Dilation and curettage (D&C) is a procedure that opens the cervix and removes tissue from the inside of the uterus. Doctors use it to diagnose or treat some uterine conditions, including after a miscarriage.
A D&C is done for several reasons. After a miscarriage, it can remove pregnancy tissue that is left in the uterus. Doctors also use it to look for the cause of abnormal or heavy bleeding, to remove polyps, or to take a sample of the uterine lining for testing. It is sometimes used after a molar pregnancy.
The procedure usually takes place in a hospital or clinic, often as a day case. Anesthesia is given beforehand, either general anesthesia or local anesthesia with sedation, so the patient does not feel pain. The doctor gently widens (dilates) the cervix and then removes tissue with a thin instrument or gentle suction. The procedure itself is usually short.
Recovery after a D&C is usually quick. Mild cramping and light bleeding or spotting for a few days are common. Doctors often advise avoiding tampons and sex for a short time to lower the risk of infection. Contact a doctor if you have heavy bleeding, a fever, strong pain or a bad-smelling discharge.
Many people need only a day or two away from work for the physical recovery. When the procedure follows a pregnancy loss, emotional recovery can take longer. Time off for the procedure and follow-up appointments, flexibility in the days after, and a compassionate manager can all help.
Sources: ACOG, MedlinePlus.
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