D and C (dialation and curretage) is a procedure to scrape and collect the tissue (endometrium) from inside the uterus.
- Dilation (D) is a widening of the cervix to allow instruments into the uterus.
- Curettage (C) is the scraping of the walls of the uterus.
Dilatation and curettage; Uterus scraping; Vaginal bleeding - dilation; Uterine bleeding - dilation; Menopause - dilation
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, and a curette (a metal loop on the end of a long, thin handle) is passed through the opening into the uterus cavity. The provider gently scrapes the inner layer of tissue, called the endometrium. The tissue is collected for examination.