TESTS AND PROCEDURES

Understanding Endocervical Curettage

By Semko, Laura 
 | 
October 07, 2017

Understanding Endocervical Curettage

Female pelvis showing reproductive structures.

Endocervical curettage is when the healthcare provider takes some tissue from inside your cervix. This tissue is sent to a lab. It is checked for any problems, such as cancer.

The cervix is the narrow, lower part of your womb (uterus). It opens up into your vagina. The length of the cervix is called the cervical canal.

How to say it

en-doh-SUR-vih-kuhl kuhr-ruh-TAHZH

Why endocervical curettage is done

You may need this procedure if you have abnormal bleeding from your uterus. It can help find out the cause. It may also be done to remove polyps or other reasons for the bleeding.

How endocervical curettage is done

You can have this procedure in a hospital or at an outpatient facility. During the procedure:

  • You are given medicine so you don’t feel pain. You may be awake or asleep.

  • The healthcare provider puts a speculum into your vagina. It helps him or her see your cervix better.

  • The provider cleans the cervix with a special solution.

  • The provider uses a tool called a tenaculum to grasp the cervix. It holds the cervix in place.

  • The provider puts a tool called a curette into the cervical canal.

  • The provider gently scrapes a thin layer of tissue from the wall of the cervical canal.

  • The tissue is removed and put on a cotton pad. The pad is sent to a lab to test for any problems, such as cancer.

Risks of endocervical curettage

  • Bleeding

  • Infection

  • Injury to the cervix

  • Tear in the uterus

Updated:  

October 07, 2017

Sources:  

Baggish MS. Cervical Biopsy, Endocervical Curettage, and Cervical Biopsy During Pregnancy. In: Baggish MS, editor. Atlas of Pelvic Anatomy and Gynecologic Surgery. 4 ed. Philadelphia: Elsevier; 2016. p. 499-504., Stovall DW. Dilation and curettage. Up To Date. June 3 ed: Up To Date; 2015. p. 20., Williams VL, et al. Dilation and Curettage. In: Pfenninger JL, editor. Pfenninger and Fowler's Procedures for Primary Care. 3 ed. Philadelpahi: Mosby; 2011. p. 957-61.

Reviewed By:  

Burd, Irina, MD, PhD,Images Reviewed by Staywell medical art team.,Ziegler, Olivia, MS, PA