Dilatation & curettage for heavy menstrual bleeding (not routinely commissioned)

For the treatment of

Heavy menstrual bleeding 

Commissioning position

This intervention is not commissioned and therefore should not be routinely offered to patients. Application for funding approval can be made, using the IFR process, by the clinician recommending the intervention, if their assessment is that there are exceptional reasons why their patient could benefit from it. 

Summary of rationale

D&C should not be used for diagnosis or treatment for heavy menstrual bleeding in women because it is clinically ineffective. Ultrasound scans and camera tests with sampling of the lining of the womb (hysteroscopy and biopsy) can be used to investigate heavy periods. Medication and intrauterine systems (IUS), as well as weight loss (if appropriate) can treat heavy periods.  

References

Dilatation & curettage for heavy menstrual bleeding - EBI (aomrc.org.uk)

NG88 Heavy menstrual bleeding: assessment and management (NICE)

Associated Pathways

Intermenstrual bleeding York

Specialties

Gynaecology York Gynaecology North Yorkshire

Places covered by

  • east-riding
  • hull
  • north-east-lincolnshire
  • north-lincolnshire
  • north-yorkshire
  • vale-of-york
Author:
Date created: 12/06/2025, 12:00
Last modified: 15/07/2025, 15:37
Date of review: 31.10.27