Which of these is seen in Asherman syndrome?
(A) Oligomenorrhea (B) Hypomenorrhea (C) Metromenorrhagia (D) Polymenorrhea
(B) Ans: B. Hypomenorrhea(Ref: Shaw's 16/e p250; Novaks 13/e p351)Hypomenorrhea:Seen in Asherman syndromeAsherman's syndrome:More common with secondary amenorrhea or hypomenorrhea.Causes:In patients with risk factors for endometrial or cervical scarring (history of uterine or cervical surgery), infections related to IUD use & severe pelvic inflammatory disease.Found in 39% patients undergoing hysterosalpingography with previous postpaum curettage.Rare cause: Infections (tuberculosis & schistosomiasis).