Dilation And Curettage (D & C)

Dilation and Curettage (D&C) is a medical procedure used to diagnose and treat various uterine conditions. It involves dilating the cervix (the opening of the uterus) and scraping or suctioning the uterine lining (endometrium) with a special instrument called a curette. D&C is commonly performed to clear the uterine cavity following miscarriage, abnormal bleeding, or diagnostic procedures. It may also be used to remove polyps, fibroids, or abnormal tissue growths from the uterine lining.

Though D&C is a relatively common and safe procedure, it’s important for patients to understand when it is necessary, what to expect, and how to manage potential complications.

D&C is typically performed in a hospital or outpatient surgical center under local or general anesthesia, depending on the procedure's complexity and the patient’s health. The procedure usually lasts about 15-30 minutes, and recovery time is relatively short, though there may be a need for follow-up care.

D&C is performed for several medical reasons, including diagnostic purposes and therapeutic interventions. Understanding the conditions that necessitate a D&C can help clarify its role in managing gynecological issues.

Miscarriage (Spontaneous Abortion):

One of the most common reasons for performing a D&C is following a miscarriage, particularly in cases where retained tissue remains in the uterus. A D&C is used to clear the uterus of any leftover tissue to reduce the risk of infection and ensure the uterus is clean.

Abnormal Uterine Bleeding:

Women who experience heavy or irregular bleeding may require a D&C to diagnose and treat the underlying cause. This may include the removal of polyps, fibroids, or endometrial tissue that is causing excessive bleeding. It can also help identify more serious conditions like cancer or hyperplasia.