Dilation and Curettage (cont.)

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Why is the D and C procedure becoming less common?

In general, the number of D and Cs being performed has declined over the years. This procedure is no longer done to regulate abnormal bleeding patterns in women. Most of these problems are now managed with medications, such as hormones. Ultrasound and other imaging techniques are likewise playing a greater role in helping to evaluate the uterus without surgery.

Probably the single greatest reason for fewer D and Cs is the option of in-office endometrial sampling (biopsy) that can be performed with a very thin plastic suction curette. This procedure is very quick and easy, and generally is only as painful as a bad menstrual cramp. If the patient is given some oral pain medications before the procedure, the cramps are minimal. Furthermore, the tissue sample obtained is in many instances as good as that achieved during a D and C surgery.

Medically reviewed by Steven Nelson, MD; Board Certified Obstetrics and Gynecology

Previous contributing medical author: Leon J. Baginski, MD, FACOG


"Patient information: Dilation and curettage (D and C) (Beyond the Basics)"

Medically Reviewed by a Doctor on 5/12/2015

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