Changes in anti-müllerian hormone levels as a biomarker for ovarian reserve after ultrasound-guided high-intensity focused ultrasound treatment of adenomyosis and uterine fibroid

Lee JS, J. S. Lee, J-S Lee, G‐Y Hong, Hong GY, G-Y Hong, Kye Hwa Lee, Lee KH, K.-H. Lee, T‐E Kim, Kim TE, T-E Kim
BJOG: An International Journal of Obstetrics & Gynaecology · 2017 · vol. 124(S3) , pp. 18–22 · doi:10.1111/1471-0528.14739 · PMID:28856867 · W2751551492
Non-randomised trial OA: closed CC0 ⤵ 16 in-corpus citations
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Ultrasound-guided high-intensity focused ultrasound treatment for uterine fibroids and adenomyosis did not significantly alter anti-Müllerian hormone levels, indicating preserved ovarian reserve.

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Abstract

OBJECTIVE: To assess the changes in antimüllerian hormone (AMH) levels after ablation for symptomatic uterine fibroids and adenomyosis using ultrasound-guided high-intensity focused ultrasound (USgHIFU). DESIGN: A prospective study. SETTING: Gynaecological department in multiple hospitals in South Korea. POPULATION: Patients with uterus fibroids and adenomyosis. METHODS: Seventy-nine women with symptomatic uterine fibroids and adenomyosis who met the inclusion criteria were enrolled in our study between January 2014 and December 2014. All patients underwent USgHIFU ablations. Each patient was examined before and after treatment, and at 6 and 12 months after treatment by T2-weighted MRI imaging (T2WI) and T1-weighted MRI imaging (T1WI) with gadolinium injection. Symptom severity scores (SSS), Uterine Fibroid Symptom Quality of Life (UFS-QOL) questionnaire subscales, and reductions of treated volume were assessed. AMH levels before and 6 months after HIFU ablation were compared to determine whether USgHIFU ablation affected ovarian reserve. MAIN OUTCOME MEASURES: HIFU treatment did not affect the ovarian function. RESULTS: HIFU treatment time (mean ± standard deviation), HIFU ablation time, and treatment energy were 73.5 ± 25.6 minutes, 9994.7 ± 386.8 seconds, and 364 713.8 ± 156 350.7 Joules, respectively. AMH levels before and 6 months after HIFU ablation were 2.11 ± 2.66 and 1.84 ± 2.57 μg/l, respectively. There was no significant difference in AMH level between the two time points (P > 0.05). CONCLUSIONS: USgHIFU ablation for uterine fibroid and adenomyosis was effective without affecting ovarian reserve. TWEETABLE ABSTRACT: HIFU ablation is a safe and effective treatment for patients with uterine fibroids and adenomyosis that does not affect ovarian function.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Anti-Mullerian Hormone High-Intensity Focused Ultrasound Ablation Leiomyoma Uterine Neoplasms Adenomyosis Adenomyosis Adenomyosis Adenomyosis Adult Adult Anti-Mullerian Hormone Anti-Mullerian Hormone Biomarkers Biomarkers Biomarkers Female Female High-Intensity Focused Ultrasound Ablation High-Intensity Focused Ultrasound Ablation

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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