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Step 1
Know what a D&C (dilation and curettage) entails. A doctor inserts a speculum into the vagina and clamps the cervix into place. Using a series of rods, the doctor dilates the cervix and examines it and the uterus for irregularities. The doctor passes a curette into the uterus and scrapes its walls to remove abnormal or remaining fetal tissue. Suction through a tube is another option besides using a curette.
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Step 2
Understand the recovery time for a D&C. You may have nausea and other side effects from the anesthesia. You may have cramping, bleeding and irregular periods during your next menstrual cycle. You should not have sex or use tampons or douches for a week following the surgery. A friend or family member should drive you home after the surgery, but you can resume normal activity within a few days.
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Step 3
Examine the process of having a hysterectomy. This major surgical procedure entails removing the entire uterus. A complete (total) hysterectomy removes both the uterus and cervix. A partial (subtotal) hysterectomy removes the upper uterus. A radical hysterectomy removes the upper vagina, cervix, uterus and supporting tissue (in extreme cases, usually involving cancer). The doctor may also remove the fallopian tubes and ovaries.
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Step 4
Estimate your recovery time for a hysterectomy. If you have an abdominal hysterectomy, which is similar to a cesarean section, recovery takes four to eight weeks. A vaginal (laproscopic) hysterectomy has a one- to two-week recovery time. Physicians commonly use hysterectomies to treat fibroids, uterine prolapse, endometriosis, vaginal bleeding, pelvic pain and cancer.
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Step 5
Compare and contrast D&C and hysterectomy. While both procedures address several female issues, a D&C is less invasive and has a shorter recovery time. Its usefulness is limited to less severe problems, however, than those a hysterectomy can correct. If you wish to bear children, you shouldn't have a hysterectomy, as it removes necessary reproductive organs.
