Uterine perforation is a potential complication of any intrauterine procedure.

• It may be associated with injury to surrounding blood vessels or viscera e.g. bladder or intestine

• If not Dx at the time of the procedure, it can occasionally result in massive hemorrhage or sepsis
• However, the majority of uterine perforations are sub-clinical and safely resolve by themselves without Tx and don't cause any significant long-term damage

• Cervical stenosis during trans-cervical procedures
• Decreased strength of the myometrial walls as in pregnancy or menopause