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Obstetrics and Gynecology · Additional Topics

D&C in gynecology

Abrazio cavi uteri

Fractional diagnostic curettage (D&C) of the uterine mucosa combined with hysteroscopy is the primary method for diagnosing intrauterine pathology. The procedure is prescribed in the presence of gynecological diseases and allows for effective therapeutic manipulations.

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Diagnostic methodHysteroscopy and fractional curettage of the uterine mucosa
Therapeutic capabilitiesRemoval of polyps, synechiae, septa, and nodes
Intrauterine pathologyMain indication for the procedure
OncoscreeningA complex of studies for the diagnosis of malignant neoplasms
2 min readFor medical studentsUpdated 10.10.2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesPending instructor review

Indications and essence of the D&C method

Fractional diagnostic curettage (D&C) of the uterine cavity and cervical canal is used in the detection of various gynecological diseases.

  • Diagnostic task: precise examination of the mucous membrane.
  • Concomitant manipulations: performance of hysteroscopy.
  • Oncological screening: performing hysteroscopy with a complex of tests to detect malignant neoplasms of the endometrium.

Therapeutic capabilities during hysteroscopy

Simultaneously with diagnostic measures during hysteroscopy, the physician can perform surgical interventions to eliminate pathologies:

  1. Removal of intrauterine synechiae.
  2. Excision of intrauterine septa.
  3. Removal of endometrial polyps.
  4. Resection of submucous myoma nodes.
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Place of D&C in the examination structure

Uterine cavity pathology is only one section of a large diagnostic program for reproductive disorders. Along with the assessment of the endocrine profile and fallopian tube patency, intrauterine interventions complete the algorithm for searching for anatomical causes of infertility and associated diseases.

How to memorize

D&C — Fractional: First the cervical canal (cervix), then the uterine cavity (corpus).

Class and exam questions

What is included in the concept of D&C in gynecology?

This is fractional diagnostic curettage of the mucous membrane of the cervical canal and uterine cavity, which is most often performed together with hysteroscopy.

What therapeutic manipulations are possible during hysteroscopy?

During the procedure, the doctor can remove endometrial polyps, intrauterine synechiae, septa, and submucous myoma nodes.

What are the main indications for prescribing D&C?

The main indication is the presence of confirmed or suspected intrauterine pathology and the need to diagnose malignant neoplasms of the endometrium.

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What else to study on this topic

  • Endocrine infertility and exclusion of organic pathology
  • Diagnosis of tubal and peritoneal infertility
  • Postcoital test in immunological infertility
  • Assessment of fallopian tube patency using hycozy and laparoscopy
  • Laboratory determination of the blood hormonal profile

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Prepared by WhiteCoat Pro faculty in accordance with the medical school curriculum. For educational purposes only.