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Dilation and curettage

Dale W Stovall, MD
Section Editor
William J Mann, Jr, MD
Deputy Editor
Sandy J Falk, MD, FACOG


The gynecologist has a variety of tools available for evaluation and treatment of women with abnormal uterine bleeding. Dilation and curettage (D&C) will be reviewed here. Office procedures for endometrial sampling and an overview of diagnostic approaches to endometrial evaluation, including both noninvasive and invasive assessment, are discussed separately. (See "Endometrial sampling procedures" and "Evaluation of the endometrium for malignant or premalignant disease".)


D&C has both diagnostic and therapeutic indications.

Diagnostic indications — The development of equipment and techniques for office based endometrial sampling has obviated the need for diagnostic D&C in most patients. Numerous studies have shown that the endometrium is adequately evaluated with sampling techniques. (See "Endometrial sampling procedures".)

However, there are still some indications for diagnostic D&C, such as in women:

With a nondiagnostic office biopsy who are at high risk of endometrial carcinoma. (See "Endometrial carcinoma: Epidemiology and risk factors", section on 'Risk factors'.)


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Literature review current through: Sep 2016. | This topic last updated: Jun 3, 2015.
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