A pt with dyssynchronous endometrial glands and stroma of an

Discussion in 'Question Zone' started by Guest, May 8, 2010.

  1. Guest

    Guest Guest

    A 20-year-old woman has had irregular menstrual bleeding for the past 6 months. On physical examination there are no abnormal findings. Laboratory studies show a negative pregnancy test. A D&C is performed and microscopic examination shows dyssynchronous endometrial glands and stroma of anovulatory cycles. Following the procedure she ceases to have menstrual bleeding. Which of the following is the most likely diagnosis?

    A Endometriosis
    B Asherman syndrome
    C Prolactinoma
    D Ovarian failure
    E Oral contraceptive use
  2. Guest

    Guest Guest

    Ans: B
    This is a very rare complication of a D&C procedure in which endometrium, including the stratum basalis, is removed.

    (A) Incorrect. Endometriosis is best known as a cause for pelvic pain, though it may cause irregular menstrual cycles. It is unlikely to cause amenorrhea.
    (C) Incorrect. Elevated prolactin levels can produce amenorrhea along with galactorrhea. The onset is not related to a D&C procedure.
    (D) Incorrect. Ovarian failure is unlikely to have a relationship to a D&C.
    (E) Incorrect. Oral contraceptives produce more regular cycles.

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