Dilation And Curettage

What Dilation and Curettage Means in Everyday Medical Language

Dilation and curettage, often called D&C, is a medical procedure where a doctor gently opens the cervix—the lower part of the uterus—and uses a small, spoon-shaped tool called a curette to scrape and remove tissue from the lining of the uterus. This tissue may be collected to check for infections, abnormal cells, or other health issues. The procedure can also be used to remove leftover tissue after a miscarriage, abortion, or childbirth.

Why Dilation and Curettage Can Matter in Cancer Care

D&C plays an important role in diagnosing and managing some uterine conditions, including uterine (endometrial) cancer. By removing a small sample of tissue, doctors can examine it under a microscope to look for cancer cells or other abnormalities. This helps guide treatment decisions. It can also help diagnose causes of abnormal uterine bleeding, which may be related to cancer or other health issues.

What Patients Might See, Feel, or Be Told When D&C Is Used

If your healthcare provider recommends a D&C, they may explain that the procedure is needed to investigate symptoms like abnormal vaginal bleeding or to clear tissue after a miscarriage. The cervix will be gently opened, and the curette will be used to scrape tissue from the uterus lining. The procedure can be done with local anesthesia (numbing medicine) or general anesthesia (you are asleep), depending on the situation. Afterward, it’s common to have some cramping or light bleeding as the uterus heals.

Where the Term Might Appear and What It Does Not Automatically Mean

You might see the term D&C or dilation and curettage in medical reports, biopsy results, treatment plans, or surgical notes. It is important to understand that seeing this term does not automatically mean you have cancer or that cancer is being treated. D&C is a tool used to collect tissue or remove abnormal but often non-cancerous tissue. It is a common procedure for many gynecologic conditions and does not by itself indicate a cancer diagnosis.

Common Questions to Ask Your Care Team

If D&C is recommended or mentioned, consider asking your healthcare provider why the procedure is needed, what they will be looking for or treating, what to expect during and after the procedure, possible risks or side effects, and how the results will affect your care plan. Understanding these details can help you feel more prepared and involved in your care.

How to Read the Term in Context and Next Steps