Answer: Q5) A 28 years old patient complains of the amenorrhea for 2 years after D & C for postpartum bleeding. She stopped lactating 1 year back. The most likely diagnosis a) Lactational amenorrhoea b) Sheehans syndrome c) Premature ovarian failure d) Autoimmune disease e) Ashermans syndrome Correct Answer: e) Ashermans syndrome. It has a reported incidence of 25% of D&Cs performed 1–4 weeks post-partum, up to 30.9% of D&Cs performed for missed miscarriages and 6.4% of D&Cs performed for incomplete miscarriages. In another study, 40% of patients who underwent repeated D&C for retained products of conception after missed miscarriage or retained placenta developed AS.
Posted on: Wed, 18 Jun 2014 03:03:10 +0000