Restoring Balance: Dilation and Curettage (D&C) What is a D&C? Dilation and Curettage, commonly known as a D&C, is a specialized surgical procedure in which the cervix is dilated (opened) so that the uterine lining (endometrium) can be gently scraped or suctioned with a spoon-shaped instrument called a curette. This procedure is performed to remove abnormal tissue from inside the uterus. A D&C is often performed in conjunction with a hysteroscopy (using a camera to see inside the uterus) to ensure that the physician has a clear view of the area being treated. It is a highly effective way to diagnose uterine conditions or to clear the uterus following certain reproductive events. Why is this Procedure Personally Vital for You? A D&C is a foundational procedure for both diagnosing hidden health issues and providing immediate relief from uterine complications. This pathway is personally vital for you if: You Experience Abnormal Uterine Bleeding: If you have exceptionally heavy periods, bleeding between cycles, or post-menopausal bleeding, a D&C allows us to collect a tissue sample to rule out polyps, fibroids, or hormonal imbalances. Management of Miscarriage or Retained Tissue: In the painful event of an incomplete miscarriage, a D&C is necessary to remove retained products of conception, preventing life-threatening infections or heavy hemorrhaging. Diagnostic Screening for Hyperplasia or Cancer: By obtaining a comprehensive sample of the endometrium, our pathology team can identify precancerous cell changes (hyperplasia) early, allowing for proactive treatment. Removal of Endometrial Polyps: If an ultrasound has identified growths within the uterine cavity, a D&C is used to physically remove them, often resolving irregular bleeding instantly. The Path to Uterine Health and Stability The goal of a D&C is to "clear the slate" of the uterine environment, providing diagnostic clarity and physical restoration. This pathway is designed to: Provide Therapeutic Clearance: By removing thickened or abnormal lining, we allow your body to reset its natural menstrual cycle and promote the growth of a healthy new lining. Ensure Clinical Readiness through Rigorous Screening: To ensure your cervix is prepared and your systemic health is optimized for sedation, we require a full medical history, diagnostic X-rays (typically a chest X-ray for anesthesia clearance), and comprehensive blood tests (including pregnancy tests, hemoglobin levels to check for anemia, and coagulation profiles). A pelvic ultrasound is also required to map the thickness of the uterine lining. A Focused Recovery and Stabilization Window: While the physical procedure takes less than 30 minutes, the uterine lining is fragile and sensitive immediately afterward. We focus on a 2–3 week recovery and stabilization period. This window is essential for the cervix to close completely, for any spotting to subside, and for your body to stabilize before you resume strenuous physical activity or use tampons. All details are subject to doctor evaluation for the final treatment plan.