Dilation And Curettage (D&C) | Fertility Treatment | IVF London
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Dilation And Curettage (D&C)

A treatment to clean your uterus and
encourage the development of a new lining.

Introduction to Dilation and Curettage (D&C)

Dilation and curettage (D&C) is a gynecological procedure in which the cervix is gently opened (dilated), allowing a thin instrument to enter the uterus to remove tissue (curettage). The procedure of DNC is performed to diagnose abnormalities, treat known conditions, or manage pregnancy loss. A hysteroscopy may also be conducted simultaneously to provide a clearer view of the uterine cavity.

This dilation and curettage procedure helps remove abnormal tissue, clear out any remaining pregnancy tissue after a miscarriage, or refresh the uterine lining in preparation for fertility treatments. Additionally, it is used to perform an endometrial biopsy, which helps detect uterine cancer and other conditions.

Who Can Undergo the D&C Procedure?

We may recommend this procedure to help diagnose and treat any condition that affects the uterus, such as abnormal bleeding or for women who suffer with Polycystic Ovarian Syndrome (PCOS) or have cervical or uterine polyps. It can also be carried out after an incomplete or missed miscarriage to remove any retained tissue which can have adverse health implications for the woman.

How Does the Dilation and Curettage Process Work?

During the procedure, we will need to dilate your cervix. We will provide sedation/local anaesthesia throughout to alleviate any discomfort. Once your cervix has dilated sufficiently, our consultant will use a surgical instrument called a curette to remove the uterine tissue.

Who Can Undergo the D&C Procedure?

We may recommend the D&C procedure for diagnosing and treating conditions affecting the uterus, including:

  • Abnormal uterine bleeding – For women experiencing irregular, heavy, or prolonged menstrual bleeding.
  • Polycystic Ovarian Syndrome (PCOS) – To manage symptoms related to thickened uterine lining.
  • Cervical or uterine polyps – Removal of benign growths that may cause discomfort or bleeding.
  • Incomplete or missed miscarriage – The dilation and curettage miscarriage procedure is used to remove retained tissue, reducing infection risks and preventing complications.
  • Dilation and curettage abortion – In some cases, this procedure is performed to terminate a pregnancy or remove fetal tissue after a loss.
  • Tissue biopsy – To detect infections, pre-cancerous changes, or malignancies.

How Does the D&C Process Work?

What to Expect During a D&C Procedure?

The D&C process typically follows these steps:

  1. Cervical Dilation – Your cervix will be gently dilated using medication or surgical tools.
  2. Uterine Scraping (Curettage Procedure) – A small instrument, called a curette, is used to remove the uterine lining.
  3. Endometrial Biopsy (if needed) – Tissue may be collected for further examination.
  4. Monitoring and Recovery – After the procedure, you will rest for a short time before being discharged.

We use sedation or local anesthesia to ensure comfort. The entire D&C procedure typically takes 15-30 minutes.

What’s Next After the D&C Procedure?

Recovery Time After D&C Procedure

  • Most patients can return home within a few hours of the dilation and curettage procedure.
  • Mild cramping and spotting are normal for a few days.
  • Avoid tampons and sexual activity for at least 1-2 weeks to prevent infection.
  • Strenuous activity should be avoided until cleared by your doctor.
  • Your next period may be slightly delayed or heavier than usual.

Risks Associated with Dilation and Curettage

While the D&C procedure is generally safe, some potential risks include:

  • Infection – Symptoms include fever, lower abdominal pain, and foul-smelling discharge.
  • Heavy Bleeding – Although rare, excessive bleeding can occur.
  • Uterine Perforation – A rare complication where the surgical instrument accidentally creates a hole in the uterus.
  • Asherman’s Syndrome – In rare cases, scarring inside the uterus can affect future fertility.

If you experience severe pain, heavy bleeding, fever, or foul-smelling discharge after the procedure of DNC, contact your doctor immediately.

FAQs

  1. What is a dilation and curettage procedure?

A D&C procedure is a minor surgical process in which the cervix is dilated, and the uterine lining is removed for diagnostic or treatment purposes.

  1. Why is a D&C performed?

A dilation and curettage procedure is performed for diagnosing abnormal uterine bleeding, treating miscarriage, or refreshing the uterine lining before fertility treatments.

  1. How long does it take to recover from a D&C?

Most women recover within a few days, but full recovery may take up to two weeks. Avoid tampons and sexual intercourse during this period.

  1. What are the risks of a D&C procedure?

The risks associated with dilation and curettage include infection, heavy bleeding, uterine perforation, and rare complications like scarring.

  1. Is a D&C necessary after a miscarriage?

A D&C procedure for miscarriage may be needed if tissue remains in the uterus, causing prolonged bleeding or infection risks.

  1. What to expect during a D&C procedure?

During a D&C procedure, the cervix is dilated, the uterine lining is scraped, and tissue may be collected for analysis. Mild cramping and spotting are common post-procedure.

  1. Can a D&C affect future fertility?

While a D&C procedure is generally safe, repeated procedures may cause uterine scarring, which can impact fertility.

  1. Is the dilation and curettage procedure for abnormal uterine bleeding effective?

Yes, a D&C procedure for abnormal uterine bleeding can help regulate heavy or irregular menstrual cycles by removing excess tissue from the uterine lining.

  1. What is the difference between a D&C and a hysteroscopy?

A D&C procedure involves uterine scraping, whereas hysteroscopy allows direct visualisation of the uterine cavity for diagnosis.

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Why Choose Us?

Here are some facts about your fertility journey with us that we’d like to share with you:

Every evaluation and treatment plan is uniquely tailored to meet your individual needs

You will have access to leading professionals, with over 35 years combined expertise, providing you with confidence and reassurance in your fertility diagnosis and subsequent treatment

Our multidisciplinary team includes specialists in fertility, urology, nutrition, counselling, genetics, endocrinology, haematology and weight management to provide a comprehensive range of support as and when you need it

We will work with you closely to understand your individual circumstances, identify any problems and agree with you, the best course of action to help make your dream a reality

We will always be honest and open about your chances of success with treatment.

Your comfort and care is always our top priority

Our focus remains entirely on you as an individual, your unique needs and your wellbeing

All investigations and treatments are provided within our new state-of-the-art clinic based in Elstree which offers a spacious environment with comfortable surroundings, to enhance your care and experience. We offer investigations and scans at our satellite locations too.

Our friendly consultant-led team is here to support you at every step throughout your fertility journey

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