Why has the dilatation and curettage/hysteroscopy policy been split into two separate policies?
Dilatation and curettage and hysteroscopy are two different gynaelogical procedures. They are linked, as a hysteroscopy can be undertaken before dilatation takes place, but they remain separate procedures. Dilatation and curettage is a treatment which actually removes products from the uterus. Hysteroscopy is a procedure which uses a small camera to examine the uterus. Hysteroscopy can be used in cases of heavy menstrual bleeding (as a second line of investigation) whereas dilatation and curettage is not recommended for cases of heavy menstrual bleeding.
To avoid confusion and to fully clarify that they are different procedures recommended in different circumstances, it was felt that the procedures should be separated into different clinical policies.