Perform a pelvic examination. Determine the size and position of the uterus. Check for masses or structural abnormalities, cervical stenosis, or signs of infection. A cervical or pericervical block also may be used. Anesthesia may be applied anytime during the procedure.
Some physicians prefer to apply tenaculum and give slight traction toward the operator.
Both of these operations are optional. If strong resistance is encountered, abort the procedure. Forcing the curette may result in uterine perforation. Note depth of penetration. It is often helpful to brace the inserting hand on the patients leg or perineum.