Ashermann syndrome is secondary to –
**Asherman Syndrome**
**Core Concept**
Asherman syndrome is a rare condition characterized by the presence of intrauterine adhesions, which are bands of scar tissue that form in the uterus. This condition can lead to a range of symptoms, including menstrual irregularities, infertility, and recurrent miscarriage.
**Why the Correct Answer is Right**
Asherman syndrome is often secondary to uterine surgery, such as dilation and curettage (D&C), which can cause scarring in the uterus. This scarring can lead to the formation of adhesions, which can disrupt the normal functioning of the uterus. The adhesions can cause the uterine lining to be abnormally thin, leading to menstrual irregularities and infertility. In some cases, Asherman syndrome can also be caused by other uterine trauma, such as uterine perforation or infection.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not relevant to Asherman syndrome, which is primarily related to uterine surgery or trauma.
**Option B:** While uterine infection can cause scarring, it is not the most common cause of Asherman syndrome.
**Option C:** Uterine fibroids can cause menstrual irregularities, but they are not a direct cause of Asherman syndrome.
**Clinical Pearl / High-Yield Fact**
Asherman syndrome should be suspected in any patient with menstrual irregularities or recurrent miscarriage who has a history of uterine surgery or trauma.
**Correct Answer:** C. Uterine fibroids can cause menstrual irregularities, but they are not a direct cause of Asherman syndrome.