Glossary

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  • Suction dilation and curretage
    • A procedure commonly performed to treat nonviable pregnancies. It involves the dilation of the cervix followed by removal of the nonviable pregnancy and curretage (scraping) to insure the uterus is clear.
    • We typically perform this procedure under deep sedation in the operating room. The patients are typically allowed to go home soon after the procedure.
    • After the procedure, most patients will experience some spotting and cramping. Nonsteroidal anti-inflammatory agents such as ibuprofen are ideal for treating the cramping.
    • Risks of the procedure include bleeding, infection and the general risks of anesthesia. The bleeding can be quite brisk during these procedures; thus, there is an accompanying risk of transfusion. Patients undergoing this procedure have a small risk of uterine perforation. This means one of the instruments makes a hole in the uterus. Most commonly, this patient will be admitted overnight and observed. Another risk is uterine adhesions. The scraping process may cause adhesions to form inside the uterus. This can affect future fertility and is called Asherman’s syndrome. It is a rare complication.
    • Most patients desire attempting pregnancy again. The time to first cycle is variable; most will be able to try again in one to two months.
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