What is curettage and dilatation and how is it done? ============================================== What is abnormal vaginal bleeding? In different situations, a woman may have problems that lead to abnormal vaginal bleeding. Abnormal bleeding is called bleeding that happens at a time outside of our expectations. Abnormal vaginal bleeding cases 1- After sexual contact 2- During menopause or after. 3- Spotting between two menstrual periods. 4- Vaginal discharge or bleeding in the first half of pregnancy. The operation of dilatation and curettage is performed under general anesthesia or regional anesthesia, after you have been placed in a suitable position to have easy access to the uterus. First, the cervix is ​​dilated (opened), if the cause of the bleeding is miscarriage, the products of pregnancy are removed, and if the cause of the bleeding is unknown, a sample (biopsy) is taken from the uterine tissue. If your doctor finds a suspicious area, he may remove part or all of it and send it to a lab. A pathologist examines the tissue under a microscope to detect cancer or other possible diseases. Curtage (suction) is performed in Dr. Khorrami's office along with vaginal ultrasound. Post-operative care: Be sure to consult your doctor before the following: 1- Doing heavy work after surgery. 2- Having sexual contact after surgery. If your surgery was done to remove the remnants of pregnancy, if you want to get pregnant again, it is necessary to delay your pregnancy for 6 months so that your uterus finds the necessary preparation, and the decision to get pregnant again must be made under the supervision of a gynecologist. It is possible to get pregnant again even two weeks after the abortion. To prevent it, it is necessary to consult your doctor and choose a suitable and safe method to prevent pregnancy. After curettage, it is necessary to use the iron tablets prescribed by the doctor for 3 months to compensate for your anemia. In the following cases, it is necessary to see your doctor: 1- Fever. 2- Excessive and abnormal secretions. 3- A lot of pain in the lower abdomen. 4- Increased bleeding. 5- Foul-smelling secretions. 6- Any abnormal condition such as coldness, weakness, lethargy, fever, etc. **This procedure is performed by Dr. Khorrami in his office**