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Dilation and Evacuation (D&E) Procedure by Best Gynaecologist

Visit Pristyn Care if you are seeking D&E procedure, consult our expert gynaecologist, who will diagnose and plan the complete Dilation and Evacuation (D&E) procedure.

Visit Pristyn Care if you are seeking D&E procedure, consult our expert gynaecologist, ... Read More

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What is the D&E procedure?

Dilation and evacuation (D&E) is a surgical procedure of abortion that can be done in the second trimester of pregnancy. Before performing the procedure, the doctor gives medicine to reduce the pain. The doctor performs an ultrasound before the procedure to check the stage of pregnancy. D&C is performed in clinics and can also be done in hospitals.

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Best healthcare centre for D&E procedure

D&E procedure is a type of in-clinic abortion. Visit Pristyn Care if you are seeking treatment help, consult our gynaecologist, who will diagnose and plan the complete D&C procedure.

We work with some expert and highly experienced female gynaecologists capable of providing quality treatment for such sensitive health conditions.
Considering our patient’s concerns and hesitation, we assure 100% privacy and confidentiality throughout the consultation and treatment.
We are associated with multiple gyne clinics and hospitals in almost all the major cities of India.
We provide free follow-up consultations to ensure a complete and smooth recovery.
No-Cost EMI service along with multiple payment options, including- cash, debit card, credit card and cheque.
Free pick-and-drop service to and from the hospital, along with complimentary meals on the day of surgery.

Diagnostic tests before the D&E procedure

Before performing the surgery doctor suggests a few diagnostic tests to find possible problems that might complicate the surgery.

Endometrial biopsy- The doctor recommends this test to to check for endometrial intraepithelial hyperplasia- a precancerous condition, uterine polyps and uterine cancer. In this test doctor first collect the tissue sample from the lining of your uterus and send the sample to the laboratory for testing.
Blood test- It is usually performed to examine your health condition and determine the signs and symptoms of any infection or the functioning of a specific organ.

What happens before the D&E procedure?

Before performing the D&E procedure, the doctor will prepare your cervix for the D&E procedure. Some of the common ways to open the cervix before the procedure-

Laminaria- These are thin sticks that are placed in your cervix the day before the procedure. These dilators help in extracting moisture from your reproductive area and slowly widen the cervix. These sticks are usually placed in your cervix overnight. They are removed before the D&E procedure.
Misoprostol- This medicine can be taken by itself or given after laminaria. It is either taken by mouth or placed in the vagina to increase the effectiveness of the medicine. It can cause mild side effects like- nausea, chills and cramps.

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What happens during the D&E procedure?

Before performing the D&E procedure, your healthcare provider will first remove the laminaria dilators. After that doctor gives local anaesthesia, such as lidocaine, to reduce the pain during the procedure. In some cases, the cervix is further dilated with a rigid dilator instrument After that surgeon uses a surgical instrument called a curette. Currete is a sharp instrument or suction device used to evacuate the fetus, placenta and other tissue. The complete procedure will take about 15-30 minutes. Some women experience uterine cramping afterwards. After the D&E procedure, you will stay at the doctor’s office for about 30 minutes to make sure you do not have heavy bleeding.

Risks and complications associated with D&E procedure

Just like any surgical procedure, D&E is also associated with certain risks and complications.

Heavy bleeding, and hole in the wall of the uterus and, in some cases, injury to the cervix.
Anaesthesia-associated risks such as adverse reactions to medication and breathing problems.
Risk of infection in the uterus and other pelvic organs.
In some rare cases, there is a possible risk of having some pregnancy tissue stay inside even after the procedure.
Risk of haemorrhage.

What to expect after the D&E procedure?

In most cases, women are discharged from the clinic/hospital within hours after the procedure. But if there are complications or you have any other underlying health condition, you may need to stay a little longer.

Here are some tips to follow to take care of yourself at home after the D&E procedure.

Avoid using tampons until your regular periods.
Take all the medication as prescribed by your health care provider.
Avoid sexual intercourse.
Some women experience cramping or mild abdominal pain after the D&E procedure, but that doesn’t last longer than 24 hours. If you experience severe cramping and pain, then consult your doctor and seek emergency help.
Visit your doctor for a follow-up consultation for any further treatment that is needed.
Consult your doctor if you are taking any counter-pain medicine, such as ibuprofen or tylenol. Avoid aspirin unless your doctor prescribes it.
Take rest as much as you can. You can do normal household chores based on how you feel.
Avoid strenuous activity or heavy lifting.
Avoid using public swimming pools and hot tubs for at least a week after the D&E procedure.

What are the signs of complications after a D&E procedure?

In some cases, women experience few complications after the procedure. If you experience any of the following complications, then consult your healthcare provider and seek emergency help.

Rapid heartbeat or severe chest pain.
Severe headache and cramps.
Shaking with chills or fever above 100.4°F (38°C).
Foul smelling or vaginal discharge.
Prolonged and heavy bleeding.
Unusual sweating and trouble breathing.
You may experience some signs and symptoms of depression because of hormonal changes, that require treatment.

FAQs Around Dilation and Evacuation (D&E)

Is D&E a safe procedure?

D&E is a safe and effective procedure for abortion in the second trimester of pregnancy. It is also used to remove tissues that remain after miscarriage. The D&E procedure takes around only 30 minutes.

Does the D&E procedure affect my future pregnancy?

D&E procedure doesn’t affect your chances of future pregnancy. Doctors usually recommend waiting for one to three normal menstrual cycles before trying to conceive. Consult your healthcare provider before planning for pregnancy.