A 28-year-old woman is diagnosed with Asherman syndrome (intrauterine adhesions) following a post-abortal curettage, presenting with secondary amenorrhea and infertility. Which investigation is the gold standard for diagnosis and simultaneous treatment?

• A Hysterosalpingography
• B Saline infusion sonography
• C MRI pelvis
• D Hysteroscopy with adhesiolysis ✓

Explanation

Hysteroscopy is the gold standard for diagnosing and treating Asherman syndrome, allowing direct visualization of adhesions and simultaneous hysteroscopic adhesiolysis under vision. HSG and SIS can suggest adhesions but cannot treat them and have limited sensitivity. MRI is not indicated for intrauterine adhesions. Adhesiolysis is followed by estrogen therapy and an intrauterine balloon to prevent re-adhesion.

Reference: Shaw's Textbook of Gynaecology, 17th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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