Dilation and Curettage
Dilation is a procedure to open and widen the cervix. The cervix is the entrance to the uterus. Curettage is the removal of the lining of the uterus by scraping. The lining is known as the endometrium. The two procedures are done together and are often referred to as a D&C.
Reasons for Procedure
A D&C is usually done to determine what condition is causing abnormal bleeding. Some conditions that may cause abnormal bleeding are:
Sometimes a D&C is done to stop the bleeding, rather than to diagnose why you are bleeding. For example, this procedure may be done to remove products of conception (eg, tissue from the fetus or placenta) or to treat bleeding that has not responded to other methods.
A D&C is not done if you have an infection (eg, affecting the uterus or fallopian tubes).
Complications are rare. But no procedure is completely free of risk. If you are planning to have a D&C, your doctor will review a list of possible complications, such as:
Factors that may increase the risk of complications include having a pre-existing infection or condition.
What to Expect
Prior to Procedure
Talk to your doctor about all the medicines you are taking. Up to one week before the surgery, you may be asked to stop taking some medicines, such as:
In addition, arrange for a ride home and for help at home.
General or local anesthesia may be used.
Description of Procedure
A pelvic exam will be done to find out the size and location of your uterus. The vagina and cervix will be cleaned with an antiseptic solution. A speculum will be placed in your vagina. An instrument called a cervical dilator will be placed into the cervical canal. Once the cervical canal is slightly open, a scoop-shaped instrument, called a curette, will be inserted into the uterus. It will be used to scrape the uterine lining and remove tissue through the vagina. After sampling the endometrium, the instrument will be removed from the cervix.
Immediately After Procedure
You will be taken to a recovery room, where the nurses will monitor you.
How Long Will It Take?
You may be able to go home in a few hours.
Will It Hurt?
If you have general anesthesia, you will have no pain during the procedure. With local anesthesia, you may have some cramping and back pain.
After the procedure, pain may last up to 24 hours.
At the Care Center
You will be monitored in the recovery center.
When you return home, do the following to help ensure a smooth recovery:
Your next menstrual cycle may not be regular. It may be late or early.
Call Your Doctor
After arriving home, contact your doctor if any of the following occur:
In case of an emergency, call for medical help right away.
The American Congress of Obstetricians and Gynecologists
The Society of Obstetricians and Gynaecologists of Canada
Women's Health Matters
D&C procedure after a miscarriage. American Pregnancy Association website. Available at: http://www.america... . Updated November 2011. Accessed August 13, 2012.
Dilation and curettage. The American College of Obstetricians and Gynecologists website. Available at: http://www.acog.or... . Accessed August 13, 2012.
Last reviewed September 2012 by Andrea Chisholm