D & C

Many women do not know exactly what a D&C is, nor do they have any idea as to why the procedure is performed.

Q. What is a D&C?

A. D&C stand for dilation and curettage. The D&C is a surgical procedure in which the cervix is opened (dilated) and tissue is removed from the uterine cavity by gentle scraping or suctioning. The D&C is a very common gynecologic procedure traditionally used to:

• evaluate and treat abnormal uterine bleeding
• remove polyps inside the uterus
• help detect uterine cancer
• remove excess cells after a miscarriage

Q. Where is the procedure performed?

A. The procedure can be performed in your health care provider's office with local anesthetic or at a hospital with an epidural, spinal or general anesthesia.

Q. What can I expect to experience?

A. The procedure begins like a pelvic exam. The patient lies on her back with her legs resting in stirrups or supports. A speculum is introduced into the vagina, and a sterile prep is performed. The cervix is grasped with a stabilizing instrument, and the canal is gently dilated. The tissue is then removed with a curette or with suction and sent to the lab for microscopic evaluation.

Q. What about recovery?

A. Recovery from a D&C is usually very straightforward. Depending on the type of anesthesia that is used, you may need to have someone drive you home. Most women are able to return to their normal activities in a day or two. Mild cramping and light bleeding is normal. It is recommended that you refrain from intercourse and tampons until your cervix has returned to its normal size as this will help prevent bacteria from entering the uterus and causing an infection.

Q. Is it safe?

A. In general, the D&C is a very safe procedure with rare complications. However, like all procedures, a D&C does have some risks that may include bleeding, infection, and perforation of the uterus. Call your physician if you experience heavy bleeding, fever and chills, abdominal pain, or a foul-smelling vaginal discharge after the procedure. As with any medical decision, make it an informed one. Talk to your health care provider and discuss all potential risks and benefits.