Hegar Dilator Sounds Set 8 Pcs Gynecology

Product Information

There can be diagnostic and therapeutic indications for a D&C; these indications differ between pregnant and nonpregnant patients.

Dilation and curettage (D&C) is one of the most common invasive procedures in the United States. The procedure can be performed on a pregnant or nonpregnantpatient and be either diagnostic or therapeutic. Sometimes the circumstances lead to a diagnostic procedure becoming therapeutic. A patient seeking elective termination or management of a missed, incomplete, or inevitable abortion in the first trimester of pregnancy at less than 14 weeks of estimated gestational age could be offered this surgical procedure or medical management. Dilation and evacuation is a similar procedure employed at an estimated gestational age of greater than 14 weeks and is outside this activity's scope. a b Doleys, Daniel (6 December 2012). Behavioral Medicine. Springer Science & Business Media. p.377. ISBN 9781468440706. If pleasure is your focus, you can try a gentle in and out or circular motion as long as it feels good. A bivalve or weighted speculum is placed in the vagina. If local anesthesia is used, then the cervix and lower uterine segment should be injected. Most commonly, 1% lidocaine is adequate. A tenaculum is used to grasp the anterior lip of the cervix and pull towards the introitus with the non-dominant hand. The traction will stabilize the uterus and reduce the cervicouterine angle to decrease the risk of uterine perforation. Routine use of uterine sound for cavity length does not benefit the procedure unless the uterus was not palpable on the initial bimanual examination.This means you don’t need to worry about it blasting out of your tush should you happen to bear down, which is a natural instinct when something’s in your butt. Fuchs K (1980). "Therapy of vaginismus by hypnotic desensitization". American Journal of Obstetrics & Gynecology. 137 (1): 1–7. doi: 10.1016/0002-9378(80)90376-2. PMID 6102843.

Unlike a D&E, where cervical preparation is recommended, cervical preparation for a D&C need only be considered. The2 most commonly used cervical preparations are osmotic dilators or chemical ripening agents. First, try not to freak out. Stop what you’re doing, remove the dilator very gently, and head to the mirror to assess the situation. They are also available in sets of 8, 14 and 26 with or without metal case to suit different surgical needs. Pratt sounds are longer urethral dilators (double ended ones are usually almost a foot long) with rounded and slightly bent ends. Plastic curettes or cannulas are more commonly used in pregnant patients. These cannulas can be straight or curved and rigid or flexible. These cannulas are measured in millimeters; in the first-trimester abortion,a cannula between 7 mm and 12 mm isusually sufficient. The rigid plastic cannulas are slightly more challenging to place, so if the provider uses a Pratt dilator, they will dilate just past the chosen cannula size. For example, if using an 8 mm cannula, maximum dilation of the endocervical canal with a 25-26 Pratt dilator should be sufficient for cannula placement.Not all materials are safe for your special place so you’ll definitely want to be mindful of what your device is made of. Most dilator kits, like this one from VuVatech, start at around 0.5 inches in diameter, which is a good starting point for most. Once you find that the dilator goes in easy two times a day and does not cause discomfort, you may start to taper (reduce) how often you dilate your child’s anus. While you taper, you will still use the goal size dilator.

In the absence of pregnancy, the endometrium has2 distinct histophysiologic layers; the stratum basalis and the stratum functionalis. The goal of a D&C in a nonpregnant patient is the removal of the stratum functionalis. Removal of this endometrial layer does not affect the hypothalamic-pituitary-ovarian axis and does not affect ovulation or future menses.Lube is a must to help ease the dilator in and prevent tearing. Apply a liberal amount of lube to the tip of the dilator and around your anal opening. Hegar dilators are short with a blunt end. They are sized in millimeters and increase in size rapidly, necessitating increased mechanical force during dilation. This may increase the risk of uterine perforation. In addition, patients with obesity or a long vaginal lumen may not be ideal candidates for the Hegar dilator, as the dilator may be too short to traverse the entire endocervical canal.