Fertility outcomes following pelvic embolization in women with acquired uterine arteriovenous malformation.
Taiwan J Obstet Gynecol
; 56(6): 831-835, 2017 Dec.
Article
in En
| MEDLINE
| ID: mdl-29241929
ABSTRACT
OBJECTIVE:
Acquired uterine arteriovenous malformation (UAVM) is a rare, life-threatening disease. Angiography with uterine arterial embolization (UAE) is the diagnostic tool and a choice of fertility-sparing treatment. Here, we present a series of five successful pregnancies after embolization of UAVM. CASE REPORTS Three reproductive aged women were treated for UAVM, resulting in five successful pregnancies. Their past history suggested that three cases had had previous uterine procedures, including second trimester abortion and elective dilatation and curettage. Intermittent heavy vaginal bleeding was the primary symptom of UAVM. One patient with anemia had two ineffective embolizations and achieved a singleton pregnancy after the third embolization. However, intrauterine fetal demise with severe fetal growth retardation was noted on the 28th gestation week. The other two women had temporary ovulation disorder after UAE. After Clomiphene Citrate (CC) treatment, successful pregnancies were achieved and carried to term uneventfully.CONCLUSION:
UAE is an acceptable method for preserving fertility and treatment in women with symptomatic UAVMs.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Arteriovenous Malformations
/
Uterine Artery Embolization
/
Uterine Artery
/
Fertility Preservation
Limits:
Adult
/
Female
/
Humans
/
Pregnancy
Language:
En
Journal:
Taiwan J Obstet Gynecol
Journal subject:
GINECOLOGIA
/
OBSTETRICIA
Year:
2017
Document type:
Article
Affiliation country:
Taiwan