What is a D&C?
Dilation and curettage (D&C) is a minor surgical procedure to remove tissue from the lining of the uterus (endometrium). It is commonly used to diagnose and treat a variety of uterine conditions, including:
- Heavy bleeding
- Abnormal bleeding
- Miscarriage
- Incomplete miscarriage
- Retained placenta
- Endometrial polyps
- Fibroids
- Cancer
How is a D&C performed?
A D&C is typically performed under general anesthesia. The doctor will insert a speculum into the vagina to hold the walls apart. Then, a thin, flexible tube (cannula) is inserted through the cervix into the uterus. The doctor will then use a curette, a spoon-shaped instrument, to scrape the endometrium from the walls of the uterus.
The tissue that is removed is sent to a laboratory for analysis. This can help the doctor to diagnose the cause of the abnormal bleeding or other uterine condition.
What to expect after a D&C
Most women experience mild cramping and bleeding after a D&C. This usually subsides within a few days. You may also experience some fatigue and discharge.
It is important to avoid strenuous activity and sexual intercourse for at least two weeks after a D&C. You should also avoid swimming and bathing in tubs or pools during this time.
Risks of a D&C
A D&C is a relatively safe procedure, but there are some risks associated with it, such as:
- Infection
- Bleeding
- Damage to the cervix or uterus
- Scarring of the uterus
- Rare complications, such as perforation of the uterus or blood clots
If you have any questions or concerns about a D&C, please talk to your doctor.