D and C is a fairly minor surgical procedure. The procedure may be performed in the hospital or a clinic using general or local anesthesia. The doctor will hold the vaginal canal open with a speculum and may apply anesthesia to the opening of the uterus (cervix). A metal rod is used to widen the cervical canal. A curette (a metal loop on the end of a long thin handle) is then passed through the canal into the uterine cavity. The doctor will scrape away the inner layer of the uterus (endometrium) and collect tissue for examination.
Review Date 3/31/2020
Updated by: John D. Jacobson, MD, Professor of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda Center for Fertility, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.