A dilation and curettage (D&C) is a safe, minor surgical procedure in which the cervix is dilated so that tissue can be removed from inside the uterus by scraping or suction.
A D&C may be recommended to remove endometrial polyps or fibroids, or in cases of hyperplasia (excessive cellular growth).
It is also a common treatment for a missed miscarriage. Also known as a “silent miscarriage,” a missed miscarriage refers to a miscarriage that typically occurs in the first trimester but without any of the usual signs or symptoms.
Placental or embryonic tissue remains in the uterus, although the embryo died or failed to form in the first place. In this case (or when a miscarriage is incomplete), surgical treatment such as a D&C may be necessary. Many women are able to have successful pregnancies after a missed miscarriage.