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Fertility Therapies

D&C (Dilation and Curettage): Natural Preparation and Recovery

Dalene Barton - Certified Herbalist, Birth Doula
July 22, 2021
Reviewed by Christine Traxler, MD

Many first trimester pregnancies end in miscarriage, that is anywhere from 10-25% of early pregnancies. While miscarriage can be heart wrenching, it is often the body recognizing that the pregnancy may have not been as healthy as it should be. Part of preparing for pregnancy is educating yourself of the possibility of miscarriage. Being informed about miscarriage will help you to make smart decisions about your health.

Most times the body will naturally miscarry on its own, but sometimes a miscarriage may be incomplete or missed. In the case of incomplete or missed miscarriage your doctor will probably suggest a D&C procedure. D&C stands for dilation and curettage. D&C is a surgical procedure that dilates the cervix and curettage is performed by scraping and suctioning the uterine contents.

In the unfortunate event you are experiencing a miscarriage and notice that you have not expelled any tissues along with the regular bleeding, it would be best to see your doctor. Sometimes the body does not expel the fetal tissue, placenta or other tissue completely, or at all. In these cases there is a higher risk of infection and/or hemorrhage. D&C is the most common procedure to reduce the risk of infection and/or hemorrhage.

Is D&C Procedure Necessary After Miscarriage?

Most women’s bodies are perfectly capable of miscarrying naturally on their own. The earlier in the pregnancy a miscarriage happens, the greater chance it will complete on its own. After 10 weeks gestation, it is more likely to be incomplete or missed.

With most cases of complete miscarriage, blood, fetal and placental tissues are expelled rather quickly, over the course of a couple of hours or days. Bleeding and cramping should be over in a few days. Any excessive bleeding lasting over 4 hours should be evaluated immediately by a doctor or health professional.

With incomplete miscarriage, your doctor will likely suggest D&C, but may be willing to monitor your situation to see if your body will naturally pass the retained tissue on its own.

Women with missed miscarriage will more than likely be given a D&C to prevent infection.

Some doctors may be willing to prescribe the drug misoprostol (Cytotec) to dilate the cervix and cause uterine contractions to aid the body in miscarriage. This drug comes with its own risks and may not be approved for use in some countries. Please speak with your doctor about its use as an alternative to D&C.

Signs of Incomplete and Missed Miscarriage:

Incomplete miscarriage

  • Vaginal bleeding
  • No fetal heart tones
  • Cramping (contractions), rhythmic, labor-like, but milder
  • Cervical dilation
  • Some passing of clots and tissues
  • If cramping and bleeding persists for more than a couple of days this may be a sign of retained tissues, contact your doctor

Missed miscarriage

  • No sign of bleeding or just some spotting
  • No passing of tissue
  • No fetal heart tones
  • Miscarriage is imminent, but has not come on yet
  • This may persist for several weeks and miscarriage should come on its own
  • If no bleeding with passing of tissue has taken place by 4 weeks the risk of infection becomes great, medical attention is necessary right away

Possible Risks and Complications of D&C

  • Negative reaction to anesthesia or medication given for procedure
  • Hemorrhage or heavy bleeding
  • Infection to uterus, fallopian tubes, ovaries
  • Puncture of the uterus
  • Incomplete procedure, requiring another D&C to be performed
  • Scarring of the uterus and/or cervix, also known as Asherman’s syndrome

A Note About Asherman’s Syndrome
According to the International Asherman’s Association 90% of Asherman’s cases are due to D&C. Women who have had a D&C 2-4 weeks post-delivery, due to retained placental reminants have up to a 25% risk of developing Asherman’s. D&C performed for missed miscarriage have a 30.9% chance of developing Asherman’s, whereas women who have had a D&C due to an incomplete miscarriage only have a 6.4% chance of developing Asherman’s. Women who have had more than 2 D&C’s have an increased chance of developing Asherman’s by 32%.

