A Suction Dilation and Curettage (D & C) is a brief surgical procedure in which the cervix is dilated and a special instrument is inserted past your cervix into your uterus to scrape the uterine lining.
Why a D & C might be performed
You may need a D & C for one of the following reasons:
- Remove tissue in the uterus: It may be beneficial to your future fertility to remove any pieces of remaining tissue from a miscarriage or to remove any small pieces of placenta after childbirth. This helps prevent infection, heavy bleeding, inflammation, or any physical obstruction that could be preventing pregnancy.
- As mentioned, a D & C is a brief surgical procedure only lasting 10-15 minutes. It is performed at our office or a nearby affiliated hospital by one of our physicians.
- Most likely, your procedure will be done under local anesthesia. You will have the opportunity to discuss other potential anesthesias with your doctor in your pre-surgical appointments.
- During your pre-surgical appointment, you will need to sign a surgical consent form as well as provide a complete medical history.
During the D & C
- During the D & C, you will lie on your back and place your legs in stirrups similar to a pelvic exam. The physician will then insert a speculum into the vagina to visualize the cervix.
- Dilation: Dilation involves the widening and opening of the cervix which allows insertion of the surgical instrument.
- Curettage: Involves scraping the lining and removing any uterine content with a long spoon like instrument known as a curette. Your physician may also use a suctioning device to assist in removing the uterine content. During this, a tissue sample can be taken which will be sent to a lab for examination.
Oftentimes, a hysteroscopy may be performed alongside a D&C.