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Question

During infertility assessment, a female is diagnosed with Asherman's syndrome. What is the primary mechanism by which this condition causes infertility?

The correct answer is

Intrauterine adhesions preventing implantation

Asherman’s syndrome is the formation of intrauterine adhesions (synechiae) after trauma to the basal layer of the endometrium, commonly from vigorous curettage (D&C) or infection.

The scarred, adherent endometrium cannot support implantation of the embryo, leading to infertility, recurrent pregnancy loss and hypomenorrhoea or amenorrhoea.

Ovulation, hormone levels, cervical mucus and the fallopian tubes are usually normal in this condition.

Hence, Intrauterine adhesions preventing implantation.

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Important Questions from Midwifery and Obstetrical Nursing

  1. A 29-year-old woman presents with primary infertility and regular cycles. Her hysterosalpingography reveals bilateral tubal blockage. Which investigation should be prioritized next for management?

  2. Which hormone fluctuation is primarily linked to premenstrual syndrome symptoms?

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  5. Effective maternal–infant bonding in the immediate postnatal period primarily helps the mother to achieve which of the following?

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