Infertility / amenorrhoea (Asherman, tubal, APLS, endometriosis)
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Teaching point
Secondary amenorrhoea + infertility after D&C/miscarriage -> Asherman (hysteroscopy dx+tx). Bilateral tubal damage from PID/chlamydia -> IVF. Recurrent loss + antiphospholipid antibodies -> aspirin + LMWH. Dysmenorrhoea+dyspareunia+infertility -> endometriosis (TVUS then laparoscopy).
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