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This is a summary of the NHS Devon CCG commissioning policy for the provision of dilatation and curettage for heavy menstrual bleeding in women.
Dilatation and curettage (D&C) is not routinely commissioned in Devon for diagnosis or treatment for heavy menstrual bleeding in women.
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) can be used to treat heavy periods.
Policy position adopted from NHS England Evidence-Based Interventions Guidance for CCGs, 28 November 2018
Date of publication: 8th March 2019