Dilation and curettage, referred to as a D&C, is a gynecological procedure that is used to remove the lining inside the uterus. Drs. Peter Weiss, Rebecca Brown, Kathleen Valenton, Jennifer Chen, and Quy Nguyen, at Rodeo Drive Women’s Health Center, can perform a D&C at an outpatient surgery center, when it is the best choice to protect their patient’s reproductive and overall health.
A D&C is a procedure to remove the lining of the uterus and is similar to what happens naturally during monthly menstrual cycles. However, to remove the lining manually, the uterus must be accessed. The dilation refers to the opening or widening of the bottom of the uterus or cervix. The curettage portion of the procedure refers to scraping the lining of the uterus to remove the tissue.
To begin the procedure, your OB/GYN uses a speculum to open the vaginal canal and uses medication to soften or to widen the cervix. Next, a curette -- a long spoon-shaped instrument -- is used to scrape the uterine lining. Finally, a suction device called a cannula may also be used to remove any remaining tissue from the uterine walls.
If you’re undergoing a D&C, you will be given anesthesia by your physician. You may receive local anesthesia or an epidural, which allows you to be awake during the procedure. In some cases, general anesthesia is used.
Your physician will discuss anesthesia options with you before your procedure. In most cases, it is best to have someone who can bring you home after having a D&C as you may be groggy and unable to drive.
A D&C can be used after a miscarriage, abortion or after childbirth to remove any remaining tissue that could cause infection or other complications. A D&C is also used to help treat women with heavy menstrual bleeding. In some cases, tissue removed from the D&C may be tested for abnormal cells or other issues as part of your treatment.
Your OB/GYN will almost always use some anesthesia during a D&C. However, you may experience some cramping and discomfort during the procedure and recovery. Light bleeding can be expected after the procedure. Your dedicated gynecological practitioner at Rodeo Drive Women’s Health Center will let you know what to expect and give you instructions for your recovery period.
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"Dr. Valenton is awesome! If it weren't for her, I probably would have ended up with a c-section. Nothing wrong with a c-section, but she respected my desire..."
"I've been with Dr. Brown since 2008 and cannot say enough good things about her. She takes her time and listens and REMEMBERS many things about you! I LOVE that..."
"In short, Dr. Brown is fantastic; she's knowledgeable, professional, and extremely friendly. You can be assured that she will take good care of your needs."
"Dr. Brown is phenomenal! I ❤her with all my heart! She delivered my 2 daughters, has the greatest bedside manner, and always makes time for you!"
"Dr. Weiss is one of the best I have come across. As a healthcare professional he is just absolutely first rate. As a fellow human - simply a wonderful, caring..."
"Dr Weiss and the staff have proven to me that all other children I may have in the future will only be cared for by him..."
"Dr Weiss is an amazing doctor and person. I'm honored to know him."
"I love Dr Valenton she's so easy to talk to always makes me feel very comfortable and she's very understanding."
"I instantly knew Dr. Valenton would be my new go to OBGYN when delivering my second baby (19 years after my first born) after our initial appointment."
"Professional with a wonderful bedside manner. Not only is she intelligent, she is extremely personable."
"The first time I met her, she made me feel at ease and made me feel like we've known each other for a while. It takes a special doctor to have great bedside manner."
"His caring nature, calm attitude, and professionalism immediately made me feel comfortable when I first met him."
"Dr. Nguyen went above and beyond during the consultation and the exam, but what really stood out was how well he explained everything thoroughly and had the patience..."
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The staff and doctors are kind and very helpful. The atmosphere is very inviting. Filling out the medical forms was painless, due to their use of ipads to collect info.