Asherman syndrome is most commonly caused by which procedure, and what is the confirmatory diagnostic investigation of choice?

• A Myomectomy; confirmed by pelvic MRI
• B Curettage after septic abortion; confirmed by transvaginal ultrasound alone
• C Curettage after postpartum hemorrhage; confirmed by hysterosalpingography (HSG) ✓
• D Endometrial biopsy; confirmed by hysteroscopy

Explanation

Asherman syndrome (intrauterine adhesions/synechiae) most commonly follows curettage performed for postpartum hemorrhage, retained products of conception, or incomplete abortion — particularly when the endometrium is pregnant or recently pregnant (higher susceptibility to adhesion formation). Overly aggressive curettage in the puerperal period is the highest-risk scenario. While hysteroscopy is the gold standard confirmatory test (and therapeutic), HSG is the standard first-line investigation showing filling defects representing adhesions, and it is the most commonly examined 'confirmatory investigation' in NEET-PG context.

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

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.