Dilation and curettage (D&C)

What is a D&C?

It is the slight widening of the opening of the uterus (cervix) and scraping of some or all of the lining of the uterus when not pregnant. 

This scraping gives the doctor a sample of the lining to help diagnose:

• Infection
• Hormone imbalances
• Fibroid tumors
• Cancer

We start by dilating the cervix enough to place an instrument inside the uterine cavity. It often takes less than half an hour (or 30 minutes) to do. A hysteroscopy is often done along with a D&C. 

After the D&C

Most women have very few effects from a D&C. You may have some lower abdominal cramping and lower back pain at first, but these often lessen quickly. You may notice some cramps on and off for a few days. You can take medicines as prescribed for this. 

Most women have some spotting or light bleeding for a few days. It should not be heavier than your normal period. A few women have no bleeding at all afterwards. Your bleeding should slowly become lighter in color, and then stop. 

If you are still having periods, your next period should start at its normal time or within 4 weeks.  Your next period may be lighter or heavier than normal.

Do not:

• Put anything into your vagina until your doctor says it is okay. This can be up to 2 weeks. This includes:
  • Having sex.
  • Using a douche.
  • Using a tampon.
• Do strenuous exercise (such as running, aerobics or swimming) for at least 2 or 3 days.

This is helps you have a safe and uncomplicated recovery. It will lower your risk of infection or heavy bleeding.