D and C is a procedure to scrape and collect the tissue (endometrium) from inside the uterus.

• Dilatation ("D") is a widening of the cervix to allow instruments into the uterus.
• Curettage ("C") is the scraping of the walls of the uterus.

D and C, also called uterine scraping, may be performed in the hospital or in a clinic while you are under general or local anesthesia.

The health care provider will insert an instrument called a speculum into the vagina. This holds open the vaginal canal. Numbing medicine may be applied to the opening to the uterus (cervix).

The cervical canal is widened using a metal rod, and a curette (a metal loop on the end of a long, thin handle) is passed through the opening into the uterus cavity. The doctor gently scrapes the inner layer of tissue, called the endometrium. The tissue is collected for examination.

This procedure may be done to:

• Diagnose conditions such as uterine cancer
• Remove tissue after a miscarriage
• Treat heavy menstrual bleeding or irregular periods (See: Bleeding between periods)
• Perform a therapeutic or elective abortion
• Investigate infertility

Your doctor may also recommend a D and C if you have:

• Endometrial polyps
• Thickening of the uterus
• An embedded intrauterine device (IUD)
• Bleeding after menopause
• Abnormal bleeding while on hormone replacement therapy

This list may not be all-inclusive.