In a few cases, it may not be clear whether an abnormal Pap Test or a woman's symptoms are caused by problems in the cervix or in the endometrium (the lining of the uterus).

In this situation, the doctor may do dilatation and curettage (D&C).

The doctor stretches the cervical opening and uses a curette to scrape tissue from the lining of the uterus as well as from the cervical canal.

Like conization, this procedure requires local or general anesthesia and may be done in the doctor's office or in the hospital.

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