Asherman syndrome is most commonly caused by which procedure?

• A Diagnostic hysteroscopy
• B Endometrial ablation for menorrhagia
• C Myomectomy for submucosal fibroids
• D Suction curettage for incomplete abortion or postpartum retained products ✓

Explanation

Asherman syndrome (intrauterine adhesions) is most commonly caused by suction or sharp curettage performed for retained products of conception, incomplete abortion, or postpartum hemorrhage — particularly when performed on a recently pregnant, vascular uterus. Intrauterine adhesions lead to hypomenorrhea, amenorrhea, recurrent pregnancy loss, and infertility. Endometrial ablation causes deliberate synechiae but is not the most common cause.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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