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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.
Dilation and Curettage (D&C) Introduction. The curettage procedure (D&C) involves dilating the uterine cervix so that the lining tissue (endometrium) of the uterus can be removed by scraping or suction. The D&C is a safe procedure that is done for a variety of reasons. It is minor surgery performed in a hospital or ambulatory surgery center or clinic. D&C is usually a diagnostic procedure and seldom is therapeutic. A D&C is often done as an adjunct procedure to a hysteroscopy and/or polypectomy.