Dilation and Curettage (D and C)

Overview

In this outpatient procedure, a small tool called a curette is used to remove tissue from inside the uterus. Dilation and curettage is often used to obtain a biopsy in cases of heavy menstruation or postmenopausal bleeding or to clear tissue that may be left after a miscarriage or delivery. The procedure usually takes about 15 to 30 minutes.

Preparation

In preparation for the procedure, the patient is positioned and anesthesia is administered. A speculum is inserted into the vagina to expose the cervix. The physician carefully dilates the opening of the cervix to allow access to the uterus.

Removing Tissue

The physician inserts a curette into the uterus and presses it against the uterine wall. With gentle scraping motions, the physician uses the curette to carefully remove tissue from the lining of the uterus.

End of Procedure and Aftercare

When the procedure is complete, the instruments are removed, and the patient is allowed to go home. The physician will provide aftercare instructions and will follow up with any lab results from tissue samples.