2.1 Indications for a diagnostic dilation and curettage include the following:
• Abnormal uterine bleeding: irregular bleeding, menorrhagia, suspected malignant or premalignant condition.
• Retained material in the endometrial cavity.
• Evaluation of intracavitary findings from imaging procedures (abnormal endometrial appearance due to suspected polyps or fibroids)
• Evaluation and removal of retained fluid from the endometrial cavity (hematometra, pyometra) in conjunction with evaluating the endometrial cavity and relieving cervical stenosis.
• Office endometrial biopsy insufficient for diagnosis or failed due to cervical stenosis