Dilation and curettage (D&C) - Mayo Clinic (2022)

Overview

Female reproductive system

Dilation and curettage (D&C) - Mayo Clinic (1)

Female reproductive system

The ovaries, fallopian tubes, uterus, cervix and vagina (vaginal canal) make up the female reproductive system.

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Health care providers perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

In a dilation and curettage, your provider uses small instruments or a medication to open (dilate) the lower, narrow part of your uterus (cervix). Your provider then uses a surgical instrument called a curette, which can be a sharp instrument or suction device, to remove uterine tissue.

Why it's done

Dilation and curettage is used to diagnose or treat a uterine condition.

To diagnose a condition

Before doing a D&C, your provider might recommend a procedure called endometrial biopsy or endometrial sampling to diagnose a condition. Endometrial sampling might be done if:

(Video) Dilation and Curettage (D & C)

  • You have unusual uterine bleeding
  • You have bleeding after menopause
  • You have unusual endometrial cells, which are discovered during a routine test for cervical cancer

To perform the test, your provider collects a tissue sample from the lining of your uterus (endometrium) and sends the sample to a lab for testing. The test can check for:

  • Endometrial intraepithelial hyperplasia — a precancerous condition in which the uterine lining becomes too thick
  • Uterine polyps
  • Uterine cancer

If more information is needed, your provider then might recommend a D&C, which is usually done in an operating room.

To treat a condition

Hysteroscopy

Dilation and curettage (D&C) - Mayo Clinic (2)

Hysteroscopy

During a hysteroscopy, your provider uses a thin, lighted instrument (hysteroscope) to view the inside of your uterus.

When performing a D&C to treat a condition, your provider removes the contents from inside your uterus, not just a small tissue sample. This might be done to:

  • Prevent infection or heavy bleeding by clearing tissues that remain in the uterus after a miscarriage or abortion
  • Remove a tumor that forms instead of a typical pregnancy (molar pregnancy)
  • Treat excessive bleeding after delivery by clearing out any placenta that remains in the uterus
  • Remove cervical or uterine polyps, which are usually noncancerous (benign)

A D&C might be combined with another procedure called hysteroscopy. During hysteroscopy, your provider inserts a slim instrument with a light and camera on the end into your vagina, through your cervix and into your uterus.

Your provider then views the lining of your uterus on a screen, checking for areas that look unusual. Your provider also checks for polyps and takes tissue samples as needed. During a hysteroscopy, uterine polyps and fibroid tumors can be removed.

At times, a hysteroscopy might be done combined with an endometrial biopsy before a full D&C procedure.

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(Video) Hysteroscopy - Mayo Clinic

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Risks

Complications from dilation and curettage are rare. However, there are risks, including:

  • Perforation of the uterus. This occurs when a surgical instrument pokes a hole in the uterus. This happens more often in women who were recently pregnant and in women who have gone through menopause.

    (Video) Dilation and Curettage D & C Surgery PreOp® Patient Engagement and Education

    Most perforations heal on their own. However, if a blood vessel or other organ is damaged, a second procedure might be needed to repair it.

  • Damage to the cervix. If the cervix is torn during the D&C, your provider can apply pressure or medicine to stop the bleeding or can close the wound with stitches (sutures). This might be prevented if the cervix is softened with medication before the D&C.
  • Scar tissue on the uterine wall. Rarely, a D&C results in development of scar tissue in the uterus, a condition known as Asherman's syndrome. Asherman's syndrome happens most often when the D&C is done after a miscarriage or delivery.

    This can lead to unusual, absent or painful menstrual cycles, future miscarriages and infertility. It can often be treated with surgery.

  • Infection. Infection after a D&C is rare.

Contact your health care provider if after a D&C you have:

  • Bleeding that's heavy enough that you need to change pads every hour
  • Lasting dizziness or lightheadedness
  • Fever
  • Cramps lasting more than 48 hours
  • Pain that gets worse instead of better
  • Foul-smelling discharge from the vagina

How you prepare

Dilation and curettage can be done in a hospital, clinic or your provider's office, usually as an outpatient procedure.

Before the procedure:

  • Follow your provider's instructions on limiting food and drink.
  • Arrange for someone to take you home because you may be drowsy after the anesthesia wears off.
  • Allow time for the procedure and a few hours of recovery afterward.

In some cases, your provider might start dilating your cervix a few hours or even a day before the procedure. This helps your cervix open gradually and is usually done when your cervix needs to be dilated more than in a standard D&C, such as during pregnancy terminations or with certain types of hysteroscopy.

