IMPORTANT NOTICE: At Fortis Healthcare, we are fully supportive of the National priorities set out by the Hon’ble Prime Minister of India. Further to the directives of the Government provided in their press release dated 8th Nov 2016, payments at Government hospitals can be made through 500 and 1000 Rupee denomination notes. In view of the hardship being caused to the large number of patients at private hospitals, we have made an urgent representation to the Government that this exemption should apply equally, for payments, at private hospitals. We are following up with the authorities and hope the Government will step in quickly to resolve this anomaly. Meanwhile, at Fortis hospitals across the country, we continue to accept payments through credit card, debit card and electronic banking transfers. As 500 and 1000 Rupee denomination notes are no longer legal tender we are only accepting 100 Rs and lower currency notes. As per Government regulation, a PAN card and legitimate ID proof is however required for payments in cash exceeding Rs 50,000. Meanwhile we continue to ensure that emergency cases get immediate medical attention without delay whatsoever and have put in more administrative staff and help desks to assist patients.

Dilation and curettage (D&C)

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

In a dilation and curettage — sometimes spelled "dilatation" and curettage — your doctor uses small instruments or a medication to open (dilate) your cervix — the lower, narrow part of your uterus. Your doctor then uses a surgical instrument called a curette to remove uterine tissue. Curettes used in a D&C can be sharp or use suction.


Why it's done Risks How you prepare What you can expect Results

Dilation and curettage can diagnose or treat a uterine condition.

To diagnose a condition

Your doctor might recommend a D&C to diagnose a condition if:

  • You have abnormal uterine bleeding
  • You experience bleeding after menopause
  • Your doctor discovers abnormal endometrial cells during a routine test for cervical cancer

To perform the test, your doctor collects a tissue sample from the lining of your uterus (endometrium) and sends the sample to a lab for testing. The test can check for:

  • Uterine cancer
  • Uterine polyps
  • Endometrial hyperplasia — a precancerous condition in which the uterine lining becomes too thick

To treat a condition

When performing a therapeutic D&C, your doctor removes the entire contents of your uterus, not just a small tissue sample. Your doctor can do this to:

  • Remove a molar pregnancy, in which a tumor forms instead of a normal pregnancy
  • Treat excessive bleeding after delivery by clearing out any placenta that remains in the uterus
  • Remove cervical or uterine polyps, which are usually benign
  • Remove fibroid tumors, which are benign tumors formed on the uterine wall that sometimes bulge into the uterine cavity
  • Clear out any tissue that remains in the uterus after a miscarriage or abortion to prevent infection or heavy bleeding

Your doctor may perform the D&C along with another procedure called a hysteroscopy. During a hysteroscopy, your doctor inserts a slim instrument with a light and camera on the end into your vagina, through your cervix and up into your uterus. Your doctor then views the lining of your uterus on a screen, noting any areas that look abnormal, making sure there aren't any polyps, and taking tissue samples as needed. During hysteroscopy, your doctor can also remove uterine polyps and fibroid tumors.


© 1998-2015 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. Terms of use