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D&C (Dilation and Curettage) - Know About Its Procedure!

Dr. Purnima Jain 89% (15 ratings)
MBBS, MD - Obstetrics & Gynaecology
Gynaecologist, Delhi
D&C (Dilation and Curettage) - Know About Its Procedure!

Dilation and curettage procedure which is commonly referred to as D&C is a minor surgical procedure where the cervix is dilated while a special instrument is used for scraping out the lining of the uterus. It is important to know what you can expect before, after and during the process so that you can stay ahead of unnecessary worries and help the process to be smooth and fruitful.

When do doctors recommend dilation and curettage process?
You may be required to undergo the dilation and curettage procedure for one of many reasons. It can be used for removal of tissues in the uterus during or after an abortion or miscarriage or to remove little pieces of placenta after delivery. This process aids in preventing infection as well as heavy bleeding. On the other hand, it can help in diagnosing and treating abnormal uterine bleeding including polyps, fibroids, hormonal imbalances and even uterine cancer. A sample of the tissues in the uterus is tested under a microscope to check if there is any abnormal cell present.

What can you expect during the dilation and curettage process?
The D&C procedure is a minor one and takes about 15 minutes even though you will have to spend about 4 to 5 hours in the healthcare facility. Before the procedure, your doctor would check complete history, and at this point, you should tell your doctor if you suspect that you are pregnant, you are sensitive to latex or any medicines or if you have a history of bleeding disorders. You will then be given anesthesia so that you don’t feel any pain or discomfort during the procedure. Before this procedure, you will have to empty your bladder.

The D&C procedure comprises two main steps, dilation, and curettage.
Dilation involves opening of the lower part of the uterus or the cervix for allowing insertion of a slender rod. This is done to soften the cervix so that it opens and allows curettage to be performed. Curettage involves scraping of the lining and removal of the uterine contents with the help of a spoon-like instrument known as a curette. This may cause some amount of cramping, and a tissue sample would be taken out for examination in the laboratory.

After the completion of the procedure, you may experience slight bleeding and cramping. In some rare cases, adhesions or scar tissues may start forming inside the uterus, and this condition is termed as Asherman’s syndrome which can cause changes in the menstrual cycle along with infertility. This problem, if arises, can be solved with the help of surgery and therefore, you should report any abnormality in your menstrual cycle to your doctor. In case you have a concern or query you can always consult an expert & get answers to your questions!

Menstrual Cramps - How Can You Reduce Them?

Dr. Samriti Uppal 90% (155 ratings)
DNB (Obstetrics and Gynecology), DGO, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Delhi
Menstrual Cramps - How Can You Reduce Them?

Menstrual cramps that occur during menstruation cycle can impair your regular activities. The menstrual cramps, also called dysmenorrhea, are caused by the uterine contractions. The intensity of the pain that a woman feels can be related to the woman’s prostaglandin glands. Those who are with elevated levels of prostaglandin suffer from intense than those with lesser levels.

Though the menstrual cramps are harmless, they do get unmanageable at times. Like dealing with any other pain, a relief becomes necessary. Several remedies and treatments are available to reduce menstrual cramps, and some of them are listed below.

  1. An Improved DietThe easiest way that you can adopt to tackle menstrual cramps is to improve your diet. You must reduce consuming fats and turn to vegetables as your primary food. Low-fat diet always helps to decrease the overall inflammation in your body. Its effects on menstrual cramps have also been noticed. Thus, it is beneficial to stop consuming saturated unhealthy fats and start consuming unsaturated healthy fats.
  2. A Painkiller is Effective: The most popular remedy for pain has always been a painkiller. Though treating your menstrual cramps with pills is rare, but a safe painkiller with no steroids can seal the deal. However, as it with any medicine, consult your doctor before consuming any.
  3. Tea: Just plain tea or herbal teas can be helpful to reduce the menstrual cramps. Though the research on this particular relief method is extremely scarce, it is a traditional remedy and has been giving some refuge to women under cramps. Tea with cramp barks and tea with peppermint oil are a few of the most popular home remedies to manage the pain.
  4. Fish Oil and Vitamin B1: Fish oil supplements and vitamin B1 has been proved to be useful in treating menstruation cramps. A study published in September 2014 in Global Journal of Health Science showed that women who were consuming fish oil supplements or Vitamin B1 or both showed reduced effects on cramps than the women who didn’t take any. Moreover, consumption of fish oil supplements or vitamin B1 or both disappeared the cramps faster than usual.
  5. Essential Oil Massage: A study published in the Journal of Obstetrics and Gynaecology Research in May 2012, showed that a massage with aromatic essential oil over the abdominal region, both upper and lower, helped to reduce the pain and the cramps. Take a few drops of the oil and massage frequently over the course of your period, and it will provide you with some relief.
  6. Hot Pad: Perhaps the most followed remedy to menstrual cramps is the hot pad. Curl up with a hot pad over your lower abdomen, and it is sure to give you relief. This is great for minor cramps.

