Dilatation and Curettage in Singapore: Procedure, Pricing & Recovery

Being advised to undergo a dilatation and curettage, or D&C, can bring up many questions and emotions. Whether it is recommended to investigate unusual bleeding, manage retained tissue after a miscarriage, or address another gynaecological concern, it is natural to feel unsure about what the procedure involves and what to expect.

A D&C is a commonly performed procedure that allows your doctor to gently widen the cervix and remove tissue from the uterine lining for diagnosis or treatment. It is usually carried out as a day surgery, meaning you can return home the same day to rest. Most women recover well within a few days and gradually return to their normal routines with simple aftercare.

What is dilatation and curettage?

Dilatation and curettage (D&C) is a minor surgical procedure that your doctor may recommend for various reasons. 

It involves two main steps:

• Dilatation:

  • Your cervix is gently widened.

• Curettage: 

  • The lining of your uterus (endometrium) is carefully removed using a surgical instrument or suction device.

If your doctor needs more information about your body’s condition, the removed tissue can be sent to a laboratory for testing. This helps them understand your situation more clearly and plan the best care for you.

Why you may need a D&C procedure

Your doctor may suggest a D&C to help diagnose what's causing your symptoms, to treat a specific concern, or sometimes both. Knowing why it's being recommended can help you feel more prepared about what lies ahead.

D&C for diagnosis

Sometimes, a D&C is the clearest way to understand what's causing certain symptoms or findings. 

Your doctor may recommend it if you're experiencing:

• Heavy or abnormal uterine bleeding

• Postmenopausal bleeding

• Thickened endometrial lining seen on ultrasound

• Suspected endometrial polyps

• Possible endometrial hyperplasia or abnormal cell changes (many of these conditions are benign and treatable)

• Unexplained infertility or recurrent miscarriage (in selected cases)

The tissue your doctor collects is examined under a microscope, which helps pinpoint the cause of your symptoms and shape the right path forward.

D&C for treatment

A D&C can also be used to treat certain conditions, such as:

• Removing retained tissue after a miscarriage or incomplete abortion

• Stopping prolonged or heavy bleeding

• Removing abnormal uterine tissue or polyps

• Managing certain pregnancy-related complications

Your doctor will talk you through why a D&C is being recommended in your situation and what you can expect along the way.

If you're experiencing abnormal bleeding or have been advised to consider a D&C but feel uncertain about your options, schedule an appointment with Thomson Medical. Our specialists can assess your condition and recommend the best approach for your situation.

D&C procedure in Singapore

In Singapore, D&C is usually carried out as a day procedure, so you won't need to stay in hospital overnight. You'll be under the care of a certified obstetrician and gynaecologist, and the procedure is done under general or regional anaesthesia to keep you comfortable throughout.

Understanding what happens can help ease any worries you might have. 

During the procedure, your doctor will:

• Administer anaesthesia:

  • You'll be given either general anaesthesia (where you're asleep) or regional anaesthesia (where the lower part of your body is numbed), depending on what's most suitable for you.

• Gently dilate your cervix:

  • Your doctor carefully widens the cervix to access the uterus.

• Remove uterine tissue:

  • The lining of your uterus is carefully removed using a specialised instrument or gentle suction.

• Monitor you in recovery:

  • After the procedure, you'll rest in a recovery area where the medical team will pay attention to you until you're ready to go home.

The procedure itself doesn't take long, usually around 10 to 15 minutes. While it's normal to feel anxious beforehand, rest assured that your doctors will take care of you throughout. Most patients are able to return home the same day to rest and recover in familiar surroundings, which many find comforting during this time. 

How much does D&C cost in Singapore?

The cost of a D&C procedure in Singapore can vary depending on whether you're treated at a public or private hospital, the type of anaesthesia used, and the complexity of your case.

You can expect the following estimated cost range:

• Public hospitals:

  • Day surgery normally costs between SGD 2,600 and SGD 2,700. Singapore citizens and permanent residents may pay less with government subsidies.

• Private hospitals:

  • Costs generally range from SGD 4,000 to SGD 7,000 or more, depending on the hospital and specialist fees.

If you're a Singapore citizen, you may be able to use MediSave for eligible D&C procedures, subject to Ministry of Health (MOH) guidelines. Insurance coverage varies depending on your individual policy, so it's recommended to check with your insurer beforehand to understand what's covered.

Please note that the costs listed above were gathered in 2025/2026 and may not be up-to-date. Your hospital or clinic can provide a more current and personalised cost estimate based on your specific situation.

Recovery after a D&C procedure

Recovery from a D&C is usually straightforward. Your body may need a little time to adjust, but knowing what to expect can help you feel more at ease during this period.

In the days following your procedure, it's normal to experience:

• Mild cramping for a few days

• Light vaginal bleeding or spotting for one to two weeks

• Fatigue on the day of the procedure

Giving your body the rest and gentleness it needs is necessary to support a smoother recovery. 

Try these simple steps to look after yourself during the first week or two:

• Rest for a day or two after the procedure

• Avoid strenuous activity temporarily

• Avoid sexual intercourse, tampons and douching for about one to two weeks

• Take prescribed pain relief if needed

Most women find they can ease back into their normal activities within a few days. If you experience heavy bleeding, severe pain, fever, or any other concerning symptoms, reach out to your doctor straight away.

If you have concerns about your recovery or experience heavy bleeding, severe pain, or fever after your procedure, schedule an appointment with Thomson Medical immediately. Our doctors are here to support you and ensure your recovery stays on track.

FAQ

How long does a dilatation and curettage procedure take?

The procedure itself usually takes 10-20 minutes. However, you should expect to spend a few hours at the facility, as this includes time for preparation, anaesthesia, the procedure, and recovery monitoring before you're discharged.

Is dilatation and curettage painful?

No. The procedure is performed under anaesthesia, so you won't feel pain during it. Mild cramping afterwards is common but manageable with pain relief.

How long is the recovery period after dilatation and curettage?

Initial recovery usually takes a few days, during which you may experience mild cramping and light bleeding. Complete recovery often occurs within 1-2 weeks, and most women can return to their normal activities within a few days.

Can I get pregnant after having a dilatation and curettage?

Yes. Most women can conceive normally after a D&C, and the procedure doesn't usually affect future fertility. While rare complications like uterine scarring may affect your ability to conceive, this is uncommon. If you have concerns about fertility after the procedure, speak with your doctor.

What are the risks of dilatation and curettage?

D&C is generally safe. Possible risks include infection, heavy bleeding, and in rare cases, uterine perforation (a hole or tear in the wall of your uterus) or scar tissue formation. Your doctor will discuss these risks with you and take steps to make sure they're minimised.

Is dilatation and curettage covered by insurance in Singapore?

Coverage depends on your insurance plan and whether your doctor considers the procedure medically necessary. If you're a Singapore citizen, you may be able to use MediSave for eligible cases. Private insurance varies, so it's best to check with your insurer beforehand.

The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and advice based on your unique situation, please consult a specialist at Thomson Medical. Request an appointment with Thomson Medical today.