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  5. What are the potential causes and alternative treatment options for persistent secondary amenorrhea and a failed progesterone challenge test following a D&C, particularly when ultrasound findings suggest cervical stenosis or intrauterine adhesions?

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What are the potential causes and alternative treatment options for persistent secondary amenorrhea and a failed progesterone challenge test following a D&C, particularly when ultrasound findings suggest cervical stenosis or intrauterine adhesions?

Asked by Female, 30 · 10 days ago

A failed progesterone test when adhesions or stenosis are suspected usually means there is physical scarring in the uterus or cervix blocking the flow, rather than a hormonal issue. This is a known, treatable complication of a D&C. The standard next step is a hysteroscopy, a minor procedure where a specialist uses a tiny camera to visualize and gently clear any scar tissue or blockages. Afterward, temporary hormonal therapy with estrogen followed by progesterone is often used to help your uterine lining heal and regrow. Please consult your gynecologist.
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What are the potential causes and alternative treatment options for persistent secondary amenorrhea and a failed progesterone challenge test following a D&C, particularly when ultrasound findings suggest cervical stenosis or intrauterine adhesions?

Answered 10 days ago

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