Traditional and home remedies provide relief in most cases. However, if the pain is unbearable and occurs along with vomiting or other problems, visiting your gynecologist is advised.

3 people found this helpful

Menstrual Cramps - Ways Homeopathy Can Help!

Dr. Rushali Angchekar 95% (54265 ratings)
Homeopath, Sindhudurg
Menstrual Cramps - Ways Homeopathy Can Help!

Menstrual cramps affects all ages of menstruating women, ranging from mild to severe crippling ones. Menstrual cramps may sometimes develop along with irregular blood flow, irritability, headache, fatigue and extreme discomfort in the lower abdominal region. Also light exercises, warm beverage and hot compress may provide momentary relief; these may also aggravate the cramps causing utmost misery.

Homeopathy is a safe, natural and non-toxic method of treating any physical discomfort, disease and infection. It can effectively cure mild infections as well as severe organ malfunctioning. Homeopathy never causes adverse side effects that may be detrimental to the general well being of a person.

Some homeopathy remedies known to ease and cure menstrual cramps:

  1. Belladonna is known to provide relief from violent, throbbing muscle spasms in the lower abdomen that come suddenly during the course of menstruation. It controls profuse bleeding and prevents blood clots. It is also known to keep irritability and depression in check during this time period.
  2. Chamomilla is prescribed to patients who are hypersensitive to pain and easily lose mental and emotional stability. The pain is sharp and stinging and extends down to the inner thighs. There are blood clots and profuse bleeding, causing agonizing discomfort to the patient.
  3. Pulsatilla is prescribed to patients who grow extremely sensitive, depressed and suffer from temporary mental breakdowns during the menstruating period. The cramps are accompanied by nausea and dizziness.
  4. Magnesia Phos is prescribed to patients who find a little relief from warm applications, bending forward and comforting food or beverages. This is mostly given to women who feel the cramps centred on the uterus but radiating to all sides.
  5. Caulophyllum is a remedy meant for women who feel the onset of painful cramps before the menstruation begins. Lower abdominal pain, dizziness and a sudden spell of malaise precede the menstruation.
  6. Apis is meant for women who feel sharp stinging pain near the ovaries, accompanied with dark red mucous and the urine is generally very scanty and dark coloured.
  7. Veratrum Album is given to patients who have severe cramps accompanied by diarrhoea and nausea.

5 Ways To Prevent Menstrual Cramps!

Dr. Nisha Agarwal 85% (26 ratings)
MBBS, DNB - Obstetrics and Gynecology
Gynaecologist, Gurgaon
5 Ways To Prevent Menstrual Cramps!

More than half of the women who menstruate, tend to go through pain from period cramps for a day or two every month. During the menstrual cycle, the uterus contracts to remove its coating or lining. Hormone like substances, called prostaglandins, which are the cause for pain and aggravation, trigger the uterine muscle contractions. More elevated levels of prostaglandins are linked with more severe menstrual cramps.

