Is the harm of D&C after natural miscarriage significant?

Patient's question:

Now, because of the previous multiple miscarriages, this one also naturally miscarried. Is the harm of a natural miscarriage and uterine clearance large?

Doctor's answer:

Hello, according to your description, natural miscarriage followed by uterine curettage and normal surgical induced abortion have the same impact on the endometrium. If you have had too many miscarriages, excessive scraping of the uterine cavity can cause the endometrium to become thin, affecting normal menstruation, and may lead to reduced menstrual flow, irregular periods. A too thin endometrium hinders the normal implantation of a fertilized egg, so even if you become pregnant, it is very easy to have another natural miscarriage.

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