Dilation and Curettage

Dilation and curettage is a medical procedure that involves the removal of tissues from inside of a uterus. This is performed as part of the diagnosis and treatment of a number of uterine ailments – from heavy bleeding to clearing out the uterine line after an abortion or miscarriage.

This is a sensitive surgical process wherein your cervix is dilated (opened) and a small instrument is inserted into your uterus with the intention of removing tissues from the interior of your uterus (curettage).

Why is Dilation and Curettage Done?

There are several situations where your doctor might suggest you undergo a dilation and curettage process. Your gynaecologist may either ask you to go through either an endometrial sampling or therapeutic dilation and curettage, based on your condition. An endometrial sampling of dilation and curettage is done to diagnose you if you have the following conditions:

• Bleeding after menopause. • Abnormal uterine bleeding. • Presence of abnormal endometrial cells (this is usually discovered during routines tests for cervical cancer).

In order to diagnose you, your gynaecologist will collect a sample of the tissue from your uterus lining (endometrium) to check for the following:

• Uterine cancer • Uterine polyps • Endometrial hyperplasia (thickening of the uterine lining)

If you are recommended a therapeutic dilation and curettage, then you need to understand that it is being done for removing contents from the interior of your uterus. This is done in the following conditions:

• Removal of noncancerous uterine or cervical polyps • Treating excess bleeding post-delivery. This is done by clearing out any placenta that may have remained in your uterus. • Clearing out tissues from your uterus after an abortion or miscarriage. This is done to stop bleeding and infection. • Removal of molar pregnancy. In this case, instead of a normal pregnancy, a tumour is formed.


The dilation and curettage procedure begins with you lying down on your back on a table and having your hells rest in supports known as stirrups. After that, you will be given anaesthesia (general or local). This is followed by your surgeon inserting an instrument known as a speculum in your vagina. This would help your surgeon get a clear view of your cervix.

Next, your surgeon will gently insert thicker rods one after another into your cervix in order to dilate your cervix until it has opened up adequately. After that, the dilation rods are removed and a spoon-shaped instrument or a suction device is inserted to remove uterine tissues. Since you would be sedated, you won’t experience any pain or discomfort during the procedure.

How can 7DMC Help You?

Since dilation and curettage deal with one of the most sensitive areas of your body – the uterus – you need to ensure that you are under the supervision of certified medical professionals who are highly trained to carry out such delicate operations.

7DMC is one of the most reputed medical centres and houses world-class gynaecologists, among other fields of doctors that have immense experience under their belt. This is why it is frequently ranked among the top of several lists of the best medical centres not only in the Middle East but in the entire world.

Once you make an appointment and consult with them, you would be guided every step of the way on how to prepare for the process and how to take care of yourself after the procedure so that you get to recover fast and return to your normal healthy self without any complications.