To promote dilation, your provider may use a medication called misoprostol (Cytotec) — given orally or vaginally — to soften the cervix. Another dilation method is to insert a slender rod made of laminaria into your cervix. The laminaria gradually expands by absorbing fluid in your cervix, causing your cervix to open.

What you can expect

During the procedure

Dilation and curettage (D&C)

Dilation and curettage (D&C) - Mayo Clinic (3)

Dilation and curettage (D&C)

During a dilation and curettage procedure (D&C), your provider uses a vaginal speculum to hold the walls of the vagina apart. Then your provider inserts a series of rods (dilators) of increasing thickness to open (dilate) your cervix and allow access to your uterus. Next, your provider inserts a long, thin instrument (curette) through your cervix into your uterus and carefully removes the tissue lining the inside of the uterus.

(Video) Dilation and Curettage D&C | Abortion - Surgical method | Seema Sahu

For dilation and curettage, you'll receive anesthesia. The choice of anesthesia depends on the reason for the D&C and your medical history.

During the procedure:

  • You lie on your back on an exam table while your heels rest in supports called stirrups.
  • Your provider inserts an instrument called a speculum into your vagina, as during a Pap test, to see your cervix.
  • Your provider inserts a series of increasingly thick rods into your cervix to slowly dilate it until it's open enough.
  • Your provider removes the dilation rods and inserts a spoon-shaped instrument with a sharp edge or a suction device and removes uterine tissue.

Because you're either unconscious or sedated during a D&C, you shouldn't feel any discomfort.

After the procedure

You'll likely spend a few hours in a recovery room after the D&C so that you can be monitored for heavy bleeding or other complications. This also gives you time to recover from the effects of anesthesia.

Typical side effects of a D&C can last a few days and include:

  • Mild cramping
  • Spotting or light bleeding

For discomfort from cramping, your provider might suggest taking ibuprofen (Advil, Motrin IB, others) or another medication.

You should be able to resume your activities within a day or two.

To prevent infection, don't put anything in your vagina until your provider says it's OK. Ask when you can use tampons and resume sexual activity.

Your uterus must build a new lining after a D&C, so your next period might be early or late. If you had a D&C because of a miscarriage, and you want to become pregnant, talk with your provider about when it's safe to start trying again.

Results

Your health care provider will discuss the results of the procedure with you after the D&C or at a follow-up appointment.

By Mayo Clinic Staff

(Video) DILATATION AND CURETTAGE

Oct. 19, 2021

Dilation and curettage (D&C)

  • About

Dilation and curettage, often called a D&C, is a minor surgical procedure done to remove tissue from a person's uterus.

Female Pelvic Anatomy A D&C is a minor surgical procedure to remove tissue from your uterus.. Dilation of the cervix: Your provider dilates, or opens, your cervix.. Curette: The provider uses this thin instrument to scrape your uterine wall and remove tissue.. During this procedure, your provider inserts a device into your cervix to see the inside of your uterus.. You may have a hysteroscopy with a D&C if your provider is trying to diagnose a problem.. Occasionally, before beginning the D&C, your provider may begin to dilate your cervix using a laminaria stick.. Before the procedure, your provider will give you medicine to make you comfortable.. Or your provider may give you medication to relax and sedate you, but you remain awake for the procedure.. Your provider will:. You usually return to your provider about a week or two after the procedure.. A D&C, or dilation and curettage, is a procedure to remove tissue from your uterus.. Your healthcare provider can use a D&C and hysteroscopy to diagnose unexplained bleeding.. If you had a miscarriage or have bleeding between your periods, talk to your healthcare provider to see if you need a D&C.

What is a D&C? Find out what dilation and curettage means and when a D&C procedure is used. Learn about hyteroscopy dilation and curettage.

It's a surgical procedure that involves opening ( dilating ) the cervix and removing tissue from inside the uterus (curettage) with a thin instrument (a curette) or a suction device.. The endometrial sampling can test for uterine polyps or endometrial cancer or precancer (called endometrial intraepithelial hyperplasia).. Or your doctor may do a D&C instead of an endometrial biopsy if you're not able to have the biopsy – because you need to be under anesthesia for the procedure, for example.. After a miscarriage , if the pregnancy tissue isn't passed completely or at all After childbirth , if pregnancy or placental tissue remains For an abortion , to end a pregnancy To treat a molar pregnancy , removing the growth that's formed in place of the placenta To treat excessive vaginal bleeding that doesn't respond to hormonal treatment To remove cervical or uterine (endometrial) polyps To treat endometrial intraepithelial hyperplasia, or precancerous changes of the lining of the uterus. The procedure may be done in a doctor's office, surgery center, hospital, or clinic, usually on an outpatient basis, so you'll go home the same day.. You may have general anesthesia (where you're unconscious and have a tube placed in your lungs to control your breathing), conscious sedation (where you're asleep and won't remember the procedure but are breathing on your own), or local anesthesia (a numbing medicine will be injected into your cervix).. How dilated your cervix needs to be depends on the exact procedure you're having.. For second trimester D&E procedures, a slender rod absorbent rod, called a laminaria, is inserted into the cervix several hours or the day before the procedure.. Don't insert anything into your vagina after the procedure, because bacteria from the vagina can get into the uterus and cause infection.

