What Is a Dilation and Curettage (D&C)? (2024)

A dilation and curettage, usually called a D&C, is a procedure in which the cervix is dilated and the lining of the uterus is surgically scraped. This is sometimes done after a miscarriage to further evaluate the uterus if abnormal uterine bleeding occurs.

This article covers why and how it’s done to help you prepare for the procedure.

What Is a Dilation and Curettage (D&C)? (1)

Why It’s Done

A D&C removes tissue from the uterine lining. It can be used to treat or prevent complications associated with a miscarriage or to evaluate other uterine bleeding problems when someone is not pregnant.

A few of the most common reasons it's done following a miscarriage include:

  • Diagnose and treat heavy bleeding
  • Remove infected tissue, such as tissue from pelvic inflammatory disease
  • Remove excess tissue or placenta from a miscarriage

The procedure can also be used to gather a sample for testing the chromosomes of the fetus. Couples can use this information to understand if their baby had any genetic abnormalities.

In some cases, tissue samples are taken during a D&C procedure to diagnose conditions like uterine polyps and uterine cancer.

How to Prepare

Your healthcare provider will help you prepare for the procedure and provide written instructions for a reminder.

Before the procedure, your practitioner will review your medical history, give you time to ask questions, and go over consent paperwork.

Let your healthcare provider know if:

  • You have a bleeding disorder or take blood thinners
  • You have a known allergy to medications, anesthesia, or latex

The procedure can be done in a hospital, clinic, or practitioner's office. Depending on the type of anesthesia being used, you may need to fast for about 12 hours before the procedure.

You may be given:

  • General anesthesia (meaning you won’t be awake for the procedure)
  • Local anesthesia (meaning you will be awake but won’t feel the procedure)

Your healthcare provider may recommend starting to dilate the cervix from a few hours to up to a day before the procedure based on your medical needs. Starting the dilation process before the procedure allows time for the cervix to open more slowly than a standard dilation.

You will likely be asked to empty your bladder before the procedure begins.

What Happens During the Procedure

At the start of the procedure, you will be given the type of anesthesia you discussed with your healthcare provider. With either form of anesthesia, you won’t be able to feel any pain or discomfort during the D&C procedure.

Steps of a D&C

  1. You will lie on an exam table with your feet supported in stirrups, like when you receive a pelvic exam or Pap smear.
  2. Your healthcare provider inserts a speculum into your vagin* so that they can see your cervix.
  3. To help dilate your cervix, your practitioner may have given you medication or will insert a thin rod followed by a thicker one. They will continue this process with thicker rods until the cervix is opened enough for the procedure.
  4. Your healthcare provider will remove the dilation rods and insert a spoon-shaped instrument with sharp edges to remove uterine tissue. Your practitioner may also use a suction device to remove tissue.
  5. The collected tissue is usually sent to a lab for testing.

After the Procedure

Once completed, you will stay in the same room or be taken to a recovery room to rest. The amount of time before you can leave after the procedure will depend on the type of anesthesia given.

With general anesthesia, you will be given more time to wake up. Your blood pressure, heart rate, and breathing will be monitored closely. When you are alert, you may be discharged home. Plan to have someone drive you home in case you are drowsy from the medication.

If you were given local anesthesia, you would likely be able to leave more quickly than with general anesthesia.

You may want to wear a sanitary pad after the procedure in case you experience spotting or bleeding.

Your healthcare provider may recommend a few days of avoiding:

  • Strenuous activity
  • Douching
  • Tampons
  • Sexual intercourse


For a few days after the D&C, you may experience some fatigue, light bleeding, and light cramping. Your healthcare provider may recommend a pain reliever in case you have cramping.


Bleeding after a D&C procedure is common, and you may want to wear a sanitary pad for a few days. It is not recommended to use a tampon because this could increase your risk of infection.

If you have menstrual periods, the timing of your cycle will likely change because of the procedure. It could begin earlier or later than expected.

You will likely be able to resume your normal daily activities within a couple of days following the D&C procedure, but follow your healthcare provider's recommendations for any limitations.

Your practitioner will likely have you schedule a follow-up visit for a checkup and review results from the tissue testing if you had the procedure for a diagnosis.


A D&C is considered a low-risk procedure, and complications are rare. However, with any procedure, some complications could happen, such as:

  • Reaction to the anesthesia
  • Infection
  • Perforation or damage to the uterus or cervix
  • Developing scar tissue on the uterine wall
  • Damage to a blood vessel

Complications are uncommon, but if you experience any of the following symptoms after a D&C, contact your healthcare provider:

  • Fever
  • Cramps lasting longer than 48 hours
  • Worsening pain
  • Foul-smelling discharge
  • Heavy bleeding


A dilation and curettage, usually called a D&C, is a procedure in which the cervix is dilated and the lining of the uterus is removed. The risk for complications is low.