Study Shows Repeated D&C Increases Risk of Developing Asherman’s Syndrome
A study, published in Human Reproduction, evaluated 50 women ages 19-44, through hysteroscopy, to determine the presence of uterine adhesions after a required second D&C due to either remaining placental remnants following delivery, missed miscarriage or medical abortion. Of the 50 women, 20 (40%) had developed intrauterine adhesions. Of that 40%, 75% had developed grade II-IV, grade IV being the most severe.

To reduce the incidence of scar tissue and adhesion formation we suggest allowing your body to miscarry naturally on its own. If at anytime during miscarriage it is apparent that you may be experiencing an incomplete miscarriage, contact your doctor to discuss your options. Some naturopathic doctors or clinical herbalists and may be able to suggest an herbal regimen to help the body pass an incomplete miscarriage.

Natural Therapies to Prepare for D&C

During D&C the cervix is dilated with narrow instruments. Then a surgical instrument is inserted through the cervical opening into the uterine cavity. This can cause soreness and cramping of the cervical and uterine tissues. Because the vagina and uterus are exposed to instruments and are exposed to other foreign objects, air, there is a slight risk of infection. Usually a patient is given antibiotics to reduce the incidence of infection. Painkillers and anti-inflammatory drugs are also typically given to reduce pain and swelling.

What can you do from home prior to D&C to speed up recovery?

Garlic(Allium sativum)

Probiotics
The vaginal flora may be compromised due to the invasive nature of this procedure. Be sure to take a good probiotic that contains lactobacillus. This will help restore and protect vaginal flora, reducing the incidence of yeast infection.

Echinacea (Echinacea spp.) and Goldenseal Rt. (Hydrastis canadensis)
Echinacea and Goldenseal may help to stimulate the immune system to fight off both bacterial and viral infections. When taken for a week it may support the body in preventing any infection that may occur from D&C. It is best taken internally as a tincture or capsule just before, during and for up to a week after the procedure. An Echinacea/Goldenseal liquid extract taken every 3 hours for the first two days after surgery may greatly help to reduce infection. This extract blend may be continued for 3 times a day, for a week for continued infection prevention. This is safe to take with antibiotics.

Homeopathic Arnica montana 30c
This homeopathic remedy is specific for recovering from bruising, sore muscles and tissues, bleeding. This remedy also helps to manage trauma and fear. It is best begun the morning of the procedure and continued for 2-3 days afterward to aid in recovery. Follow directions on product label.

*All of the above can be found at your local health food store.

Cramp bark (Viburnum opulus) or Black haw (Viburnum prunifolium)
Cramp bark and Black haw are considered among the most important herbs to soothe painful uterine cramps. You are likely to experiencing cramping prior to, during and after the procedure. These herbs help to prevent the uterus from spasming and cramping up, which can make pain worse. Both have a mild sedative action, aiding the body in reducing anxiety, nervous tension, and irritability, while promoting a sense of calm and well-being. These are also part of our UteriCalm herbal formula, which could be used for D&C preparation and recovery.

The Recovery Wellness Kit
The Recovery Wellness Kit is designed to comfort, ease and aid a woman’s body, mind and soul in the recovery process post-pregnancy loss. This kit combines key herbs and the highest quality therapeutic essential oils to support you through this recovery time.

Natural Therapies for Restoring Reproductive Health After D&C

The goal here is to support the uterus, continue to work to prevent infection and prevent scar tissue and adhesion formation. The D&C procedure can be a difficult experience to go through. Processing what you have been through self-nurturing or stress relieving techniques may also be helpful in recovery.

Note: Do not begin any of these until bleeding has stopped.

Systemic Enzyme Therapy

Systemic Enzyme Therapy uses a systemic enzyme blend to help prevent scar tissue formation, reduce inflammation and pain. Consider having a systemic enzyme blend on hand for post-procedure healing. Beginning systemic enzymes after bleeding has stopped, after D&C, may help to prevent scar tissue from forming. Prevention of scar tissue will help to prevent Asherman’s syndrome and blocked fallopian tubes.