This information will help you get ready for your dilation and curettage (D&C). It explains what to expect before, during, and after your procedure.

D&C is a procedure in which your cervix is dilated (slowly opened) and tissue is removed from the inside of your uterus.. A hysteroscopy is a procedure in which a thin scope with a light and a camera on the end is inserted into your uterus through your vagina.. Back to top Usually, a D&C is done to find the cause of abnormal uterine bleeding (bleeding from your uterus).. Endometrial cancer is cancer of the lining of your uterus.. Polyps are growths attached to the inner wall of your uterus that extend into the uterine cavity (space inside your uterus).. Back to top You may need to stop taking some of your medications before your procedure.. If you take an anticoagulant (medication to thin your blood, also called a blood thinner), ask the doctor who prescribes it for you when to stop taking it.. If you take insulin or other medications for diabetes, ask the doctor who prescribes the medication what you should do the morning of your procedure.. You must have a responsible care partner take you home after your procedure.. Back to top A staff member from the Admitting Office will call you after 2:00 p.m. the day before your procedure.. The staff member will tell you what time you should arrive at the hospital for your procedure.. Back to top Take only the medications your doctor told you to take the morning of your procedure.. At first, you will get fluids through the IV, but it will be used later to give you anesthesia (medication to make you sleep during your procedure).. For 2 weeks after your procedure, or as instructed by your doctor, do not: Douche Use tampons Have vaginal intercourse. Back to top A fever of 101 °F (38.3 °C) or higher Vaginal bleeding that’s heavier than your usual menstrual flow Pain that isn’t relieved by the medication your doctor recommended Swelling in your abdomen Foul-smelling vaginal discharge

Dilation and curettage (D&C) is the most common surgical procedure performed by gynecologists. It is considered safe, effective, and carries a low complication rate.

Women should talk to their HCP about any questions or concerns they have regarding the procedure, to include possible complications, success rates, and potential impact on future fertility, as well as their HCP's experience with the procedure.. [ PubMed ] [ Google Scholar ] American College of Obstetricians and Gynecologists, FAQ062 (2019), “Dilation and Curettage” [ Read ] Accessed 12 September 2019.. American College of Obstetricians and Gynecologists, FAQ062 (2019), “Dilation and Curettage” [ Read ] Accessed 12 September 2019.. Cleveland Clinic, “Dilation and Curettage: Procedure Details” (2014) [ Read ] Accessed 14 September 2019.. [ PubMed ] [ Google Scholar ] Mayo Clinic, “Dilation and Curettage” (2019) [ Read ] Accessed 25 September 2019.. American College of Obstetricians and Gynecologists, FAQ062 (2019), “Dilation and Curettage” [ Read ] Accessed 12 September 2019.. American College of Obstetricians and Gynecologists, FAQ062 (2019), “Dilation and Curettage” [ Read ] Accessed 12 September 2019.. doi:10.5812/ircmj.9863 American College of Obstetricians and Gynecologists, FAQ062 (2019), “Dilation and Curettage” [ Read ] Accessed 12 September 2019.. women's med., (ISSN: 1756-2228) 2008; DOI 10.3843/GLOWM.10037 Cleveland Clinic, “Dilation and Curettage: Risks and Benefits” (2014) [ Read ] Accessed 14 September 2019.. American College of Obstetricians and Gynecologists, FAQ062 (2019), “Dilation and Curettage” [ Read ] Accessed 12 September 2019.. American College of Obstetricians and Gynecologists, FAQ062 (2019), “Dilation and Curettage” [ Read ] Accessed 12 September 2019.. Cleveland Clinic, “Dilation and Curettage: Procedure Details” (2014) [ Read ] Accessed 14 September 2019.. American College of Obstetricians and Gynecologists, FAQ062 (2019), “Dilation and Curettage” [ Read ] Accessed 12 September 2019.

