What are the effects on the body of the Qing court not using anesthesia?

Patient's question:

Doctor, I had a D&C procedure around December 2004! Initially, the doctor recommended medication abortion, but it failed, so the doctor then performed the D&C for me. At the time, the doctor didn't give me any anesthesia, so I experienced severe pain. Could you please tell me if not having anesthesia during the D&C has any negative effects on the body? Also, my libido has dropped significantly since then, and I haven't had any sexual desire for the past year... Why is that? Thank you for your answer!
First follow-up question: Is there any way to remedy this? Could you please prescribe a Chinese herbal formula for my condition? Thank you!
Second follow-up question:
(Note: The original text contains "" which means "carriage return/line break" and should remain untranslated as per the instructions.)

Doctor's answer:

The best way without anesthesia in the imperial palace is like this: your excessive pain will be felt by the doctor, and the depth of the D&C will be more reasonable, avoiding injury to the endometrium. It will be painful, but the damage will be minimal. If anesthesia is used, it won't be painful, but the possibility of uterine injury may be higher. With the advancement of science and technology, there is now a painless D&C procedure. Painless D&C surgery uses intravenous anesthesia. For a D&C surgery, it is necessary to go to a regular, professional hospital. Because painless D&C surgery requires a high level of expertise, excessive force may scratch through the uterus. Therefore, please make sure to go to a regular hospital.

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