Hysteroscopy / D&C
_{For Heavy Vaginal Bleeding}

Dilation and curettage (D&C) is a procedure to remove excess tissue from inside your uterus. Gynecologists perform D&C to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

In a D&C, we use small instruments or a medication to open (dilate) the lower, narrow part of your uterus (cervix). We then use a surgical instrument called a curette, which can be a sharp instrument or suction device, to remove excess uterine tissue.

This procedure may be done to diagnose or treat a uterine condition.

Diagnosing a Condition: We typically recommend an endometrial biopsy or endometrial sampling, which may be done if you experience abnormal uterine bleeding, you are bleeding after menopause, or you have unusual endometrial cells discovered during a routine cervical cancer screening test

Treating a Condition: During hysteroscopy, your provider inserts a slim instrument containing a light and camera on the end into your vagina, through your cervix and into your uterus. We then view the inside of the uterus on a screen, checking for areas that look unusual. We also check for polyps and take tissue samples as needed. During a hysteroscopy, uterine polyps and fibroid tumors can be removed. The hysteroscopy (light and camera) combined with the removal of excess tissue using a curette (D&C) is the full Hysteroscopy D&C procedure.