A pregnancy after planned partial endometrial resection.
A 28-week pregnancy is reported after a planned partial endometrial resection in an infertile patient. The fetus died 32 hours after birth because of prematurity consequent to premature membrane rupture and premature labour. A partial placenta accreta was dealt with at Caesarean section. Complete endometrial resection may not be required to cure menorrhagia. It may be possible to control menorrhagia by targeting specific areas of endometrium associated with menorrhagia. Fertility may be retained by leaving the fundal and peritubal endometrium. The increased risks of pregnancy complications following endometrial resection suggest that more information is required to design endometrial resection so as to both cure menorrhagia and to sustain successful pregnancy.
Wood
C
C
Department of Obstetrics and Gynaecology, Monash University, Victoria, Australia.
Rogers
P
P
D000328:Adult; D002585:Cesarean Section; D004564:Electrocoagulation; D004717:Endometrium / Q000601:surgery*; D005260:Female; D005298:Fertility; D005322:Premature Rupture of Fetal Membranes / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology; D018231:Leiomyomatosis / Q000150:complications / Q000601:surgery*; D008595:Menorrhagia / Q000209:etiology / Q000601:surgery*; D007752:Obstetric Labor, Premature / Q000209:etiology; D011247:Pregnancy; D011256:Pregnancy Outcome; D014594:Uterine Neoplasms / Q000150:complications / Q000601:surgery*