Surgery
Dilation and Curettage
A dilation and curettage (D&C) opens the cervix and removes tissue from the lining of the womb, for diagnosis or after a miscarriage.
Quick answer
Dilation and Curettage: what it is, why it's done and what happens
A D&C gently widens (dilates) the cervix and removes tissue from the lining of the womb (curettage), either to obtain a sample for testing or to empty the womb after pregnancy loss.
- Why it is done: It is used to investigate abnormal or heavy bleeding, to remove retained tissue after a miscarriage or birth, and sometimes to treat certain womb conditions.
- What happens: Usually under general anaesthetic, sometimes local, the cervix is dilated and tissue removed with a suction device or instrument, through the vagina with no external cuts.
What it is
A D&C gently widens (dilates) the cervix and removes tissue from the lining of the womb (curettage), either to obtain a sample for testing or to empty the womb after pregnancy loss.
Why it is done
It is used to investigate abnormal or heavy bleeding, to remove retained tissue after a miscarriage or birth, and sometimes to treat certain womb conditions.
What happens
Usually under general anaesthetic, sometimes local, the cervix is dilated and tissue removed with a suction device or instrument, through the vagina with no external cuts. It typically takes 10–15 minutes.
Recovery
Mild cramping and light bleeding are common for a few days. Most people return to normal activities within a day or two, avoiding tampons and sex for a short while to reduce infection risk.
Good to know
Risks and things to consider
Risks are small and include infection, heavy bleeding and, rarely, a small hole in the womb or scarring. Emotional support is important when it follows pregnancy loss.
Education and reference only. This explains the procedure in general terms and is not medical advice. Your own care, risks and recovery will be explained by the team looking after you.
Answers
Dilation and Curettage: frequently asked questions
How long will I bleed after a D&C?
Light bleeding or spotting is common for a few days up to a couple of weeks. Seek advice for heavy bleeding, severe pain, fever or offensive discharge, which could suggest a problem.
When can I try to conceive again after a miscarriage-related D&C?
This is a personal decision; many people are advised they can try again once they feel physically and emotionally ready. Your clinician can give guidance based on your situation.
Related
Other surgery
Sources
Where this is drawn from
- NHS — Tests and treatments
- NICE — procedure and treatment guidance
- Royal College of Obstetricians and Gynaecologists / relevant professional body
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