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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.
Chlamydia infection is a major cause of infertility, not only in women, but in men as well. Women are subject to pelvic inflammatory disease (PID), and ectopic pregnancy. 40% of women with chlamydia will develop PID and of that 40%, 20% will become infertile and 9% will have a potentially fatal ectopic pregnancy.