Dilation And Curettage (D&C)

What is dilation and curettage (D&C)?

Dilation and curettage is a minor surgical procedure that involves expanding the cervix so that your uterine lining can be scraped with a spoon-shaped instrument (curette). The procedure removes abnormal tissue from the endometrium (uterine lining).

Why would I need a D&C?

A D&C may be recommended for diagnosis or therapy.

Diagnostic D&C

You may need a D&C if you suffer from abnormally heavy uterine bleeding – meaning bleeding that can’t be controlled with over-the-counter hygiene products and continues for more than seven days. The D&C gathers tissue to potentially find the cause of this bleeding, like fibroids or polyps.

A diagnostic D&C may also help with infertility evaluations or look for evidence of uterine cancer.

Therapeutic D&C

A therapeutic D&C uses suction to remove the uterine contents. It may be used following a miscarriage to remove any lingering tissue. Without removal, these tissues could cause abnormal bleeding or infection.

This suction D&C is sometimes helpful after childbirth when small pieces of the afterbirth fail to pass during delivery. Removing these fragments keeps you safe from infection and helps the uterine lining heal properly.

What should I expect during a D&C?

You’ll be placed under sedation for the procedure. In some cases, the doctors may decide general anesthesia is best for your case. Discuss your options prior to your actual D&C appointment.

During the procedure, you lie on an exam table with your feet in stirrups, just like for a routine pelvic exam. The doctor places a speculum to open up your cervix and uses a series of rods to slowly dilate your cervix until it’s opened appropriately. They’ll use a spoon-shaped instrument – a curette – or suction device to remove excess uterine tissue.

Following the procedure, you head to a recovery area to be monitored as you come out of sedation.

Do I need downtime following a D&C?

You may have minor side effects for a few days following a D&C, including mild cramping and spotting or light bleeding. Over-the-counter pain medications help ease any pain, and you should be able to get back to all your normal activities within one to two days.

Your doctor will recommend you avoid sexual intercourse and tampons usage for a few days to avoid introducing bacteria into your cervix and uterus. The D&C may interrupt your normal menstrual cycle, so don’t be alarmed. If you want to get pregnant, talk to your provider about when you can start trying again.

To learn more about dilation and curettage (D&C) and whether it’s a procedure that would benefit you, call Raveco Medical to set up an appointment or use the online tool to schedule.