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Dilation and Curettage

Also called: D & C

- Summary
- About dilation and curettage
- Before and during
- After the procedure
- Potential risks
- Questions for your doctor

Reviewed By:
Joanne Poje Tomasulo, M.D., ACOG

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Potential risks with dilation and curettage

There are normal risks with dilation and curettage (D&C) that are associated with all surgeries, including bleeding, infection and complications from anesthesia. In rare cases of D&C, there is also the risk of a puncture of the uterus, laceration (tearing) of the cervix and scarring of the endometrium.

If the procedure needs to be performed when the cervix is still thick and firm, stretching can cause cervical incompetence. This may interfere with the success of subsequent pregnancies. In rare circumstances, scarring of the uterine wall can also impact future fertility.

Questions for your doctor regarding D&C

Preparing questions in advance can help patients have more meaningful discussions with their physicians regarding their conditions. Patients may wish to ask their doctor the following questions related to dilation and curettage (D&C):

Why are you recommending a D&C for me?
What are the benefits and risks of the procedure?
Where will the procedure be performed?
What type of anesthesia will I receive?
How long will the procedure take?
Will you perform any other procedure during my D&C?
How long is the recovery period?
What are the restrictions following the procedure?
What will be done if the procedure is not successful?
Will a D&C affect my chances of becoming pregnant?
If the removed tissue is tested, when will I learn the results?
What additional tests might be necessary following the D&C?

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Review Date: 03-03-2008

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