D&C (Dilation and Curettage) with Hysteroscopy

Dilation and curettage with a hysteroscopy is a procedure where the lining of the uterus is removed for tissue analysis.

This also involves using a small probe with a camera attached so doctors can examine the inside of the uterus. A D&C is often used for the following conditions: irregular or excessive bleeding, fibroids, endometrial cancer and therapeutically when the source of the problem is already known.

Your doctor will advise you not to eat or drink for 12 hours if the operation is done under general anesthesia. If you have regional or local anesthesia where the lower part of your body is numb, the doctor will advise you to not eat or drink anything for 8 hours beforehand. Finally, preliminary tests such as blood and urine samples may be collected before the surgery.

Dilation of the cervix will be the first step of the surgery. The doctor will grasp the cervix with a clamp and pass a thin, flexible piece of metal also known as a sound to determine the depth and angle of your uterus. The cervix will be dilated and a hysteroscope will be inserted into the uterus so the doctor can look inside the uterus.

The entire procedure should take 20 to 30 minutes.