[Pregnancy outcomes and symptom improvement of patients with adenomyosis treated with high intensity focused ultrasound ablation]
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High-intensity focused ultrasound ablation effectively improves adenomyosis symptoms and may enhance pregnancy outcomes, though further research is required.
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Abstract
Objective: To investigate the symptom improvement and pregnancy outcomes of patients with adenomyosis after treatment with high intensity focused ultrasound (HIFU) ablation. Methods: From October 2010 to October 2015, 68 patients with adenomyosis who wish to get pregnancies were treated with HIFU ablation in Suining Central Hospital. Among these patients, 56 presented with dysmenorrhea, 11 presented with menorrhagia, and 1 patient complained both; 41 of them had histories of abnormal pregnancy. The clinical data were analyzed retrospectively. Results: Fifty-four patients got pregnancy at the median of 10 months(range:1 to 31 months) after HIFU ablation, and 21 of them had delivered healthy babies. No uterine rupture occurred during gestation or delivery, and the newborn babies were healthy. Dysmenorrhea and menorrhagia in the patients who had pregnancies after HIFU ablation treatment were significantly relieved. The average menstruation volume score before and 1, 3, 6-month post-HIFU were 2.6±1.7, 1.7±0.8, 1.4±0.6, 1.3±0.6, respectively (P<0.05). The menstruation pain score before and 1, 3, 6-month after HIFU were 1.4±0.9, 0.9±0.7, 0.6±0.5, and 0.9±0.7, respectively (P<0.05). The volume of the adenomyotic lesions before and after HIFU at 1, 3, 6 month were (34±23), (23±15), (20±17), (20±12) cm3 (P<0.05). Although the spontaneous abortion rate was decreased after HIFU ablation treatment, there was no significant difference between the preoperative and postoperative [43% (23/54) versus 37% (20/54), P>0.05]. However, 20 of the 54 patients had spontaneous abortion, compared with 21 patients who had delivered babies, there were no significant statistical difference in terms of age, duration of disease, lesion size, non-perfused volume ratio, as well as the symptom scores before and after HIFU ablation treatment. Conclusions: HIFU ablation treatment is effective in improving symptoms of patients with adenomyosis. Based on our results, HIFU ablation treatment maybe also help to improve the pregnancy outcomes of patients with adenomyosis, but further studies are needed.
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Cited by (21)
- Characteristics of adenomyosis in secondary infertility patients on MRI and factors associated with fertility recovery after HIFU 2025
- Effect of pelvic adhesions on reproductive outcomes following high-intensity focused ultrasound in patients with adenomyosis 2025
- Strategies to Improve Assisted Reproductive Technique Outcomes in Women with Adenomyosis: A Narrative Review 2025
- Systematic review and meta-analysis of reproductive outcomes after high-intensity focused ultrasound (HIFU) treatment of adenomyosis 2023
- Uterine rupture after high-intensity focused ultrasound ablation of adenomyosis: a case report and literature review 2023
- High Intensity Focused Ultrasound Ablation for Juvenile Cystic Adenomyosis: Two Case Reports and Literature Review 2023
- Factors influencing treatment decisions in HIFU treatment of adenomyosis: A retrospective study 2022
- Impact of Adenomyosis on Infertile Patients-Therapy Options and Reproductive Outcomes 2022
- Adenomyosis and HIFU Ablation 2021
- Microbubble contrast agent SonoVue combined with oxytocin improves the efficiency of high-intensity focused ultrasound ablation for adenomyosis 2021
- Adenomyosis and Infertility-Review of Medical and Surgical Approaches 2021
- Fertility and Pregnancy After HIFU Ablation 2021
- Current and Prospective Treatment of Adenomyosis 2021
- Adénomyose 2020
- A comparison of reproductive outcomes of patients with adenomyosis and infertility treated with High-Intensity focused ultrasound and laparoscopic excision 2020
- Uterine polyps, adenomyosis, leiomyomas, and endometrial receptivity 2019
- Clinical Usefulness of the Microbubble Contrast Agent SonoVue in Enhancing the Effects of High-Intensity Focused Ultrasound for the Treatment of Adenomyosis 2018
- Re: Pregnancy outcomes in patients with uterine fibroids treated with ultrasound-guided high-intensity focused ultrasound: Is the noninvasive nature of HIFU ablation for uterine fibroids and adenomyosis setting patients up for future operative delivery? 2018
- New paradigms in the conservative surgical and interventional management of adenomyosis 2017
- High intensity focused ultrasound for the treatment of adenomyosis: selection criteria, efficacy, safety and fertility 2017
- High-intensity focused ultrasound therapy 2017
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