A young female presents with the history of spontaneous abortions and secondary amenorrhea since then. FSH 6 ILI/mL. What is the most probably cause of amenorrhea?
Correct Answer: Uterine synechiae
Description: Ans. D. Uterine synechiaeFSH within normal limit rules out other options. Recurrent spontaneous abortions supports the answer.Asherman Syndrome* Intrauterine synechiae is also known as Asherman syndrome.* This condition occurs due to vigorous uterine curettage in early pregnancy which may lead to scarring that interferes with normal endometrial growth and shedding.* Asherman syndrome is classified as mild, moderate, or severe depending upon the degree and extent of adhesion.* The patients present with secondary amenorrhea, hypomenorrhea, and infertility or habitual abortions.* Hysteroscopy confirms uterine synechiae, type (flimsy or fibrous) and extent of adhesions.Treatment: Reformation of adhesions is prevented by insertion of IUCD for 3 months and giving estrogen cyclically (21 days) for 3 months to developendometrium.
Category:
Gynaecology & Obstetrics
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