While menstrual cramps, additionally called dysmenorrhea, are normally not an indication of a highly serious health condition, they can act as barriers in your daily lifestyle. To help with the pain, here are five things that may offer some relief. In case your period cramps appear to be extreme or you do not get help even after attempting some of these choices, check with your specialist for the required medication or treatment. Five ways to prevent severe menstrual cramps are:

  1. Exercise: A regular walk or any sort of physical movement can relieve you from the abdomen and thigh pain. This discharges endorphins to balance the prostaglandins and diminish your cramps. Exercising a little three to four times each week is useful for the general strength of your body.
  2. Apply a heating pad: Warmth unwinds the contracting muscles in your uterus, which is the reason for your pain. There are a number of over-the-counter warming pads and cushions, or electric, reusable heating bags.
  3. Drink chamomile teaCertain teas may calm menstrual cramps. Teas have been used traditionally and can offer relief from pain. Chamomile tea is one of the most effective teas among many others. It tends to increase the hippurate element in your body, which is a natural anti-inflammatory agent. Mitigating agents diminish the prostaglandin formation in the body, accordingly assisting in pain relief from menstrual cramps.
  4. Improve your dietVitamin D is vital in decreasing menstrual cramps. Decreasing your fat intake and eating more vegetables as a part of your diet may ease the pain. Low-fat food and less carbs help your health by and large, even as they can have an obvious impact on menstrual issues. Swap less solid fats like the saturated fats found in junk food, for more healthy ones like unsaturated fats found in olive oil. Getting more dietary magnesium appears to relieve the pain as well. Magnesium directs better nerve and muscle functioning, among other crucial functions.
  5. Massage with essential oils: Using certain sweet-smelling oils and massaging them can likewise soothe menstrual pain. Dilute lavender, clary sage, or marjoram to a three percent concentration in an unscented cream. The duration of pain can be lessened from two and a half to one day after self-massaging with these essential oils.
1 person found this helpful

Menstrual Cramps - Is There A Way They Can Be Avoided?

Dr. Shailee Agrawal 92% (205 ratings)
Gynaecologist, Sirohi
Menstrual Cramps - Is There A Way They Can Be Avoided?

Let's first get to know what are menstrual cramps?
Menstrual cramps, also known as dysmenorrhea or period pains are throbbing or cramping pains in the lower abdomen.Many women experience menstrual cramps just before and during their menstrual periods.

Who gets menstrual cramps?
About half of women experience menstrual cramps and about 15% describe the pain as severe. It has been shown that women who do not exercise experience more painful menstrual cramps. Certain psychological factors such as emotional stress may also increase the likelihood of having uncomfortable menstrual cramps. Additional risk factors for these cramps include:

  1. Being younger than 20 years of age
  2. Starting puberty at age 11 or younger
  3. Menorrhagia - heavy bleeding during periods
  4. Never given birth

Symptoms of menstrual cramps include:

  1. Pain in the lower back and thighs
  2. Nausea
  3. Vomiting
  4. Sweating
  5. Dizziness
  6. Diarrhea
  7. Loose stools
  8. Constipation
  9. Bloating in the belly area
  10. Headaches
  11. Lightheadedness or feeling faint.

How can you 'AVOID' menstrual cramps?

  1. Eating fruits and vegetables and limiting intake of fat, alcohol, caffeine, salt and sweets
  2. Exercising regularly
  3. Reducing stress
  4. Quitting smoking
  5. Yoga or relaxation therapy
  6. Acupuncture or acupressure.
  7. Apply heat to lower abdominal part.
  8. Make sure you're getting enough vitamin D.
  9. Dietary supplements.

10 Ways to treat period cramps:
1. Improve Your Diet to Alleviate Period Cramps
2. Pop a Safe Painkiller
3. Turn to Tea to Calm Menstrual Cramps
4. Try Fish Oil and Vitamin B1
5. Needle Away Period Cramps
6. Massage With Essential Oils for Pain Relief
7. Curl Up With a Heating Pad to Ease Period Cramps
8. Boost Endorphins Your Way
9. Up the Magnesium in Your Diet
10. Lean on Your Contraceptive 

3 people found this helpful

Ways Acupressure Therapy Can Help In Chronic Pain!

Dr. R S Meena 89% (224 ratings)
Bachelor of Naturopathy & Yogic Tharepy (BNYT), M.D Accupressure
Acupressurist, Gurgaon
Ways Acupressure Therapy Can Help In Chronic Pain!

Acupressure is an ancient Chinese healing therapy for curing a host of chronic diseases and ills, from headaches to back pain, infertility and menstrual cramps.