A Word From Verywell

The D&C procedure is a common one. If you experience severe cramping, heavy bleeding, or fever after the procedure, don’t hesitate to contact your healthcare provider.

Most women will resume their periods within four to six weeks after the procedure. If it was done to treat miscarriage, discuss with your practitioner the best time to try again, if you choose to.

2 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

  1. Cleveland Clinic. Dilation and curettage (D&C).

  2. D’ippolito S, Di Simone N, Orteschi D, et al. The chromosome analysis of the miscarriage tissue. Miscarried embryo/fetal crown rump length (Crl) measurement: A practical use. PLoS One. 2017;12(6). doi:10.1371/journal.pone.0178113

What Is a Dilation and Curettage (D&C)? (2)

By Ashley Braun, MPH, RD
Ashley Braun, MPH, RD, is a registered dietitian and public health professional with over 5 years of experience educating people on health-related topics using evidence-based information. Her experience includes educating on a wide range of conditions, including diabetes, heart disease, HIV, neurological conditions, and more.

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What Is a Dilation and Curettage (D&C)? (2024)


What is a dilation and curettage D&C procedure? ›

A dilatation and curettage (D&C) is primarily a diagnostic procedure to sample the endometrium (lining of the uterus) but may also be used to treat conditions such as incomplete miscarriage. The procedure removes tissue from inside the uterus (womb).

What is the meaning of D&C? ›

(Dilatation and Curettage, D&C) A dilation and curettage procedure, also called a D&C, is a surgical procedure in which the cervix (lower, narrow part of the uterus) is dilated (expanded) so that the uterine lining (endometrium) can be scraped with a curette (spoon-shaped instrument) to remove abnormal tissues.

Why would a D&C be done? ›

A D&C procedure may be done for different reasons, including to look for the cause of a problem, such as abnormal uterine bleeding; for treatment of a miscarriage or postpregnancy bleeding; or for first trimester abortion (pregnancy termination).

What is a D&C procedure quizlet? ›

The gradual enlargement of the cervical canal and removement, by scraping, of endometrial tissue. Why is a D&C performed? To diagnose cervical or uterine malignancy, control dysfunctional uterine bleeding, effect an abortion, complete an incomplete abortion, aid in evaluating infertility, and relieve dysmenorrhea.

Is a dilation and curettage D&C painful? ›

Is having a D&C painful? You may feel cramps similar to menstrual cramps after a D&C. Over-the-counter (OTC) pain medication like acetaminophen (Tylenol®) can relieve the cramps.

How uncomfortable is a D&C? ›

You'll probably be sedated or under anesthesia during the procedure, so you shouldn't feel any pain during your D&C. Most people will have only mild cramping or discomfort afterward. If your pain is getting worse, see your doctor right away.

How many days should I rest after D&C? ›

You will probably be able to go back to most of your normal activities in 1 or 2 days. This care sheet gives you a general idea about how long it will take for you to recover. But each person recovers at a different pace.

Is a D&C a hysterectomy? ›

Dilation and curettage (D&C) is a procedure to scrape and collect endometrium, the tissue inside the uterus. Dilation is the widening of the cervix which allows instruments to pass into the uterus, while curettage is the scraping of the uterine walls.

How to prepare for a D&C? ›

What happens on the day of the procedure?
  1. Follow the instructions exactly about when to stop eating and drinking. If you don't, your procedure may be cancelled. ...
  2. Take a bath or shower before you come in for your procedure. Do not apply lotions, perfumes, deodorants, or nail polish.
  3. Take off all jewellery and piercings.

Do they put you to sleep for a D&C? ›

Your doctor may do a D&C if they need more information after the endometrial biopsy (a D&C provides a more complete sample). Or your doctor may do a D&C instead of an endometrial biopsy if you're not able to have the biopsy – because you need to be under anesthesia for the procedure, for example.

What not to do after a D&C? ›

Exercise and Rest

No matter how well you are feeling, you should not do heavy exercise for 1 week after your procedure. Heavy exercise may make bleeding heavier and may cause more cramping. If you are having these symptoms, reduce your activity for the next several days.

How long does it take for uterine lining to rebuild after D&C? ›

The endometrium after D and C surgery may require 6 months to recover normal reproductive function, in terms of both live birth and PL. The extent of the damage to endometrial function is not found to be reflected in the endometrial thickness.

How long does it take to recover from dilation and curettage? ›

The recovery period typically lasts 1-2 weeks, although some women may take longer to recover fully. During the first few days after the procedure, it is common to experience mild to moderate cramping, spotting, and light bleeding. Pain relief medications may be prescribed to manage any discomfort.

Is a D&C the same as an ablation? ›

Dilatation and curettage: A D&C procedure opens the cervix and scrapes or suctions the uterine lining to obtain samples for biopsy or remove abnormal tissues causing heavy periods. Endometrial ablation: Specialized devices destroy the entire uterine lining to permanently stop excessive bleeding.


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