Incomplete Miscarriage At 11 in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11235
SMLE Question #11235
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 32-year-old G3P0020 undergoes dilation and curettage for an incomplete miscarriage at 11 weeks’ gestation. The procedure is complicated by brisk uterine bleeding requiring repeated curettage to control bleeding. Six months later, she has had no menses since the procedure but reports cyclical breast tenderness and mild monthly pelvic discomfort. Urine pregnancy test is negative. A progestin challenge test does not induce withdrawal bleeding. Which specific layer of the endometrium was most likely damaged during the curettage?
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