Successful pregnancy outcome in refractory adenomyosis treated with two sessions of uterine artery embolization: A case report and brief review

Vidushi Kulshrestha, Yadav R, Ritu Yadav, Sundeep Malla, Malla S, Shivanand Gamanagatti, Gamanagatti S, Neerja Bhatla, Bhatla N
Journal of gynecology obstetrics and human reproduction · 2021 · vol. 50(7) , pp. 102132 · doi:10.1016/j.jogoh.2021.102132 · PMID:33775917 · W3151099793
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This case report describes successful pregnancy in a patient with refractory adenomyosis following two uterine artery embolization procedures.

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Abstract

IntroductionAdenomyosis associated abnormal uterine bleeding (AUB-A) often remains non-responsive to medical management. Uterine sparing treatment in young patients presenting with refractory AUB-A poses a challenge.Case reportA 28-years-old woman presenting with AUB-A with failed medical therapy did not improve with uterine artery embolization (UAE). She underwent a second session of UAE with smaller embolic particles to which she responded. The reported case is interesting as patient conceived spontaneously despite transiently diminished post-UAE ovarian reserves, indicating spontaneous recovery of ovarian function.ConclusionUAE is a promising option for young patients, though UAE for adenomyosis may require smaller embolic particles to be effective which may diminish ovarian reserves due to non-target effects, however recovery is possible in young patients..

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Uterine Artery Uterine Artery Embolization Adenomyosis Adenomyosis Adult Female Humans Pregnancy Pregnancy Outcome Pregnancy Outcome Treatment Outcome Uterine Artery Uterine Artery Embolization

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.

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