Abnormal Vaginal Bleeding D and C
Dilation and curettage or D and C may be part of the treatment of dysfunctional uterine bleeding that fails to respond to other measures.
Dilation and Curettage
A dilation and curettage (D and C) is a surgical procedure where the inner lining of the uterus is removed. Before this can be done the cervix needs to be dilated. This allows for the passage of special surgical instruments that are used to remove the endometrium. One of these instruments is called a curette. It is used to gently scrape away the endometrial lining.
A sample of the material is sent to the laboratory for microscopic analysis. Recovery from a D and C is very rapid: you may have some vaginal bleeding and mild pain for about a day.
Risks of D and C include:
- Persistent bleeding
- Damage to the uterus
Continue to Abnormal Vaginal Bleeding Endometrial Ablation
- Abbott J, Hawe J, Hunter D, Garry R. A double-blind randomized trial comparing the Cavaterm and the NovaSure endometrial ablation systems for the treatment of dysfunctional uterine bleeding. Fertil Steril. 2003 Jul;80(1):203-8. 
- Agarwal N, Kriplani A. Medical management of dysfunctional uterine bleeding. Int J Gynaecol Obstet. 2001 Nov;75(2):199-201. 
- Bourdrez P, Bongers MY, Mol BW. Treatment of dysfunctional uterine bleeding: patient preferences for endometrial ablation, a levonorgestrel-releasing intrauterine device, or hysterectomy. Fertil Steril. 2004 Jul;82(1):160-6. 
- Munro MG. Dysfunctional uterine bleeding: advances in diagnosis and treatment. Curr Opin Obstet Gynecol. 2001 Oct;13(5):475-89.