It is built on the concept of maintaining the balance of various body elements including blood, nutrients and the energy force known as ‘chi’ which flows along lines called meridians in the body for optimum health. Putting pressure by finger placements at designated points from where these meridians can be accessed, is supposed to unblock the flow of energy to get rid of chronic pain and disease.

Acupressure for pain-relief

  • Acupressure is used for a variety of ailments. One of its most common uses is to relieve pain, such as back pain, sciatica, menstrual cramps and headaches.
  • It can also be used to help with nausea and vomiting, fatigue, stress, weight loss, and even addictions.

Acupressure helps relieve pain in different ways, like

  • It is believed to cause deep relaxation and a decrease in muscle tension and is thus useful in relieving low back pain, post-operative pain, and headaches.
  • L4 point, for example, is commonly used for stress, facial pain, headaches, toothaches, and neck pain.
  • It is located on your hand between your thumb and the index finger.
  • Liver 3 point (LV3) is also used for stress, lower back pain, high blood pressure, menstrual cramps, insomnia, and anxiety.
  • This point is located in between your big toe and second toe, in the soft flesh.
  • You can press these points yourself for about 4 seconds and then steadily reduce pressure to experience relief from pain.

How does acupressure work?

  • Studies have been done and are still being done to understand how acupressure relieves pain.
  • They suggest that acupressure releases endorphins and promotes anti-inflammatory effects, helping with pain due to arthritis like back and limb pain.
  • Endorphins are the pleasure-inducing, painkilling chemicals that flood the brain and numb pain signals.
  • A few theories also call acupressure something that’s all in the mind and no more than a placebo. But either way, it does provide relief to patients when done over long periods of time.
  • Acupressure is also an effective way to treat depression during pregnancy, and to reduce the pain of menstrual cramps, according to a new research done at the Stanford University School of Medicine.

Similarly, a recent Korean study has found that acupressure treats menstrual cramps more effectively than pain killers. If you want to benefit from acupressure, you need to press the pain points over time as each time you manipulate the pressure points, you help balance your ‘chi’. Some people may see results immediately, and sometimes results are seen after some time. Pain can also return. You have to keep pressing the pressure points to keep the pain away forever. In case you have a concern or query you can always consult an expert & get answers to your questions!​

4448 people found this helpful

Hello, I have pcod and I usually have irregular periods. I had my last period around 29th January and before that around 27th December. I did’t get any period after that. I had oral sex with my boyfriend on 5th march he rubbed his genitalia on my vagina and used his finger that may or may not have his ejaculation. He was wearing a condom. I took an ipill 3-4 hours after intercourse. I got sore breasts, cramps and dry vagina the next day. The sore breasts disappeared. But I still get cramps and dry vagina with a very little discharge. I haven’t got any period uptil now. Is there any chance that I’m pregnant? Should I take regestrone to get my periods?

Dr. Pankaj Chhajed 91% (95 ratings)
BHMS, M.D Homoeopathy ( Practice of Medicine )
Homeopath, Nashik
Hello, I have pcod and I usually have irregular periods. I had my last period around 29th January and before that aro...
Hello lybrate-user, as you have already taken ipill- after intercourse - pregnancy is not possible. So I would suggest you not to take any medicines and wait for a week. For your PCOD you should take Homoeopathy medicines which will help you to normalize your Hormones and ovarian cyst. Many times we have observed that girls who suffer from PCOD - either have history of some sort of disappointment in there life or there is conflict between there workspace or those girls are carrying a feeling of why I am girl and because I am girl I have to follow so much restrictions. They are not loving themselves. So try to love and respect yourselves, don't hate your feminity. For further details you can book online consultation. Bye take care and good night. You can have online consultation for further details.
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I am suffering from cramp on my left calves since 2 days because of heavy leg training. It's paining so much. I can't walk properly. Please give me some advice.

