D&C Hysteroscopy

This operation involves passing a thin telescope through the cervix and into the cavity of the uterus.

The cervix is grasped during this process to stabilise the uterus and this grasp point on the cervix can be a source of spot bleeding for a few days after surgery.  

It is extremely uncommon to have any significant complications however........ 

Among the potential, well recognised but infrequent, complications is perforation of the uterus.   

The management of this can be to simply halt the procedure. It can entail in-hospital observation for 24 hours.

It is often simpler to perform a Laparoscopy to confirm there is no ongoing bleeding inside the abdomen and then complete the planned operation if all is well.  

This complication is more common when the uterus is very large and especially if soft (pregnancy – miscarriage). It can also happen if the cervix is tightly closed and difficult to dilate for passage of the telescope.  

Some cramp (period type pain) is common after the operation but most women are able to leave hospital quickly and are well the next day. Bleeding can be variable.

Some women have no bleeding or only spotting, which may be intermittent, and others may have a period for 7 – 10 days. Review is organised based on the indication for the operation.