Dilation and Curettage: A Comprehensive Guide

What is Dilation and Curettage (D&C)?

Dilation and curettage (D&C) is a surgical procedure that involves dilating the cervix and scraping the lining of the uterus (endometrium). It is used for both diagnostic and therapeutic purposes.

Diagnostic Uses

A D&C can be used to diagnose a variety of uterine conditions, including:

• Abnormal uterine bleeding
• Miscarriage
• Endometrial hyperplasia or cancer

Therapeutic Uses

A D&C can also be used to treat various uterine conditions, such as:

• Heavy or prolonged menstrual bleeding
• Incomplete miscarriage
• Uterine fibroids
• Uterine polyps

Procedure Details

A D&C is typically performed in a hospital or outpatient surgery center. It involves the following steps:

• The cervix is dilated using a series of instruments.
• A curette, which is a spoon-shaped instrument, is inserted into the uterus.
• The lining of the uterus is gently scraped away.
• The removed tissue is sent to a laboratory for analysis.

A D&C usually takes 15-30 minutes to complete. Most patients are able to go home the same day. Recovery time typically involves rest and over-the-counter pain medication.