Endocervical Curettage

Endocervical curettage is a procedure to obtain a tissue sample from your endocervical canal to look for abnormal cells. This procedure is sometimes done as part of an exam called a colposcopy, in which your health care provider takes a close look at the surface of your cervix because of an abnormal Pap test result or the presence of genital warts, bleeding, or pain.

LET YOUR HEALTH CARE PROVIDER KNOW ABOUT:

  • Recent vaginal infections you have had.

  • Recent menstrual periods or bleeding you have had.

  • Any allergies you have.

  • All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.

  • Previous problems you or members of your family have had with the use of anesthetics.

  • Any blood disorders you have.

  • Previous surgeries you have had.

  • Medical conditions you have.

RISKS AND COMPLICATIONS

Generally, endocervical curettage is a safe procedure. However, as with any procedure, complications can occur. Possible complications include:

  • Excessive bleeding.

  • Infection.

  • Injury to surrounding organs.

  • Allergic reaction to anesthetics or medicines.

BEFORE THE PROCEDURE

  • Do not take aspirin or blood thinners for a week before the procedure. These can cause bleeding.

  • Do not douche or use tampons for at least 3 days before the procedure.

  • Do not have sexual intercourse for at least 3 days before the procedure.

  • Arrange for someone to take you home after the procedure.

PROCEDURE

  • For this procedure, you will be asked to undress from the waist down. You will need to lie on an exam table with your feet in stirrups. Your legs and belly will be covered with a sheet.

  • A warm metal or plastic instrument (speculum) will be placed in your vagina to keep it open and to allow your health care provider to see inside your vagina.

  • A medicine that numbs the area (local anesthetic) may be used.

  • A sharp curved instrument will be used to scrape cells from your cervix or endocervix.

  • Medicines may be put on the surface of the tissue to stop any bleeding.

  • The scraped tissue sample is sent to the lab to see if there are any abnormalities.

AFTER THE PROCEDURE

  • You may have some mild cramping pain.

  • You will rest in the office or clinic until you are stable and feel ready to go home.