Dilation and Curettage (D&C) - Diagnostic and Therapeutic

Dilation and Curettage (D&C), also known as "Curettage," is a procedure used to address certain gynecological issues.

Indications for D&C

This procedure may be indicated for:

• Unclear or irregular bleeding
• Miscarriages
• Myomas
• Evaluation of abnormal Pap smear results
• Endometrial carcinomas

Diagnostic D&C

In diagnostic dilation and curettage, tissue is extracted from the uterine cavity to diagnose or rule out specific conditions. The removed tissue is subsequently examined histologically.

Therapeutic D&C

Therapeutic dilation and curettage involve the removal of tissue from the uterine cavity that may adversely affect health. This can include myomas or excess uterine lining tissue following a miscarriage.

Both diagnostic and therapeutic D&C procedures are typically performed on an outpatient basis and are usually of short duration.

The Procedure

During the procedure, the cervix is dilated (widened), and a curette (a thin, spoon-shaped instrument) is used to scrape away the uterine lining. This allows for the examination of the removed tissue for abnormalities or to stop abnormal bleeding. D&C is typically performed in a hospital or clinic setting and may be done under general or local anesthesia, depending on the specific case.

After the Procedure

Following a D&C, patients may experience mild cramping and bleeding for a few days. Recovery is usually quick, and most women can resume their normal activities within a few days to a week.

It's important to note that a D&C is a common and safe procedure used for both diagnostic and therapeutic purposes in gynecology. Your healthcare provider will discuss the reasons for the procedure and any potential risks or complications with you before the surgery.