Content provided by Mayo Clinic

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus.. Health care providers perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.. In a dilation and curettage, your provider uses small instruments or a medication to open (dilate) the lower, narrow part of your uterus (cervix).. Your provider then uses a surgical instrument called a curette, which can be a sharp instrument or suction device, to remove uterine tissue.. Before doing a D&C , your provider might recommend a procedure called endometrial biopsy or endometrial sampling to diagnose a condition.. To perform the test, your provider collects a tissue sample from the lining of your uterus (endometrium) and sends the sample to a lab for testing.. When performing a D&C to treat a condition, your provider removes the contents from inside your uterus, not just a small tissue sample.. Prevent infection or heavy bleeding by clearing tissues that remain in the uterus after a miscarriage or abortion Remove a tumor that forms instead of a typical pregnancy (molar pregnancy) Treat excessive bleeding after delivery by clearing out any placenta that remains in the uterus Remove cervical or uterine polyps, which are usually noncancerous (benign). During hysteroscopy, your provider inserts a slim instrument with a light and camera on the end into your vagina, through your cervix and into your uterus.. Dilation and curettage can be done in a hospital, clinic or your provider's office, usually as an outpatient procedure.. In some cases, your provider might start dilating your cervix a few hours or even a day before the procedure.. To promote dilation, your provider may use a medication called misoprostol (Cytotec) — given orally or vaginally — to soften the cervix.. Your provider inserts an instrument called a speculum into your vagina, as during a Pap test, to see your cervix.. Your provider inserts a series of increasingly thick rods into your cervix to slowly dilate it until it's open enough.. Your provider removes the dilation rods and inserts a spoon-shaped instrument with a sharp edge or a suction device and removes uterine tissue.

Read all the important information on D&C abortions, how they work, and what your next steps might be.

D&C as an Abortion Method. In addition to its other uses, dilation and curettage is commonly used in abortions between. the 5th and the 16th week of pregnancy.. Dilation and curettage is also occasionally used as a therapeutic method, for example, if menstrual bleeding is too heavy or prolonged, or when bleeding during or after menopause .. Most healthy women start their menstrual period about 4-8 weeks after the procedure.. Apart from considering the rare potential physical risks of an abortion, it would be wise to stay in tune with your heart and mind to evaluate whether this is the right path for you.. Perhaps your pregnancy has placed you in a difficult situation, which causes you to consider an abortion.

Yes, pregnancy after d&c is very much possible. However, it can be marred by a few rare yet potential complications. Read on to know more.

Ong, who always had unusually heavy menstrual bleeding was recommended a d&c procedure by her doctor.. Whether it is to try for pregnancy after d&c or to get rid of heavy bleeding, the procedure’s two main functions are to diagnose and treat.. A notably minor surgical procedure, dilation and curettage is the removal of tissue from inside the uterus.. Doctors generally perform this surgery to treat specific uterine conditions, including heavy menstrual bleeding as in the case of Ong, or to rid the womb of remaining lining after an abortion or miscarriage .. An abnormal uterine bleeding Post menopausal bleeding Abnormal endometrial cells to check for cervical cancer. In order to perform this test, your doctor will take a small portion of the tissue from your uterus lining (endometrium) and lab tests will determine if you have the following:. Endometrial hyperplasia (a precancerous condition where the uterine lining becomes thick leading to unusual bleeding) Uterine cancer (a type of cancer that begins from the uterine lining and can increase the chances of hormonal imbalance and obesity) Uterine polyps (this is the overgrowth of typically non-cancerous cells in the lining of the uterus and could lead to heavy menstrual bleeding and bleeding post-menopause).. While performing a d&c, your doctor will remove a part of the uterine tissue to treat the following conditions:. The doctor generally performs d&c along with another procedure called hysteroscopy .. In this procedure, a slim instrument with a light is inserted into the vagina, through the cervix and up into the uterus.. Your doctor will then insert a spoon-shaped or a suction device to remove a sample of the uterine tissues.. The doctor will check you for any post-op bleeding or complications.

Here’s what to expect if your doctor says you have to undergo this procedure after a miscarriage or other loss.

But if the uterus hasn’t emptied completely on its own, your doctor might recommend dilation and curettage, often called a D&C.. Your doctor may recommend a D&C after what’s called an incomplete miscarriage — a miscarriage where some pregnancy tissue still remains in the uterus.. As with other surgeries, it’s possible to develop an infection after a D&C.. If your doctor suspects remaining pregnancy tissue or sees it on a scan, he or she may recommend waiting to see if the tissue passes naturally or offer medication to help expel the tissue before ordering a D&C.. If your pregnancy was only a few weeks along and your cervix is already partially open, you’ll likely have the procedure in your doctor’s office.. Always get permission from your doctor before taking any pain medications before your surgery.. You’ll need one if you were fully sedated for your surgery.. Dilation can cause cramping, and some pressure and discomfort are normal during curettage.. If you experience pain during the procedure, let your practitioner know so he or she can try to make you more comfortable.. Ask your provider when it’s okay to go back to these things — you may need to steer clear for a week or two.. As with any surgery, you are at risk of infection as well as retained tissue after a D&C.. The odds of pregnancy after a miscarriage appear to be similarly positive if you’ve had a D&C.. But you may still need time to recover emotionally — and that’s okay.

