Here is a concise summary of the provided text:
**Title:** Uterine Cleaning (DMC) Process, Reasons, and Precautions
**Why is Uterine Cleaning Done?**
1. **Treatment**: Abortion, complications during pregnancy, or incomplete abortion.
2. **Investigation**: Irregular or heavy bleeding in women (esp. aged 45-50) to check for cancer, polyps, fibroids, or hormonal imbalances.
**The Uterine Cleaning (DMC) Process:**
* Done under general anesthesia (10-15 minutes)
* Uterus is accessed through the cervix, which is dilated
* A suction machine and/or a scraping tool are used to remove the uterine lining or contents
**Precautions After Uterine Cleaning:**
* Take prescribed antibiotics and pain killers
* Light meal on the day of the procedure; resume normal activities the next day
* Monitor for high fever, heavy bleeding, stomach pain, or foul discharge; seek medical attention if these occur
**Frequently Asked Questions:**
1. **Pain**: None felt during the procedure due to general anesthesia.
2. **Bleeding**: Mild bleeding possible for 5-7 days after the procedure.
3. **Menstruation**: Typically resumes after 1-1.5 months.
4. **Future Pregnancy**: Possible if the procedure is done under proper supervision and in a clean environment.
Here are the key facts extracted from the text, each numbered and in short sentences:
**General Information**
1. Uterine cleaning is also known as D&C (Dilation and Curettage).
2. The procedure can be done for treatment or as an investigative process.
**Reasons for Uterine Cleaning (Treatment)**
3. Uterine cleaning is done for abortion (termination of pregnancy).
4. It's performed if complications arise during pregnancy, such as no fetal heartbeat.
5. The procedure is done if abortion medicines were taken but the process was incomplete.
**Reasons for Uterine Cleaning (Investigative)**
6. Women aged 45-50 with irregular, heavy bleeding may undergo D&C for investigation.
7. D&C is done to investigate post-menopausal bleeding.
**The Procedure**
8. The procedure typically takes 10-15 minutes under general anesthesia.
9. Patients are advised not to eat or drink for 46 hours before the procedure.
10. The cervix is dilated to 6-9 mm to access the uterus.
11. A suction machine may be used to remove contents (in case of abortion).
12. The uterine wall is scraped to remove any remaining tissue or blood.
**Post-Procedure**
13. Patients can usually go home within 2-4 hours after the procedure.
14. Antibiotics and pain killers are prescribed post-procedure.
15. A light meal is recommended on the day of the procedure to avoid vomiting.
16. Normal activities can resume from the next day.
**Common Questions**
17. Patients typically do not feel pain during the procedure due to general anesthesia.
18. Mild bleeding (possibly with lower abdominal pain) can occur for 5-7 days post-procedure.
19. Menstrual periods usually resume within 1-1.5 months after the procedure.
20. Pregnancy is possible again after undergoing uterine cleaning if the procedure is done under proper supervision.