Suction Curettage: Understanding the Procedure & Applications

Suction Curettage (Vacuum Aspiration): Procedure and Uses

Suction curettage is a minimally invasive uterine procedure using a thin cannula inserted through the cervix, connected to a vacuum source that gently evacuates uterine contents.

Clinical Applications

• First-trimester abortion (up to 14–16 weeks)
• Incomplete miscarriage management (retained products of conception)
• Endometrial biopsy (diagnostic sampling for abnormal bleeding)
• Postpartum hemorrhage (retained placental fragments)

Advantages Over Sharp Curettage

• Lower infection risk
• Shorter procedure time (5–10 minutes)
• Less cervical trauma; often no dilation needed
• Faster recovery; preserves fertility
• Can be performed under local anesthesia or conscious sedation in an office setting

Considerations

Requires a trained provider. Contraindicated in confirmed or suspected ectopic pregnancy, acute pelvic infection, or bleeding disorders. Follow-up ensures complete evacuation.