What to Expect From Different Gynaecological Procedures

Gynaecological procedures are operations that address a variety of medical conditions and improve the quality of life for countless patients each year. In this article, we’ll take a look at several important gynaecological procedures, shedding light on their purposes, processes and significance in women’s health.

Dilation and Curettage (D&C)

Dilation and Curettage, commonly known as D&C, involves the scraping and cleaning of the inside of the uterus. This procedure is often the key to diagnosing or treating abnormal bleeding, removing tissue after a miscarriage or addressing certain uterine conditions. During the procedure, the cervix is dilated, after which a curette is used to gently scrape the uterine lining. While the procedure is generally safe, your surgeon will discuss the potential risks and benefits with you beforehand. 

Drainage of Bartholin Cyst

A Bartholin cyst can cause excessive discomfort and pain in patients if left untreated. When these cysts become infected, drainage becomes a necessity. This procedure involves making a small incision, allowing the fluid to drain, and inserting a catheter to prevent re-accumulation. Drainage of a Bartholin cyst is a relatively simple outpatient procedure that provides relief from symptoms in a short period and helps prevent future complications.

Endometrial Ablation

Endometrial ablation is aimed at treating excessive menstrual bleeding by removing the uterine lining. Techniques for endometrial ablation include laser ablation, radiofrequency ablation and thermal balloon ablation. It is essential to understand that pregnancy after endometrial ablation is not advisable, as it can pose serious risks.


Hysteroscopy involves the insertion of a thin tube with a light and camera (hysteroscope) through the vagina and cervix to inspect the inside of the uterus. This procedure is commonly used for diagnosing and treating various uterine conditions such as abnormal bleeding, polyps or fibroids. Hysteroscopy is a minimally invasive procedure with shorter recovery times compared to traditional surgeries.


Labiaplasty involves reshaping or reducing the size of the labia minora, the inner lips of the vulva. This procedure is often sought for aesthetic reasons or to alleviate discomfort caused by enlarged labia. 


Laparoscopy is another minimally invasive procedure that allows the surgeon to examine and treat pelvic organs through small incisions. A laparoscope is guided into the abdomen through these incisions, providing a detailed view of the reproductive organs. Laparoscopy is commonly used for diagnosing and treating conditions such as endometriosis, ovarian cysts and fibroids.

Laparoscopic Sterilization

Laparoscopic sterilization, commonly known as tubal ligation, is a permanent contraceptive method for women. This procedure involves blocking or sealing the fallopian tubes, preventing the eggs from reaching the uterus. While it is a highly effective form of contraception, it is important to consider it as irreversible, and individuals should thoroughly discuss their options and future family planning desires with their doctor.

Lletz (Large Loop Excision of the Transformation Zone)

Lletz is a gynaecological procedure used for both diagnostic and therapeutic purposes. It involves the removal of abnormal cervical tissue using a wire loop heated by an electric current. Lletz is commonly performed to treat precancerous or cancerous lesions on the cervix. Following this procedure, proper postoperative care is crucial to ensure a smooth recovery.

Gynaecological procedures play a crucial role in maintaining patients’ reproductive health and addressing various ailments. Each procedure has its unique purpose and considerations, and individuals should engage in open and thorough discussions with their surgeons to make informed decisions. Contact Centurion Day Hospital to book a consultation and find out if you are a viable candidate for surgery.