First you will have a complete pelvic exam, and then the lining of your uterus will be scraped in the operating room in order to remove a sample of tissue. The tissue sample will be used to find out your exact diagnosis. Women who have previously undergone a dilation and curettage (D&C) before for this diagnosis will not have to undergo a second D&C. The Levonorgestrel IUD will then be placed in the clinic. During this surgery, to lower the risk of pain during the procedure, you will receive general anesthesia. The cervix area may also be numbed with anesthetic. You will be asked to sign a separate consent form for this surgical procedure, and the procedure and its risks will be explained to you in more detail at that time.