A patient with spontaneous aboion came with history of amenorrhea and her FSH is 6 IU/mL, Diagnosis is
Asherman&;s Syndrome Results from intrauterine adhesions that obstruct or obliterate the uterine cavity, as a consequence of trauma There is a formation of adhesion following post aboal and puerperal curettage and diagnostic curettage in AUB Menstrual abnormalities include dysmenorrhea, hypomenorrhea, oligomenorrhea and amenorrhea May present with Infeilty and Recurrent Pregnnacy Loss Combined Estrogen and Progesterone challenge test will be negative Hysterosalpingography shows honeycomb appearance Operative hysteroscopy is the primary method for treatment of intrauterine adhesions that may be lysed by scissors, electrodissection, or with a laser Reference: Clinical Endocrinologic Gynecology and Infeility; Eigth Edition; Chapter 11
Ovarian failure
Uterine Synechiae
Pregnancy
Pituitary failure
Disorders of menstruation