Severe endometriosis in a young woman with unexpected end-organ failure

Natasha Waters, Andrew Kent, Timothy Rockall, Fuad Hussain
In: Challenging Concepts in Obstetrics and Gynaecology · 2015 · pp. 15–30 · doi:10.1093/med/9780199654994.003.0002 · W2483427902
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report details the management of heavy menstrual bleeding in a 41-year-old woman with a fibroid uterus and prior cesarean sections, highlighting treatment challenges related to fertility preservation and repeated surgery.

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Abstract

Abstract Clinicians are increasingly faced with women who delay pregnancy until later in life, a significant proportion of whom seek treatment for severe heavy menstrual bleeding. This case describes a case of heavy menstrual bleeding in a 41-year-old women with a fibroid uterus who initially wishes to preserve her fertility. It describes the progressive treatment ladder for symptomatic uterine fibroids suggested by the clinician as in cases where symptoms fail to respond to initial therapy or recur after a period of time. In particular, the challenge of counselling for uterine artery embolization with respect to fertility, as well as risks of repeated surgery in a woman with previous intra-abdominal surgery (in this case, 3 previous caesarean sections) is highlighted.

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Condition tags

endometriosis

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (30)

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last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK