Dilation and curettage

What is dilation and curettage?

  • Dilation and curettage is a procedure to remove tissue from inside the uterus. The procedure is typically performed under anesthesia and involves using instruments to dilate the cervix, then use of a curette to remove tissue. The doctor may collect tissue and send it to a lab to test for uterine cancer, uterine polyps, or thickening of the endometrium (endometrial hyperplasia)

Indications:

  • Indications include abnormal uterine bleeding, bleeding after menopause, abnormal endometrial cells during a routine test for cervical cancer, miscarriage or abortion, removal of polyps, fibroid tumors, or molar pregnancy.

Risks:

  • Anytime an instrument enters the uterus, there is a chance for perforation. Most perforations heal without intervention, but some require repair. There is a chance of damage to the cervix when the instruments are introduced. The risks also include infection. Most patients feel mild cramping, spotting, and even light bleeding.