Definition

Dilation is a procedure to open and widen the cervix. The cervix is the entrance to the uterus. Curettage is the removal of the lining of the uterus by scraping. The lining is known as the endometrium. The procedures are done together and often called a D&C.

Dilation and Curettage Copyright © Nucleus Medical Media, Inc.

Reasons for Procedure

A D&C may be done to find the cause of abnormal bleeding or treat it. For example, it may be done to treat bleeding that has not responded to other methods. Some common issues that may be treated wit D&C are:

• Miscarriage
• Hormone imbalances
• Endometrial polyps
• Abnormal endometrial thickening
• Endometrial cancer

A D&C is not done if you have an infection in the area.

Possible Complications

Complications are rare. But no procedure is completely free of risk. If you are planning to have a D&C, your doctor will review a list of possible problems, such as:

• Complications related to anesthesia
• Injury to the cervix
• Scarring of endometrium
• Infection of the uterus or fallopian tubes
• Uterine perforation (hole in the uterus)
• Bleeding
• Damage to other organs in the abdomen
• Need for additional surgery
• Possible need to remove the uterus— hysterectomy

Infection or conditions that are present before the surgery can increase the risk of problems.

What to Expect

Call Your Doctor

Contact your doctor if your recovery is not going as you expect or you have problems, such as:

• Signs of infection, including fever and chills, increasing pain, or foul-smelling vaginal discharge
• Nausea or vomiting that does not stop
• Abdominal pain
• Vaginal bleeding that is saturating more than 1 sanitary pad per hour
• Cough, shortness of breath, or chest pain

If you think you have an emergency, call for emergency medical services right away.