Dilation of the cervical canal and curettage of the endometrium are performed to investigate abnormal bleeding or to remove contents from the uterine cavity, with appropriate monitoring and recovery instructions.
It is a gynaecological procedure in which, after dilation (widening) of the cervix, the lining of the uterine cavity or retained tissue is removed with a special instrument, a curette.
It can be a diagnostic curettage, when a sample of the uterine lining (endometrium) is taken for histopathological analysis and to find the cause of irregular bleeding or a suspicious ultrasound finding, or it can be a therapeutic curettage, when the aim is to clear the uterine cavity of retained tissue after a miscarriage, childbirth, or in cases of heavy, uncontrolled bleeding.
Curettage is performed without classic incisions – through the vagina and cervix – which means a shorter recovery, a lower risk of complications and a faster return to usual activities compared to larger operative procedures.
The procedure effectively stops or reduces heavy bleeding and removes retained tissue after a miscarriage or childbirth, thereby reducing the risk of infection, anaemia and other complications.
The removed tissue is sent for histopathological analysis, which allows a precise assessment of the uterine lining (benign changes, hyperplasia, pre-cancers, cancer) and the planning of further treatment or monitoring.
Curettage is recommended when there are symptoms or findings that point to bleeding disorders or the presence of retained tissue in the uterine cavity, and when a sample of the uterine lining is needed for histopathological analysis.
The aim is to remove the source of bleeding or the retained tissue and to obtain a clear histopathological result of the uterine lining. In this way the risk of complications is reduced, the complaints are eased, and the doctor gains a reliable basis for further treatment or monitoring.
The expected results depend on your initial findings and the reason for the procedure. At a follow-up examination after the curettage, the gynaecologist explains the histopathology findings in detail and agrees on a further plan (monitoring, medication therapy, further procedures if needed).
Arrival at the agreed time, brief administrative processing, a conversation with the gynaecologist and anaesthetist, and a review of the documentation and findings. The course of the procedure, the risks and recovery are explained.
Brief intravenous anaesthesia or analgosedation is most often used, so that you are free of pain and discomfort during the procedure. The anaesthetist monitors your vital functions throughout.
After widening the cervix, the gynaecologist gently removes the lining of the uterine cavity or retained tissue with an instrument (a curette). If needed, the material is sent for histopathological analysis. The procedure itself most often takes a few minutes.
After the procedure you rest in the day hospital under the supervision of staff. The intensity of bleeding and your general condition are monitored. Before going home you receive a written report and clear instructions for the following days.
You receive detailed preparation instructions when the procedure is arranged, and they are tailored to your age, therapy and general state of health. They most often include:
Note: You will receive precise instructions (when to stop eating and drinking, whether you may take your morning medication, etc.) from our team when the procedure is arranged. The aim is for the curettage to be as safe and as simple as possible for you.
Most patients recover quickly after curettage and go home the same day.
In such situations contact us as soon as possible, and if you are not sure whether it is needed immediately, please call — together we will decide on the next step.
Curettage is a procedure that requires good organisation, cooperation between the gynaecologist and anaesthetist and a clear plan for further monitoring. At Cito Polyclinic you go through all these steps in one place, with the support of an experienced team.
The procedure is performed by a team of gynaecologists with experience in managing abnormal bleeding, miscarriages and suspicious endometrial changes, with an individual approach to each patient.
Curettage is performed with an anaesthetist present and monitoring of vital functions, and recovery takes place in the calm environment of the day hospital, under the constant supervision of medical staff.
From the first examination, ultrasound and laboratory tests, through the curettage procedure and histopathological analysis to the follow-up examination - everything is organised within Cito Polyclinic, with minimal waiting.
After the procedure you receive written instructions and arrange a follow-up examination. With the histopathology findings, further monitoring or treatment is planned, taking into account your life plans and any wish for pregnancy.
At Cito Polyclinic, the price of diagnostic and therapeutic curettage is 300 EUR. The procedure is performed in a day hospital setting, with a prior consultation with a gynaecologist and anaesthetist and clearly defined instructions for recovery at home. Additional costs:
Histopathology (PHD) analysis of the sample - charged additionally, depending on the type and scope of the analysis
General / intravenous anaesthesia - charged additionally according to the current price list of anaesthesiology services
Before the procedure you will receive an exact calculation of all costs, including any PHD analysis and anaesthesia, so that you have a clear financial picture with no hidden expenses.
You can get the exact price of the procedure and the first available appointment by calling +385 21 457 800 or by sending a message via the contact form.
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Subspecialist in Gynecological Endocrinology and Human Reproduction
Specialist in Gynecology and Obstetrics
Specialist in Gynecology and Obstetrics
Find answers to common questions about this service
It is indicated for abnormal bleeding, retained tissue after miscarriage/delivery or to investigate the endometrium. It is performed under short general or local anesthesia.
Mild bleeding and cramps are expected for several days; 24–48 h of rest and avoidance of sexual intercourse for 1–2 weeks are recommended.
Bleeding, infection, perforation and intrauterine adhesions (Asherman). The risk is reduced by ultrasound guidance and a gentle technique.
A check-up is in 1–2 weeks; return to activities depends on the findings, generally after symptoms subside.
