Which investigation is the gold standard for confirming the diagnosis and grading of severity of Asherman syndrome?
- A Transvaginal ultrasound
- B Hysteroscopy ✓
- C Hysterosalpingography (HSG)
- D MRI pelvis
Correct answer: B. Hysteroscopy
Explanation
Hysteroscopy is the gold standard for diagnosing and grading Asherman syndrome. It directly visualizes intrauterine adhesions, allows assessment of extent and type (filmy vs dense), and permits simultaneous treatment by adhesiolysis. HSG is a useful screening tool showing filling defects but cannot characterize adhesion nature or treat the condition. MRI and ultrasound have lower sensitivity for mild-to-moderate adhesions.
Reference: Shaw's Textbook of Gynaecology, 17th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.