D and C is a fairly minor surgical procedure. The procedure may be performed in the hospital or a clinic using general or local anesthesia. The doctor will hold the vaginal canal open with a speculum and may apply anesthesia to the opening of the uterus (cervix). A metal rod is used to widen the cervical canal. A curette (a metal loop on the end of a long thin handle) is then passed through the canal into the uterine cavity. The doctor will scrape away the inner layer of the uterus (endometrium) and collect tissue for examination.
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