Self Fertility Massage

Self-Fertility Massage is one of the easiest and most cost-effective ways to improve uterine health, break-up and prevent adhesion formation, and promote healing of the uterus. Plus, it can be done from the comfort and privacy of your own home. Not only can you do both Self Fertility Massage and Castor Oil packs prior to any surgical procedure to improve uterine health, you can do it after those procedures to prevent adhesion formation.

Castor Oil Pack

A Castor Oil Pack is a cloth soaked in castor oil, which is placed on the skin to enhance circulation, and promote healing of the tissues and organs underneath the skin. This therapy is complementary to Self-Fertility Massage.

* Increases breakdown and removal of scar tissue build-up via the lymphatic system.
* Increases circulation, brings in fresh healthy blood.
* Promote new healthy tissue growth.
* Aids the body of cleansing out old, dead, toxic, or damaged tissues.

Castor oil packs
are best used 4-6 times a week. A good healing plan with these packs are 4 days on, 4 days off, for several months. Do not begin this until you feel your uterus is healed.

Women’s Best Friend

This herbal blend may help fight infection and balance hormones after miscarriage loss. Women’s Best Friend works to reduce pain and swelling, is extremely antibiotic, antimicrobial and anti-inflammatory. It works to heal any infection in the reproductive system, while also reducing pain and inflammation from foreign tissue growth. Reduction in inflammation may help to prevent scar tissue and adhesion. Some herbs in this blend are tonifying for the uterus, aiding in strengthening the uterine muscles and tissues. There are 6 key herbs in this blend that support hormonal balance and 2 that are rich in iron to help restore adequate levels due to blood loss.

Closing Comments
It takes the body time to recover from miscarriage and to β€œreset” the hormonal feedback loop. The combination of the above therapies may greatly aid the body in recovery from miscarriage and D&C.

If you are reading this page and have had more than 2 D&C’s due to incomplete or missed miscarriage you may want to read over our recurrent miscarriages and uterine health page as well.

References

  • Romm, Aviva. Botanical Medicine for Women’s Health. Churchill Livingstone, 2010
  • Barton-Schuster, , D., CH, Doula. (n.d.). Asherman’s Syndrome: Heal and Prevent Uterine Adhesions Naturally. Retrieved from: https://natural-fertility-info.com/ashermans-syndrome-heal-and-prevent-uterine-adhesions-naturally.html
  • Barton-Schuster,, D., CH, Doula. (n.d.). After Miscarriage: 5 Steps To Recovery. Retrieved from: http://natural-fertility-info.com/after-miscarriage-recovery.html
  • D&C Procedure After a Miscarriage: Risks & Complications. (n.d.). Retrieved from: http://www.americanpregnancy.org/pregnancycomplications/dandc.html
  • Westendorp, I. C., Ankum, W. M., Mol, B. W., & Vonk, J. (1998). Prevalence of Ashermans syndrome after secondary removal of placental remnants or a repeat curettage for incomplete abortion. Human Reproduction, 13(12), 3347-3350. doi:10.1093/humrep/13.12.3347 Retrieved from: https://academic.oup.com/humrep/article/13/12/3347/624539
  • March, C. M. (2011). Management of Asherman’s syndrome. Reproductive BioMedicine Online, 23(1), 63-76. doi:10.1016/j.rbmo.2010.11.018 Retrieved from: https://www.rbmojournal.com/article/S1472-6483(10)00784-4/fulltext

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About the Author

Dalene Barton - Certified Herbalist, Birth Doula

Practicing natural health and herbalism for over 18 years, Dalene received her training and herbal certification under the guidance of Lynn Albers at Yarmony Mt. Herbal College in Colorado in 2000. She went on to become a Certified Birth Doula at Birthingway College of Midwifery in Portland, Oregon in 2007. As a Birth Doula, Dalene has helped to bring many new lives in to this world. Dalene has written 280+ fertility articles and with her vast array of herbal and holistic healing knowledge has helped 1000's of women on their journey to Motherhood.

