Stephen J. Schueler, M.D.

Overview Incidence Symptoms Evaluation Treatment D and C questions for doctor specialist Home Care warning signs Outlook Underlying Cause Anatomy

Vaginal Bleeding after Menopause D and C

Some women with severe postmenopausal bleeding will require treatment with dilation and curettage or D and C. This is a surgical procedure that removes the endometrium, which is the inner lining of the uterus. The dilation portion of the procedure refers to the opening up of the cervix. This allows for the passage of special surgical instrument, called a curette, which is used to gently scrape away the endometrial lining. The lining heals after the procedure.

Risks of D and C include:

  • Persistent bleeding
  • Infection
  • Damage to the uterus

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Last Updated: Oct 25, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Vaginal Bleeding after Menopause References
  1. Abouzeid H, Reginald PW. Postmenopausal bleeding on hormone replacement therapy: review of the current referral guidelines. J Obstet Gynaecol. 2004 Nov;24(8):920-1. [16147653]
  2. Epstein E, Valentin L. Managing women with post-menopausal bleeding. Best Pract Res Clin Obstet Gynaecol. 2004 Feb;18(1):125-43. [15123062]
  3. Wagman H. Post-menopausal bleeding. Baillieres Clin Obstet Gynaecol. 1988 Jun;2(2):355-62. [3073890]
  4. White CD. Post menopausal bleeding as a risk factor for endometrial carcinoma. W V Med J. 1991 Jan;87(1):15-7. [1994592]
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