Dilation and curettage is a surgical procedure that’s also referred to as D&C. The cervix is dilated or opened, and a thin instrument is placed into the uterus to remove tissue. This procedure can be done in a hospital or doctor’s office.

Why Do I Need a D&C?

If your doctor recommends dilation and curettage, then you may be experiencing problems related to the uterus. This procedure is done to help treat conditions like abnormal bleeding or after a miscarriage. The tissue removed will be viewed under a microscope to look for abnormal cells that help your doctor determine an accurate diagnosis.

What Should I Expect During My D&C?

You may begin dilating before the procedure using a luminaria. This is a rod that’s inserted into the cervix several hours beforehand. It absorbs fluid and expands to open the cervix. Medication may also be taken to soften the tissue.

During your D&C, you will lay on your back with legs in stirrups. A speculum is inserted, and a series of slender rods are added to gradually enlarge your cervical opening. This is usually done to under half an inch. Suction or a curette are used to remove tissue from the uterus that’s sent to a lab for examination.

You should be able to go home after a few hours. Your gynecologist will advise you to have someone else there to drive. Most women can resume their normal activities after just a day or two. If you have questions about dilation and curettage, contact your Women’s Health and Menopause Center OBGYN to learn more or to schedule an appointment.

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