Pregnancy following GnRH agonist therapy of uterine leiomyoma obstructing a single fallopian tube.
Several studies have shown that gonadotrophin-releasing hormone analogue (GnRHa) offers a promising medical approach in the treatment of uterine leiomyomas. Medical management is very important especially when fertility is desired. We report on a case with mechanical infertility, in which the right tube was obstructed by cornual myoma and the left tube was resected due to a ruptured ectopic pregnancy. The myoma was reduced in size by GnRHa treatment and the patient subsequently conceived.
Ben-Ami
M
M
Department of Obstetrics and Gynaecology, Central Emek Hospital, Afula, Israel.
Battino
S
S
Shalev
E
E
D000328:Adult; D006063:Chorionic Gonadotropin / Q000627:therapeutic use; D005187:Fallopian Tubes / Q000473:pathology*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000188:drug therapy* / Q000473:pathology; D008596:Menotropins / Q000627:therapeutic use; D011247:Pregnancy; D017329:Triptorelin Pamoate / Q000627:therapeutic use*; D016216:Ultrasonography, Prenatal; D014594:Uterine Neoplasms / Q000188:drug therapy* / Q000473:pathology
D006063:Chorionic Gonadotropin; D017329:Triptorelin Pamoate; D008596:Menotropins