Top

Published in:

01-07-2009 | Case Report

Successful pregnancy after gonadotropin-releasing hormone analogue and hysteroscopic myomectomy in a woman with diffuse uterine leiomyomatosis

Authors: Yoshihiko Shimizu, Hiroko Yomo, Nobuyuki Kita, Kentaro Takahashi

Published in: Archives of Gynecology and Obstetrics | Issue 1/2009

Abstract

We report a patient with diffuse uterine leiomyomatosis, who wished to become pregnant. We performed hysteroscopic myomectomy after treatment with nafarelin acetate for 6 months. The patient conceived spontaneously soon after hysteroscopic myomectomy, and delivered a 2,798-g healthy baby.

Fedele L, Bianchi S, Zanconato G, Carinelli S, Berlanda N (2004) Conservative treatment of diffuse uterine leiomyomatosis. Fertil Steril 82:450–453. doi:10.1016/j.fertnstert.2004.01.029 PubMedCrossRef

Yen CF, Lee CL, Wang CJ, Soong YK, Arici A (2007) Successful pregnancies in women with diffuse uterine leiomyomatosis after hysteroscopic management. Fertil Steril 88:1667–1673. doi:10.1016/j.fertnstert.2007.01.100 PubMedCrossRef

Lapan B, Solomon L (1979) Diffuse leiomyomatosis of the uterus precluding myomectomy. Obstet Gynecol 53(3 Suppl):82S–84SPubMed

Grignon DJ, Carey MR, Kirk ME, Robinson ML (1987) Diffuse uterine leiomyomatosis: a case study with pregnancy complicated by intrapartum hemorrhage. Obstet Gynecol 69:477–480PubMed

Nappi C, Di Spiezio Sardo A, Greco E, Guida M, Bettocchi S, Bifulco G (2007) Prevention of adhesions in gynaecological endoscopy. Hum Reprod Update 13:379–394. doi:10.1093/humupd/dml061 PubMedCrossRef

Chuang J, Tsai HW, Hwang JL (2001) Fetal compression syndrome caused by myoma in pregnancy: a case report. Acta Obstet Gynecol Scand 80:472–473. doi:10.1034/j.1600-0412.2001.080005472.x PubMedCrossRef

Baschinsky DY, Isa A, Niemann TH, Prior TW, Lucas JG, Frankel WL (2000) Diffuse leiomyomatosis of the uterus: a case report with clonality analysis. Hum Pathol 31:1429–1432. doi:10.1053/hupa.2000.19435 PubMedCrossRef

Pritts EA (2001) Fibroids and infertility: a systematic review of the evidence. Obstet Gynecol Surv 56:483–491. doi:10.1097/00006254-200108000-00022 PubMedCrossRef

Oliveira FG, Abdelmassih VG, Diamond MP, Dozortsev D, Melo NR, Abdelmassih R (2004) Impact of subserosal and intramural uterine fibroids that do not distort the endometrial cavity on the outcome of in vitro fertilization-intracytoplasmic sperm injection. Fertil Steril 81:582–587. doi:10.1016/j.fertnstert.2003.08.034 PubMedCrossRef

10.

Di Spiezio Sardo A, Mazzon I, Bramante S, Bettocchi S, Bifulco G, Guida M, Nappi C (2008) Hysteroscopic myomectomy: a comprehensive review of surgical techniques. Hum Reprod Update 14:101–119. doi:10.1093/humupd/dmm041 PubMedCrossRef

11.

Qidwai GI, Caughey AB, Jacoby AF (2006) Obstetric outcomes in women with sonographically identified uterine leiomyomata. Obstet Gynecol 107:376–382PubMed

Title: Successful pregnancy after gonadotropin-releasing hormone analogue and hysteroscopic myomectomy in a woman with diffuse uterine leiomyomatosis
Authors: Yoshihiko Shimizu
Hiroko Yomo
Nobuyuki Kita
Kentaro Takahashi
Publication date: 01-07-2009
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 1/2009
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-008-0864-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Successful pregnancy after gonadotropin-releasing hormone analogue and hysteroscopic myomectomy in a woman with diffuse uterine leiomyomatosis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2009

The effects of betamethasone treatment on clinical and laboratory features of pregnant women with HELLP syndrome

Primary ovarian carcinoid tumor with luteinized stromal cells

Ovarian cancer and late onset paraneoplastic cerebellar degeneration

Prognosticators and the role of lymphadenectomy in uterine leiomyosarcomas

Abnormal menstruation in malaria: a short review

When should we perform prophylactic antibiotics in elective cesarean cases?