Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment D and C questions for doctor specialist Home Care pain and fever vomiting warning signs Outlook Complications Underlying Cause Anatomy

Endometritis D and C

Dilation and curettage or D and C may be required in the treatment of severe endometritis.

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
  • Infection or endometritis
  • Damage to the uterus

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Last Updated: Nov 6, 2008 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Endometritis References
  1. French LM, Smaill FM. Antibiotic regimens for endometritis after delivery. Cochrane Database Syst Rev. 2004 Oct 18;(4):CD001067. [15495005]
  2. Hopkins L, Smaill F. Antibiotic regimens for management of intraamniotic infection. Cochrane Database Syst Rev. 2002;(3):CD003254. [12137684]
  3. Lichtenberg ES, Henning C. Conservative management of clostridial endometritis. Am J Obstet Gynecol. 2004 Jul;191(1):266-70. [15295377]
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