What is Dilation and Curettage?

Dilation and Curettage is commonly referred to as afor a gynecological exam. The surgeon will go in
D&C. A D&C is a surgical procedure thatvaginally and dilate your cervix with a tube that will
helps doctors to determine if the uterine lining cellsgive access to your uterus. A metal instrument called
are abnormal. This procedure is usually performed ina curette will be inserted through the cervix. The
an attempt to diagnose abnormal menstrual bleeding.curette is a metal handle with a loop at the end. The
It can also be used to help determine the presenceloop is used to scrape cells from the uterine lining.
of or severity of endometrium cancer. A D&CTissue is removed from the endometrium and sent
can also be used to remove scar tissue, polyps orto the lab for examination. If there are polyps, scar
other growths inside of the uterus.tissue or other growths present, the surgeon may be
A D&C is almost always performed underable to remove them at this time. An ultrasound may
general anesthesia. The surgery itself does not takebe used to identify tissues that might be removed.
very long and you can usually go home soon afterRisks are generally minimal with the D&C
the procedure is over. General anesthesia is usedprocedure. The uterine lining usually heals itself with
because it is essential that you do not move duringlittle complication. There is a chance of bleeding and
the surgery. Some women prefer to have aninfection. Risks are higher if there is already an
epidural, spinal block or local anesthetic. Talk with yourinfection present in the uterus or if you have
doctor and anesthesiologist about which options areundergone any other previous uterine surgeries. Your
available and make your decision based on yourdoctor may prescribe antibiotics if you are in a higher
doctor's advice.risk category.
You will be placed in the stirrups, much like you are