What are the risks of a dilation and curettage (D&C)?

While complications from D&C are rare, it is essential to be aware of the potential risks. One possible risk is perforation of the uterus, which occurs when a surgical instrument punctures the uterine wall. This is more common in women who have recently been pregnant or have gone through menopause. Most perforations heal on their own, but if damage occurs to a blood vessel or other organ, a follow-up procedure may be required. Another risk is damage to the cervix, which can cause bleeding. However, this can be managed by applying pressure, using medication, or stitching. Scar tissue on the uterine wall, known as Asherman’s syndrome, can rarely occur after a D&C, leading to abnormal menstrual cycles, future miscarriages, and infertility. Infection after a D&C is also possible but rare. It is crucial to seek medical attention if heavy bleeding, dizziness, fever, or prolonged pain occurs after the procedure.

• Uterine perforation (a small tear in your uterus), which may happen if the tip of the curette passes through your uterine wall.
• Uterine infection.
• Uterine bleeding.