Rosh Women's Health End of Rotation (EOR) Practice Exam

Postpartum hemorrhage, which is excessive bleeding following childbirth, can lead to several significant long-term complications. Among these, Asherman syndrome and Sheehan syndrome are recognized as notable conditions that may arise following severe postpartum hemorrhage.

Asherman syndrome occurs when scar tissue forms in the uterus, often as a result of trauma (such as from surgical intervention to control bleeding) or infection following childbirth. This scarring can lead to a range of complications, including abnormal menstrual bleeding, reduced fertility, and pregnancy complications.

Sheehan syndrome, on the other hand, is a type of pituitary gland failure that happens due to severe blood loss during or after delivery. In this condition, the pituitary gland is damaged because it does not receive enough blood supply, leading to various hormonal deficiencies. This can result in symptoms such as difficulties in breastfeeding due to decreased prolactin production, fatigue, and other endocrine disturbances.

Given these explanations, it becomes clear why Asherman syndrome and Sheehan syndrome are significant long-term complications of postpartum hemorrhage, making the selected choice the most accurate.