5 Steps To Improve Your Fertility Naturally

  • Learn the 5 different areas to focus on for optimal fertility health
  • Learn how to support hormonal health with herbs and essential oils
  • Tips on transitioning to a whole food fertility diet.
  • Self-care therapies to support your reproductive health

@NaturalFertilityInfo

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Womb Care Therapeutic Castor oil kit is a powerful tool that includes a special blend of organic castor oil and organic therapeutic essential oils designed to enhance circulation, promote detoxification and support healing wherever it is applied.

The Womb Care Castor oil Kit is a natural and effective solution for promoting reproductive health and easing pelvic discomfort in women. 

Womb Care Castor Oil Packs are a simple, yet powerful, natural therapy that involves applying essential oil infused castor oil to a cotton flannel and placing it on the skin. The pack is then covered with our wrap. While wearing the wrap, the properties in the castor oil are absorbed and used by the body to increase circulation and promote detoxification, while nourishing the skin and underlying tissues.

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Here is how to prepare you Womb Care Castor Oil Pack for the first time. 

Womb Care Wraps make regular castor oil packs soooo easy. 

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Designed to help you experience:

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Acupressure is a form of traditional Chinese medicine that involves applying pressure to specific points on the body using fingers, palms, or specialized tools, instead of using needles as in acupuncture. 

The goal of acupressure is to stimulate the body's natural healing mechanisms, restore balance to the body's energy, or Qi, and promote overall health and wellbeing.

Self-Acupressure is something you can do for yourself if you understand how to locate the points on your own body. In DCM I teach you which points to use, how to find them on your own body and stimulate them for each stage of your fertility cycle. 

This allows you to have an effective self-care tool that you can apply in the comfort of your own home, at a frequency that allows you to get the most benefit from your efforts. 

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Like acupressure, reflexology is another method that involves the application of pressure to specific points on the feet, hands, or ears. The goal of reflexology is to stimulate the body's natural healing mechanisms, promote relaxation, and restore balance to the body's systems.

According to reflexology theory, specific points on the feet, hands, and ears correspond to different organs and systems in the body. By applying pressure to these points, reflexology aims to improve circulation, reduce tension and stress, and promote overall health and wellbeing.

In DCM I teach you how to incorporate both self-acupressure and reflexology into a daily routine to support reproductive health during each of the phases by working on the uterus, fallopian tubes, endocrine, thyroid and liver points. 

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By nourishing our bodies, minds, and spirits, we can create a fertile ground for our fertility to thrive, and a life that is rich with meaning, purpose, and joy.

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Like acupressure, reflexology is another method that involves the application of pressure to specific points on the feet, hands, or ears. The goal of reflexology is to stimulate the body's natural healing mechanisms, promote relaxation, and restore balance to the body's systems. 

According to reflexology theory, specific points on the feet, hands, and ears correspond to different organs and systems in the body. By applying pressure to these points, reflexology aims to improve circulation, reduce tension and stress, and promote overall health and wellbeing.

In DCM I teach you how to incorporate both self-acupressure and reflexology into a daily routine to support reproductive health during each of the phases by working on the uterus, fallopian tubes, endocrine, thyroid and liver points. 

πŸ‘‰πŸ½ If you'd like to learn more about using essential oils for fertility type DCM in the comments below and I will send you my Introduction to Drop Cycle Method video.

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Acupressure is a form of traditional Chinese medicine that involves applying pressure to specific points on the body using fingers, palms, or specialized tools, instead of using needles as in acupuncture.Β 

The goal of acupressure is to stimulate the body’s natural healing mechanisms, restore balance to the body’s energy, or Qi, and promote overall health and wellbeing.

