title: Transient ovarian failure: a complication of uterine artery embolization.
abstract: OBJECTIVE
  To report a case of transient ovarian failure shortly after arterial embolization for treatment of uterine fibroids, followed by recovery of ovarian function.
  
  
  METHODS
  Case report.
  
  
  METHODS
  A university-based hospital.
  
  
  METHODS
  A 49-year-old woman with menorrhagia and anemia secondary to uterine fibroids and refractory to medical management. The follicle-stimulating hormone (FSH) level on cycle day 3 before the procedure was 8.2 mIU/mL.
  
  
  METHODS
  Bilateral uterine artery embolization for treatment of menorrhagia.
  
  
  METHODS
  Serum FSH level.
  
  
  RESULTS
  The patient developed amenorrhea and hot flashes 3 months after uterine artery embolization. Her serum FSH level at that time was 140.1 mIU/mL. Four months later, uterine bleeding resumed; her serum FSH level was 2.1 mIU/mL.
  
  
  CONCLUSIONS
  Uterine artery embolization may hasten ovarian failure. This procedure should be reserved for women who have completed their child-bearing or are poor candidates for myomectomy. Patients should be counseled appropriately about the risk of possible ovarian failure.
authors.affiliation: Department of Reproductive Medicine, University of California, La Jolla, California, USA. pamato@bcm.tmc.edu
authors.forename: P
authors.initials: P
authors.lastname: Amato
authors.forename: A C
authors.initials: AC
authors.lastname: Roberts
mesh_terms: D000568:Amenorrhea; D001158:Arteries; D004621:Embolization, Therapeutic / Q000009:adverse effects*; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D019584:Hot Flashes; D006801:Humans; D007889:Leiomyoma / Q000628:therapy*; D008875:Middle Aged; D016649:Primary Ovarian Insufficiency / Q000209:etiology*; D014594:Uterine Neoplasms / Q000628:therapy*; D014599:Uterus / Q000098:blood supply*
chemical_list: D005640:Follicle Stimulating Hormone