-
DE
Dilation and Curettage (D&C) – Procedure & Uses
Dilation and curettage (D&C) is a gynecological procedure in which the lining of the uterus is scraped or suctioned away. It is used for both diagnostic and therapeutic purposes.
Add as Preferred SourceThings worth knowing about "Dilation and curettage"
Dilation and curettage (D&C) is a gynecological procedure in which the lining of the uterus is scraped or suctioned away. It is used for both diagnostic and therapeutic purposes.
What is Dilation and Curettage?
Dilation and curettage, commonly referred to as D&C, is a gynecological procedure in which the uterine lining (endometrium) is partially or fully removed using a spoon-shaped surgical instrument called a curette. It is one of the most frequently performed gynecological operations and can serve both diagnostic and therapeutic purposes.
Indications
A D&C may be performed for a variety of medical reasons, including:
- Diagnostic purposes: To collect tissue samples when uterine cancer or abnormal cell changes are suspected
- Miscarriage: To remove remaining pregnancy tissue after a pregnancy loss
- Incomplete miscarriage: When not all tissue is expelled naturally
- Abnormal or heavy menstrual bleeding: To treat excessively heavy or irregular periods
- Uterine polyps or fibroids: Removal of benign growths inside the uterus
- Pregnancy termination: In some cases as part of a medical abortion procedure
How the Procedure Works
The procedure is typically performed under general anesthesia or local anesthesia and usually takes only a few minutes. The typical steps include:
- The patient lies in the gynecological examination position (lithotomy position).
- A speculum is inserted into the vagina to visualize the cervix.
- The cervix is gently dilated (widened) if necessary.
- The curette is used to systematically scrape or remove the uterine lining.
- The collected tissue is usually sent to a laboratory for histological (microscopic) examination.
Today, a D&C is often combined with hysteroscopy (direct visual examination of the uterine cavity using a thin camera), allowing the procedure to be performed under direct visualization for greater precision.
Risks and Possible Complications
A D&C is considered a relatively safe procedure; however, like any surgical intervention, it carries certain risks:
- Uterine perforation – accidental puncture of the uterine wall (rare)
- Infection of the uterus or fallopian tubes
- Asherman syndrome: Intrauterine adhesions (scar tissue) forming after the procedure
- Postoperative bleeding or menstrual irregularities
- Anesthesia-related risks if general anesthesia is used
- Cervical injury during dilation (uncommon)
Recovery and Aftercare
Most patients are able to return home on the same day of the procedure after a short observation period. Important aftercare guidelines include:
- Mild abdominal cramping and light spotting in the days following the procedure are normal.
- Physical rest is recommended for several days.
- Sexual intercourse, baths, and tampon use should be avoided for approximately 2 to 4 weeks.
- A follow-up appointment with a gynecologist is essential to monitor healing and review laboratory results if tissue was sent for analysis.
References
- American College of Obstetricians and Gynecologists (ACOG) – Practice Bulletin on Intrauterine Adhesions. Available at: www.acog.org
- Berek, J.S.: Berek & Novak's Gynecology, 16th Edition, Wolters Kluwer, 2020.
- World Health Organization (WHO) – Clinical Practice Handbook for Safe Abortion. WHO Press, Geneva, 2014.
Building Blocks for a Healthy Life
As an integrated manufacturer, we develop & produce evidence-based, patented, and non-patented formulations. We work exclusively with plant and natural extracts according to the strictest purity & quality standards.
The combination of science & modern technology with the laws of nature creates solutions consistently tailored to humans – for the highest good: health.
Skip product gallery
Subscription available
Floral
For Healthy Oral Flora & Dental Care
Formulated lozenges with Dentalac®, lactic acid bacteria, and Lactoferrin CLN®30 lozenges
Regular price:
22,90 €
Discount
Subscription available
Lactoferrin 60 Capsules
For your universal protection
As one of the most valuable proteins in the body, lactoferrin is a natural component of the immune system.
60 Capsules
Sale price:
50,00 €
Regular price:
59,90 €
Discount
Subscription available
Multivitamin Mineral Complex
Daily basic supply: the complete spectrum of micronutrients
Natural multivitamin complex for the immune system, energy, and central body functions
30 Capsules
Sale price:
27,90 €
Regular price:
29,90 €
Subscription available
Natural Iron
For your iron balance
Specially formulated for your iron balance with plant-based curry leaf iron, Lactoferrin CLN®, and natural Vitamin C from rose hips.
30 Capsules
Regular price:
35,90 €
Most read entries
3 Posts in this encyclopedia categoryMagnesiumcarbonat
Magnesiumcarbonat ist eine anorganische Magnesiumverbindung mit säure-neutralisierender (antazidischer) Wirkung. Erfahre mehr über Vorteile, Einsatzgebiete und Unterschiede zu besser resorbierbaren Magnesiumformen.
Calorie content
The choice of food influences our energy intake. The calorie content varies greatly - some provide little energy, others a lot.
Cologne list
The Cologne List ® is an important initiative in competitive sports that offers athletes guidance in the selection of nutritional supplements.