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OFFICE UTERINE CURETTAGE (D&C)

The office uterine curettage is an office procedure designed with regard to the patient's convenience, safety, and comfort.

The purpose of the procedure is to obtain a sampling of the tissue lining the uterus (the endometrium) for infertility studies, cancer detection, evaluation of abnormal uterine bleeding, or treatment of miscarriages or unplanned pregnancy. The procedure consists of passing a small instrument through the vagina and cervix (the neck of the uterus) into the uterine cavity to reach the endometrium. The procedure is done under sterile conditions. Usually, the only discomfort is mild menstrual-like cramps that disappear as soon as the procedure is over. A local anesthetic is sometimes used to minimize this discomfort. It is injected into the cervix with a needle and syringe similar to that at a dentist's office. (If you have ever had an abnormal reaction to a local anesthetic, please notify the nurse). A suction machine may be used to remove the endometrium. It has an electric motor which makes a noise (this will be demonstrated to you at the start). When the curettage is over there may be slight bleeding requiring the use of a sanitary pad or tampon. You may immediately return to your normal activities.

Risk of Complication

Every surgical procedure carries the risk of certain complications. The complications of office uterine curettage are extremely rare, which is why the procedure is performed in the office. Complications include; adverse reaction to local anesthesia, if used; feelings of fainting and weakness when the instrument is passed through the cervix; perforation of the uterus; hemorrhage; infection. To repeat, these complications are extremely rare and benefits of the procedure greatly outweigh the risks.

If you have questions about any of the above, please discuss them with your physician. You will be asked to sign a consent form before the start of the procedure.





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