Acupressure is something you can do for yourself if you understand how to locate the points on your own body. In DCM I teach you which points to use, how to find them on your own body and stimulate them for each stage of your fertility cycle.Β 

This allows you to have an effective self-care tool that you can apply in the comfort of your own home, at a frequency that allows you to get the most benefit from your efforts.Β 

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To best support your fertility, having a clear understanding of the monthly fertility cycles can make a big difference. 

Swipe through to learn about the different cycles and which fertility products and therapies are best to use for each cycle. 

Save or share if you found this guide helpful.

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My newest Fertility Therapy for fertility support!

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Here are my favorite 7 essential oils for hormone balance and how to safely use them. 

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πŸ₯š In the past, a common belief was that the only factor which determines ovarian and egg health was age. 

Based on new studies, we now know that this may not be true. 🀯

There are many factors that can have an impact on the health of the ovaries and eggs including environmental factors, hormones in the diet, and stress, just to name a few.

In addition, having healthy fertility is based on many additional aspects to consider, including:
➑️ Proper circulation
➑️ A healthy fertility cycle
➑️ Balanced hormones
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Egg health is one of the cornerstones of healthy fertility. 

The health of your eggs (ova) can affect whether or not fertilization and implantation will occur as well as the viability of a pregnancy.

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This journey takes about 90 days. 

The steps you take today will impact the health of your eggs 3 months from now. 

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Did you know that you can use therapeutic essential oils to help support hormonal health?

Yes you can, but keep a few things in mind...

πŸ‘‰πŸ½ Quality of the essential oils
πŸ‘‰πŸ½ Proper use and timing (there are certain essential oils to avoid after ovulation)
πŸ‘‰πŸ½ Proper dilution

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πŸ‘‹πŸ½ Unlocking the Power of Reflexology for the Endocrine System 🌟

Step into the world of healing self-care as we dive deep into reflexology and its incredible impact on the endocrine system! πŸ‘‹πŸ½βœ¨

1️⃣ Balance: Discover the key reflex points on your hands that correspond to the thyroid, pituitary, and liver. By stimulating these points through reflexology, we can support these vital systems for optimal hormonal health.

2️⃣ Thyroid Harmony: By focusing on the thyroid reflexes, we aim to regulate the thyroid gland's function. Balancing thyroid activity can enhance hormone production and improve overall fertility health.

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4️⃣ Liver Rejuvenation: The liver is responsible for detoxification and hormone metabolism. Through reflexology, we can enhance liver function, aiding in the removal of toxins and promoting hormonal balance for improved fertility.

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🌼 Hormone health
🌼 Period health
🌼 Regulate a cycle
🌼 Reduce stress
🌼 Detoxification and regular cleansing

πŸ‘‰πŸ½ If you'd like to learn more about using essential oils for fertility type DCM in the comments below and I will send you my Introduction to Drop Cycle Method video.

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Swipe to learn more about how to safely use essential oils to help support:
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🌸 Regular cycles 
🌺 Peaceful periods 
🌿 and so much more... 

πŸ’§ If you'd like to learn more about using essential oils for fertility and the Drop Cycle Method type DCM in the comments below and I will send you my introduction video.

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Eating for fertility has so many amazing benefits beyond fertility!

Not only do you see a difference in your hormone health, your period and your cm. You also get the added benefits of glowing skin, more energy and better digestion. 

I've got something amazing in the works that makes eating for fertility a super easy, but until that is ready - just focus on adding these foods to your daily menu. 

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So excited to finally share the Drop Cycle Method with you! 

This all-in-one solution combines the ancient wisdom of self-acupressure with the natural healing properties of essential oils to support each stage of your fertility cycle. Experience a natural, holistic approach to enhancing your chances of conception and overall well-being.

πŸ‘‰ Type DCM in the comments if you’d like to learn more
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