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By accident during a d&c, the instrument may tear the uterus causing perforated uterus which is manifested by pain and heavy bleeding. A chance of infertility after d&c may emerge as a result of scraping the uterus with too much force that leads to the formation of thick scars in the uterus.
I have grade four endometriosis without any symptoms. I want to know how this will affect my fertility if I go through IVF. Would it affect my pregnancy? Answer. There is no doubt that endometriosis can cause infertility. About 10 to 15 per cent of patients at infertility clinics have endometriosis. Looking at it the other way round, between 30 and 40 per cent of women with endometriosis are infertile.