Dr. Rohini Bv 92% (606 ratings)
I am suffering from cramp on my left calves since 2 days because of heavy leg training. It's paining so much. I can't...
hi try applying ayurvedic pain oil and sleep over night or apply oil and take hot bag leavector 20mins and take hot water bath you will feel better
1 person found this helpful
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Menstrual Cramps - How To Deal With It

Dr. Jaideep Malhotra 87% (10 ratings)
MBBS, MD - Obstetrics & Gynaecology
IVF Specialist, Delhi
Menstrual Cramps - How To Deal With It

Menstrual cramps or dysmenorrhea is a condition wherein one experiences painful cramps which occur during the menses. Dysmenorrhea is classified into two types –

  1. Primary Dysmenorrhea: These are the most common menstrual cramps which begin 1-2 years after menstrual cycles begin. The pain is felt in the lower part of the abdomen or the back. The cramps usually start before the period begins, and disappear after 2-3 days.
  2. Secondary Dysmenorrhea: This is a type of dysmenorrhea which accompanies any disorder in the reproductive system. Secondary dysmenorrhea tends to last longer than the normal menstrual cramps.


One will experience symptoms of abdominal pain, pain in the hip joints and a bloating sensation in the abdomen. In case of severe cramps, one may suffer from diarrhea and vomiting. Pain in the inner thighs and the lower back are also very common symptoms.


The menstrual cramps are usually caused by contractions that occur in the uterus. During the menstrual cycle, the uterus, which is a pear-shaped organ in the body, tends to contract. Excessive contractions cause the uterus to press against the blood vessels, cutting off the supply of oxygen to the muscle tissues. Pain results when the oxygen supply is cut off from a muscle.

Dealing with Menstrual Cramps:

Here are some steps that you can take to deal with menstrual cramps:

  1. Taking pain relieving medications such as ibuprofen and acetaminophen.
  2. To get relief from lower back pain, one can apply heat on the affected area by using heating pads.
  3. Get enough rest.
  4. Avoid eating foods that are rich in salt and caffeine.
  5. Alcohol consumption and smoking should be restricted.
  6. You can massage the abdomen and the lower back.

In addition to these remedies, exercising helps in relieving menstrual pain. People who exercise experience milder symptoms as compared to those who do not exercise.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2712 people found this helpful

Premenstrual Syndrome - 5 Ways To Deal With It!

Dr. Gitanjali 97% (1487 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Premenstrual Syndrome - 5 Ways To Deal With It!

Over 85 percent of the women experience the trauma of Premenstrual syndrome which haunts them for those few days of every month. Women undergo physical as well as mental or emotional disturbances like mood swings, anxiety, bloating of the belly as well as cramps in the abdomen.

There are certain lifestyles changes along with natural remedies which can ensure betterment of the PMS –

  1. Avoid the smoke: If you are smoking, you are not only increasing the PMS issue but also the chances of getting ovarian cancer. Most of the women who smoke regularly (at least twice daily), have been found to have significant PMS than the others who don’t smoke. Though the exact reason behind this cannot be discovered yet if you have PMS and stop smoking, you can see changes and improvement of your PMS.
  2. Healthy diet is the key to success: Whether you have PMS any other menstrual problem, one of the primary reasons behind them is unhealthy eating, and it has been proved many a time by the eminent scientists and the researchers of medical science. If you are a caffeine addict, you must know that it increases the irritation during PMS, making you more anxious. Salty food increases the symptoms like bloating and alcohol causes severe depression while having PMS. Having control over this item can save you from PMS to quite a lot extent.
  3. Physical activity: Exercises, yoga, and other physical activities do wonder in the treatment of PMS. If you are into regular yoga sessions, most of your problems related to menstruation can solve quickly. It can also help you to have regular periods without much pain or cramps. Aerobics and muscle-strengthening sessions can also help in reducing the PMS to a great extent.
  4. Vitamins are your savior: Most of the gynecologists prescribe vitamins for treating the PMS. Vitamins are very beneficial for the women who have PMS, especially, the vitamin B6 and vitamin E. Besides vitamins, calcium, and magnesium are also necessary for the better menstrual flow and cycles. You may have 50-100 mg of Vitamin B6 on a regular basis along with 400 IU of Vitamin E. For calcium, you can have either supplements or a warm glass of milk twice a day.
  5. Manage the StressStress acts as the catalyst for any reproductive health issues as they are connected with the hormonal changes. To treat PMS effectively, the most important thing you need to do is to manage your level of stress. In this fast-paced world, where every woman is busy with her professional work or household work, stress is inevitable. But for having a healthy life, you need to relax with meditation and therapies.

When the natural remedies for PMS don't work out, it is best to consult a physician.

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