A Dilаtаtiоn аnd Curеttаgе ѕurgеrу iѕ a ѕurgiсаl procedure thаt rеmоvеѕ tiѕѕuе from inside the uterus. This article will discuss everything about a D&C!

Fred the Oyster, CC BY-SA 3.0 https://creativecommons.org/licenses/by-sa/3.0 , via Wikimedia Commons Dilаtаtiоn аnd сurеttаgе (d & с) is a gynecological рrосеdurе in which thе сеrvix iѕ dilаtеd (еxраndеd), and the lining of thе utеruѕ (endometrium) iѕ ѕсrареd аwау.. D & C iѕ used tо diagnose аnd trеаt hеаvу or irregular blееding from thе utеruѕ.. D & C mау bе used tо diagnose роlурѕ оr tо remove them.. Thе primary riѕk аftеr thе рrосеdurе iѕ infесtiоn.. Onсе thе cervix hаѕ bееn expanded tо about ѕix tо ninе millimeters, уоur dосtоr mау реrfоrm a hуѕtеrоѕсору, a рrосеdurе in whiсh a ѕmаll light аnd саmеrа аrе uѕеd tо еxаminе thе inѕidе of thе utеruѕ fоr abnormal аrеаѕ.

A procedure where the cervical canal and uterine lining are scraped with a spoon-shaped instrument to remove abnormal tissues. Learn more.

A dilation and curettage procedure, also called a D&C, is a surgical. procedure in which the cervix (lower, narrow part of the uterus) is dilated. (expanded) so that the uterine lining (endometrium) can be scraped with a. curette (spoon-shaped instrument) to remove abnormal tissues.. This is the lining of the uterus.. The lower, narrow part of the uterus located between the bladder. and the rectum, forming a canal that opens into the vagina, which. leads to the outside of the body.. Two thin tubes that extend from each side of the uterus, toward the. ovaries, as a passageway for eggs and sperm.. If implantation of the fertilized egg does not occur, the lining of. the endometrium, coupled with blood and mucus from the vagina and cervix. (the lower, narrow part of the uterus located between the bladder and the. rectum), make up the menstrual flow (also called menses) that leaves the. body through the vagina.. The type of anesthesia will depend on the specific procedure being. performed.. Some D&C procedures may be performed while you are. asleep under general anesthesia, or while you are awake under spinal or. epidural anesthesia.. Your doctor will insert an instrument called a speculum into. your vagina to spread the walls of the vagina apart to expose. the cervix.. A thin, rod-like instrument, called a uterine sound, may be. inserted through the cervical opening to determine the length. of the uterus.. The cervix will be dilated by inserting a series of thin rods.. The curette will be inserted through the cervical opening into. the uterus and the sharp spoon-shaped edges will be passed. across the lining of the uterus to scrape away the tissues.. In. some cases, suction may be used to remove tissues.. You may be instructed not to douche, use tampons, or have intercourse. for two to three days after a D&C, or for a period of time. recommended by your doctor.. Be sure to take only recommended medications.. Notify your doctor if you have any of the following:

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.. In a dilation and curettage — sometimes spelled “dilatation” and curettage — your doctor uses small instruments or a medication to open (dilate) your cervix — the lower, narrow part of your uterus.. Clear out tissues that remain in the uterus after a miscarriage or abortion to prevent infection or heavy bleeding Remove a molar pregnancy, in which a tumor forms instead of a normal pregnancy Treat excessive bleeding after delivery by clearing out any placenta that remains in the uterus Remove cervical or uterine polyps, which are usually noncancerous (benign). In some cases, your doctor may start the process of dilating your cervix a few hours or even a day before the procedure.. To promote dilation, your doctor uses a medication called misoprostol (Cytotec) — given orally or vaginally — to soften the cervix or inserts a slender rod made of laminaria into your cervix.. Your doctor inserts a series of thicker and thicker rods into your cervix to slowly dilate your cervix until it’s adequately opened.. Your doctor removes the dilation rods and inserts a spoon-shaped instrument with a sharp edge or a suction device and removes uterine tissue.

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