1.Prepare vaginal area and cervix for a sterile intrauterine
2.With a vaginal speculum in place, carefully sound uterine cavity. To
straighten cervical canal for sound to be insert- ed, tenaculum is always needed.
3.Gently insert curette. If cervical canal is very dry, apply a small
amount of sterile water-soluble gel to tip of curette.
4.Attach syringe to base of curette.
5.Withdraw piston to create vacuum in curette.
6.Use long strokes to obtain sample from all four quad- rants of the
endometrium. If the syringe fills with tissue and needs additional vacuum, disconnect syringe leaving curette in place. Unlock spring mechanism and empty contents in fixative. Re-attach
syringe to curette and continue.
7.When curettage is completed, withdraw curette from uterus and expel
tissue into container.
8.Draw fixative into curette and syringe and flush into container to wash
out any tissue that may be lodged in curette.
9.Allow patient to remain recumbent for about 10 minutes.
Curettage should not be performed on:
- Patients with or recently recovered from pelvic inflammatory
- Patients where pregnancy is suspected.