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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.
Ectopic pregnancy. If someone who has had PID does get pregnant, scarring of the fallopian tubes may cause the fertilized egg to implant in one of the fallopian tubes rather than in the uterus. The fetus would then begin to develop in the tube, where there is no room for it to keep growing.