What Happens During a D&C Procedure?

A dilation and curettage, or D&C, is a common gynecologic procedure used to diagnose or treat certain uterine conditions. At Lyndhurst Gynecologic Associates in Mount Airy, we understand that having a D&C can feel overwhelming. Knowing what to expect can help ease anxiety and prepare you for a safe and smooth recovery.
What is a D&C?
A D&C is a procedure in which your doctor dilates (opens) the cervix and uses a small instrument called a curette to gently remove tissue from the lining of the uterus. This may be done to:
- Diagnose the cause of abnormal bleeding
- Remove tissue after a miscarriage
- Treat heavy or prolonged menstrual bleeding
- Remove uterine polyps or fibroids
- Collect tissue samples for further testing
What to Expect on the Day of Your Procedure
D&Cs are typically performed in an outpatient setting, meaning you can go home the same day. You’ll likely receive anesthesia—either general, local, or sedation—depending on the reason for your D&C and your overall health.
During the procedure:
- You will lie on an exam table with your feet in stirrups, similar to a pelvic exam.
- Your doctor will insert a speculum to see the cervix.
- The cervix will be gradually widened using small dilating rods.
- The curette is then used to remove tissue from the uterine lining.
The entire process usually takes less than 30 minutes. Most patients experience only mild cramping during and after the procedure.
Recovery and Aftercare
After a D&C, it’s normal to have some light bleeding and mild cramping for a few days. Most people can return to normal daily activities within a day or two, though it’s best to avoid heavy lifting, strenuous exercise, or intercourse until your doctor gives the go-ahead.
You may be advised to avoid using tampons or douching while your cervix heals. If tissue was removed for testing, your provider will follow up with results and discuss any next steps in your care.
Are There Risks?
Like any medical procedure, a D&C carries some risks, although complications are rare. These may include:
- Infection
- Heavy bleeding
- Uterine perforation (a small hole in the uterus)
- Scar tissue formation (Asherman’s syndrome)
Your provider will talk with you about these risks and answer any questions you may have before the procedure.
Compassionate Care at Lyndhurst Gynecologic Associates
Our team at Lyndhurst Gynecologic Associates in Mount Airy is here to provide you with thoughtful, individualized care. If your provider recommends a D&C, we’ll make sure you feel informed, supported, and comfortable every step of the way.
To learn more or schedule an appointment, visit us at:
Lyndhurst Gynecologic Associates – Mount Airy
Further Reading
https://my.clevelandclinic.org/health/procedures/dilation-and-curettage
