D and C
D and C is a procedure to scrape and collect the tissue (endometrium) from inside the uterus.
- Dilation ("D") is a widening of the cervix to allow instruments into the uterus.
- Curettage ("C") is the scraping of the walls of the uterus.
Dilatation and curettage; Uterus scraping
D and C, also called uterine scraping, may be performed in the hospital or in a clinic while you are under general or local anesthesia.
The health care provider will insert an instrument called a speculum into the vagina. This holds open the vaginal canal. Numbing medicine may be applied to the opening to the uterus (cervix ).
The cervical canal is widened, and a curette (a metal loop on the end of a long, thin handle) is passed through the opening into the uterus cavity. The health care provider gently scrapes the inner layer of tissue, called the endometrium. The tissue is collected for examination.
Why the Procedure Is Performed
This procedure may be done to:
Your health care provider may also recommend a D and C if you have:
- Abnormal bleeding while on hormone replacement therapy
- An embedded intrauterine device (IUD )
- Bleeding after menopause
- Endometrial polyps
- Thickening of the uterus
This list may not include all possible reasons for a D and C.
Risks related to D and C include:
Risks due to anesthesia include:
Risks of any surgery include:
After the Procedure
A D and C has few risks. It can provide relief from bleeding, and can help diagnose infection, cancer, and other diseases.
You may return to your normal activities as soon as you feel better, possibly even the same day.
You may have vaginal bleeding, pelvic cramps, and back pain for a few days after the procedure. You can usually manage pain well with medications. Avoid using tampons and having sexual intercourse for 1 - 2 weeks after the procedure.
Lobo RA. Abnormal uterine bleeding: ovulatory and anovulatory dysfunctional uterine bleeding, management of acute and chronic excessive bleeding. In: Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. . 6th ed. Philadelphia, Pa: Mosby Elsevier; 2012:chap 37.
Bulun SE. The physiology and pathology of the female reproductive axis. In: Melmed S, Polonsky KS, Larsen PR, Kronenberg HM, eds. . 12th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 17.