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Published in: Gynecological Surgery 4/2010

01-11-2010 | Communication

Fertility and pregnancy outcomes following uterine artery embolization (UAE) for uterine arteriovenous malformation (AVM)

Authors: Angelos G. Vilos, George A. Vilos, Barbara de Vrijer, Roman Kozak, Basim Abu-Rafea

Published in: Gynecological Surgery | Issue 4/2010

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Abstract

A 19-year-old patient presented with intractable uterine bleeding, 11 weeks post-abortion. A pelvic ultrasound with Doppler and color imaging suggested a uterine arteriovenous malformation. Failing conservative therapies, the patient consented to uterine artery embolization (UAE). Two months later, she conceived and had an uneventful normal vaginal delivery at term. Since this is an extremely rare condition, allowing limited clinical exposure and experience, there may be an underlying reluctance by general practitioners to treat these cases with uterine artery embolization for fear of compromising future fertility and pregnancies. However, data from the 20 pregnancies embolized for uterine AVM cited in the present report and data from embolization for uterine fibroids indicate that such fears may be unfounded since pregnancy rates and outcomes may not be compromised after UAE.
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Metadata
Title
Fertility and pregnancy outcomes following uterine artery embolization (UAE) for uterine arteriovenous malformation (AVM)
Authors
Angelos G. Vilos
George A. Vilos
Barbara de Vrijer
Roman Kozak
Basim Abu-Rafea
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
Gynecological Surgery / Issue 4/2010
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI
https://doi.org/10.1007/s10397-009-0503-5

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