The Role of Dilation and Curettage in Women’s Health

Menstruation, pregnancy, and menopause are all unique health conditions that affect women because of their reproductive organs. Though noninvasive techniques are preferred when it comes to managing and diagnosing health conditions in women, surgical procedures are sometimes necessary. 

Dilation and curettage, or D&C, is a procedure that helps diagnose and treats conditions that affect a woman’s uterus. At Eve Medical of Miami, our team of skilled providers perform D&Cs in the office to address many health concerns.

We want to share some of the reasons we may recommend a D&C so you understand the role it plays in improving your health. 

About dilation and curettage

The purpose of a D&C is to diagnose and treat conditions that affect the uterus. During the procedure, we first open your cervix (dilate) and then insert a special instrument to remove abnormal tissue from your uterus (curettage).

Our women’s health experts perform D&Cs at the office using anesthesia and ultrasound-guided imaging. 

Why you may need a dilation and curettage

There are many reasons you may need and D&C. According to the American College of Obstetricians and Gynecologists, the procedure is often performed to diagnose and treat abnormal bleeding. 

For women’s health, the D&C may also:

The D&C is also used to clear out any tissue remaining in your uterus after a miscarriage or abortion to prevent infection. 

The procedure may also be performed if you have a molar pregnancy, which is when a nonviable fertilized egg implants itself in your uterus. We may also perform a D&C for a first-trimester surgical abortion

What to expect during the procedure

The specifics of your D&C may depend on the reason for the procedure. We usually start the dilation process with medication a few hours before your surgery.

You lie on an exam table and place your heels in stirrups, and then we administer the anesthesia. We insert a speculum to separate your vaginal walls. Then, using a curette (spoon-shaped instrument with a sharp edge) or suction, we remove the tissue from your uterus. 

The entire procedure usually takes only 15 minutes. 

After your D&C, we monitor you in our recovery area for a few hours, then you’ll need to have someone drive you home.

Recovering from a dilation and curettage

You should be able to resume most of your usual activities within a day or two after your D&C. 

You may experience spotting and cramping after the procedure. We recommend nonsteroidal anti-inflammatory drugs (NSAIDs) to ease discomfort and menstrual pads for spotting.

We also recommend you not use tampons and refrain from intercourse following your D&C to prevent infection. We’ll let you know when it’s safe to resume your usual practices after your follow-up appointment. 

From diagnosing serious health conditions to preventing infection, dilation and curettage is a necessary procedure that benefits many women. 

For expert women’s health care from an experienced team, contact our office in Miami, Florida, by phone or online. 

You Might Also Enjoy...

Tips for Talking to Your Partner About STDs

Despite the fact that they’re very common, no one enjoys talking about sexually transmitted diseases (STDs) -- to their doctor or their partner. But it’s an important conversation to have. Click here to get some tips for the STD talk.

How Can I Know If I’m Really Pregnant?

The only way to really know if you’re pregnant is a pregnancy test. But when grappling with this question, you may not be ready to take the test yet. Knowing some of the early signs of pregnancy may help steer you in the right direction.

What to Expect During Contraception Counseling

Despite having many birth control options, you’re not alone if you feel a bit overwhelmed when it comes to deciding which one is best for you. That’s why health providers offer contraception counseling.

Could This Be Causing Your Infertility?

Infertility is common, affecting about 10% of women of childbearing age. Though there are many potential reasons you may have difficulty getting pregnant, finding the root cause of your infertility may increase your chances of conception.

Six Common STDs and How They’re Treated

Though STDs are largely preventable, rates of infection are on the rise. Getting tested and treated for STDs may help stop the spread. Click here to learn about some of the most common STDs and how they’re treated.

Start the New Year Right With a Well-Woman Exam

Women put everyone else’s health needs before their own. But don’t put off your annual well-woman exam, as it’s the best tool to help you stay healthy. Scheduling your exam at the start of the new year is a great way to take control of your wellness.