Fertility, Pregnancy, and Clinical Outcomes after Uterine Arteriovenous Malformation Management

Journal of Minimally Invasive Gynecology
Sophie DelplanqueKrystel Nyangoh Timoh

Abstract

To evaluate fertility, pregnancy, and clinical outcomes after uterine arteriovenous malformation (UAVM) management. Single-center retrospective study (Canadian Task Force classification III). One referral center. Twenty-two patients with a UAVM diagnosed by magnetic resonance angiography or computed tomography angiography and managed by expectant management (EM) or uterine arterial embolization (UAE) during the study period were included. Nine of 22 patients underwent first-intention EM and 13 first-line UAE. Three of 9 EM patients (33.3%) required emergency second-intention UAE for nonresolution of the UAVM and severe genital bleeding. To analyze fertility according to management approach, we defined 2 groups: EM only group (n = 6) and UAE group (n = 16; women who underwent first- or second-intention UAE). Overall, the median age was 29 years (range, 17-43). The mean follow-up after UAVM management was 39 months (range, 1-116). The success rate of the UAE procedure was 87.5% (14/16). Eight of 12 women (66.7%) who wished to conceive became pregnant: 2 of 5 (33.3%) in the EM group and 6 of 7 (85.7%) in the UAE group (p = 1). Overall, 11 patients (50%) conceived: 3 in the EM group (50%) and 8 in the UAE group (50%) (p = .9). The ...Continue Reading

Citations

Dec 11, 2020·Journal of Gynecology Obstetrics and Human Reproduction·Alizé GilbertArthur David
Oct 16, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Danielle O'Rourke-SuchoffElizabeth A Stier
Jun 19, 2021·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Van Trung HoangThanh Thao Nguyen
Jul 14, 2021·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Azra ShivjiRajiv Shah
Aug 17, 2021·The Journal of Obstetrics and Gynaecology Research·Lei XuRan Huo

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