| Subject | Contents |
| Definition | D and C is a procedure to scrape and collect the tissue (endometrium) from inside the uterus. |
| Alternative Names | Dilatation and curettage; Uterus scraping |
| Description | Uterine scraping (dilatation and curettage: D and C) is a fairly minor surgical procedure. The procedure may be performed in the hospital or in a clinic using general or local anesthesia. The vaginal canal is held open by a speculum, and the opening to the uterus ( cervix ) may be anesthetized. The cervical canal is widened (dilated) using a metal rod, and a curette (a metal loop on the end of a long, thin handle) is then passed through the canal into the uterine cavity. The inner layer of the uterus (endometrium) is scraped away, and the tissue is collected for examination. |
| Indications | Uterine scraping (D and C) may be done to: Diagnose conditions using the tissue samples collected ( biopsies ) Treat irregular or heavy bleeding Remove fetal or placental tissue -- used for some elective or therapeutic abortions and to remove any remaining tissue after a spontaneous abortion ( miscarriage ) Uterine scraping (D and C) may be recommended for:Bleeding between periodsHeavy menstrual bleeding Bleeding after intercourse Investigation of infertility Endometrial polyps Uterine cancer (early diagnosis) Thickening of the uterus (endometrial hyperplasia ) An embedded IUD ( intrauterine device) Therapeutic or elective abortion Miscarriage Postmenopausal bleeding, or abnormal bleeding while taking hormone replacement therapy medications |
| Risks | Risks for any anesthesia are: Reactions to medications Problems breathing Risks for any surgery are: Bleeding Infection Additional risks include: Puncture of the uterus (perforation) Laceration (tear) of the cervix Scarring of the uterine lining (endometrium) |
| Expectations after surgery | Uterine scraping (D and C) has relatively few risks, can provide relief from bleeding , and can help diagnose problems including infection, cancer , infertility , and other diseases. |
| Convalescence | Normal activities may be resumed as soon as the patient feels well, possibly even the same day. There may be vaginal bleeding , as well as pelvic cramps and back pain for a few days after the procedure. Pain can usually be managed well with medications. Tampon use is not recommended for a few weeks, and sexual intercourse is not recommended for a few days. |
| | |