a Gynecologist and an Obstetrician.
  6. Dr Sula Ray Prasad., who has completed his MBBS and DGO. He has an experience of 15 years and is a Gynecologist, Infertility Specialist and an Obstetrician.
  7. Dr Prof. Sadhana Kala, who has completed her MBBS and MS in Obstetrics and Gynaecology. She has an experience of 45 years and is a Gynecologist, Infertility Specialist and an Obstetrician.


Apollo Nehru Cradle Place is a cradle of your thoughts being nursed and looked after by us. Putting all your expectations to rest and letting us do our magic, we will produce the best efforts and bring the best results. The doctors here ensure that your money and hope does not go to waste, with making surgeries happen with least harm and utmost care. What decision is to be made, depends on the patient. Everything else is handled efficiently by Apollo. Making the right choice is very necessary and Apollo assists you with everything you do and leads you towards a happy future.