A D&C may be performed for diagnosis or treatment of irregular bleeding or for a miscarriage. If you think you will need a D & C, it is a good idea to take ibuprofen (if you have no contraindications) before coming to the office.
When you are ready, we will numb your uterus with a paracervical block. It may be necessary to stabilize your cervix with an instrument called a tenaculum. Then, a small tube with a suction implement will be passed through your cervix into the uterine cavity. The tissue that is obtained will be sent to a pathologist and may tell us why you are having bleeding problems. Often, the procedure removes enough tissue that the bleeding problem stops.
This will probably cause cramping. Generally, the cramping resolves in a few minutes.