Dilation and Curettage (D&C)

Dilation and Curettage (D&C) is a medical procedure used to scrape the lining of the uterus. It is used to diagnose and treat a variety of uterine conditions including abnormal bleeding, infertility, incomplete miscarriages, and sometimes cancer.

Causes

Common causes for needing a D&C include incomplete miscarriages, abnormal uterine bleeding, abnormal uterine biopsies, uterine infections, and tubal ligation procedures. In some cases, it is also performed to aid in the diagnosis of certain uterine conditions.

Symptoms

Symptoms following a D&C may include mild cramping, vaginal bleeding, and discharge for several days to several weeks following the procedure. Some women may experience abdominal pain and discomfort as well as a small amount of vaginal bleeding.

Diagnosis

The diagnosis for the need of a D&C is based on symptoms, medical history, and test results. Additional tests such as a biopsy may be performed to help determine the cause of symptoms.

Treatment

The D&C is performed in a hospital or clinic, and local or general anesthesia is used. During the procedure, the cervix is dilated and the lining of the uterus is scraped. Following the procedure, pain medications may be prescribed, and limited physical activity may be recommended.

Precautions and potential complications of the procedure may include infection, bleeding, uterine perforation, anesthesia complications, and Asherman’s syndrome. Patients should discuss the risks and benefits of the procedure with their healthcare provider before making a decision.