Repeated curettage leads to –
**Core Concept**
Repeated curettage refers to the process of scraping or scooping out the lining of the uterus using a curette, which is a medical instrument. This procedure is often used to remove tissue or debris from the uterus, but when performed repeatedly, it can lead to damage to the uterine lining and surrounding tissues.
**Why the Correct Answer is Right**
Repeated curettage can cause a condition known as Asherman's syndrome, which is characterized by the formation of adhesions or scar tissue within the uterus. This occurs due to the repeated trauma to the uterine lining, leading to the deposition of fibrin and subsequent scarring. The adhesions can cause symptoms such as menstrual irregularities, infertility, and recurrent miscarriages.
**Why Each Wrong Option is Incorrect**
* **Option A:** This option is not provided.
* **Option B:** While repeated curettage can lead to infection or bleeding, it is not the primary consequence of this procedure.
* **Option C:** Uterine atony is a condition characterized by the failure of the uterus to contract after delivery, which is not directly related to repeated curettage.
**Clinical Pearl / High-Yield Fact**
Asherman's syndrome is often associated with a history of repeated uterine surgeries, including curettage, and can be diagnosed using ultrasound or hysteroscopy.
**Correct Answer:** B. Endometrial atrophy.