Dilatation and curettage, also referred as D and C is a common gynaecological procedure that is used in diagnosing and treating various conditions in women that cause abnormal or heavy vaginal bleeding, inability to conceive or maintain a pregnancy to its full term. The procedure involves scraping and collection of the tissue lining the walls of the uterus (endometrium) using the surgical tool, curette. To allow curettes to be introduced into the uterus, the cervix needs to be widened or dilated with special instruments.
Your gynaecologist may perform a D and C procedure if you have any of the following conditions:
Dilatation and curettage procedure may be carried out either in a hospital or outpatient clinic under local anaesthesia, general anaesthesia or regional anaesthesia depending on you and your gynaecologist’s choice. On the previous day of your procedure, your gynaecologist will apply a softening agent that softens and dilates your cervix. This agent may cause minor discomfort or spasm in the abdomen. You may be advised to take pain medication if the pain becomes severe.
During the procedure, you will be made to rest on the operating table with your legs propped up. Then a speculum will be inserted gently to keep open the vagina. With special instruments dilatation of the cervix is done followed by which curettes are inserted into the uterus to scrape out the inner lining. The scraped tissue is sent to the pathological laboratory for further tests.
Dilatation and curettage is a very safe procedure however may pose certain risks and complications such as infection in the vagina, uterus or pelvis; bleeding during or after the procedure; damage to the uterine wall or other pelvic organs such as bladder, intestines, blood vessels and nerves may occur. You may see a bloody or brownish vaginal discharge after the procedure which is normal and not a serious concern. Avoiding intercourse, lifting heavy objects, and using tampons for 1–2 weeks after the procedure is recommended.