Dilatation and Curettage

Dilatation and Curettage (D&C) is a minor surgical procedure in which the cervix is dilated (opened) and the lining of the uterus (endometrium) is gently scraped or suctioned out using a curette. It is commonly used for diagnostic or therapeutic purposes.

When is a D&C Done?

Diagnostic purposes:

• Investigating abnormal uterine bleeding
• Evaluation of thickened endometrium
• Checking for uterine cancer or polyps

Therapeutic purposes:

• Incomplete miscarriage or retained products of conception (RPOC)
• Molar pregnancy
• To remove uterine polyps or small fibroids
• Postmenopausal bleeding
• To control heavy menstrual bleeding

Procedure Overview:

• Usually done under local or general anesthesia
• The cervix is gradually dilated using special instruments
• A curette (a spoon-shaped tool or suction device) is used to remove the uterine lining
• The sample is often sent for histopathological examination

Aftercare Tips:

• Rest for the day after the procedure
• Monitor for signs of infection (fever, foul discharge)
• Follow-up visit with your gynaecologist is important for review of biopsy results