does dilation and curettage affect fertility

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Some studies have suggested that dilation and curettage may predispose tonegative future pregnancy outcomes,including higher rates of spontaneous abortion,incompetent cervix,preterm labor,preterm rupture of membranes,early neonatal death,and ectopic pregnancy (4).

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  • How does dilation and curettage affect pregnancy outcomes?

  • Some studies have suggested that dilation and curettage may predispose to negative future pregnancy outcomes, including higher rates of spontaneous abortion, incompetent cervix, preterm labor, preterm rupture of membranes, early neonatal death, and ectopic pregnancy (4).

  • What is dilation and curettage (D&C)?

  • Dilation (or dilatation) and curettage (DC) is an operational procedure (Pic. 1) performed on women to scrape away the womb lining. The cervix (neck) of the uterus is dilated using an instrument called a dilator (Pic. 2). The endometrium (lining of the womb) is then lightly scraped off using a curette (Pic. 3).

  • Does cervical dilation and curettage increase the risk of postpartum hemorrhage?

  • Pregnancy outcomes among patients with a history of cervical dilation and those without were not significantly different. Conclusion:The current study suggests that dilation and curettage may predispose to postpartum hemorrhage. It is important to consider the effects of surgical management for miscarriage on future pregnancy outcomes.

  • Can curettage (D&C) cause scant endometrial tissue?

  • Therefore it is known that abnormally thin endometrium leads to low pregnancy rates and existent absolutely few studies indicate that curettage (DC) could be a cause of scant endometrial tissue (5, 35).

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