title: Successful pregnancy after myomectomy using preoperative adjuvant uterine artery embolization.
abstract: A 30-year-old-woman presented with uterine leiomyoma and primary sterility. Abdominal myomectomy was performed; however, one cervical leiomyoma was not resected because of a risk of excessive blood loss. Two years after the procedure, a secondary myomectomy using preoperative adjuvant uterine artery embolization (UAE) was performed because of pronounced menorrhagia and her hope for bearing children. The patient's dysmenorrhea disappeared postoperatively and she conceived spontaneously 3 years after the secondary myomectomy. This case suggests that myomectomy using preadjuvant UAE may be an another approach for the treatment of leiomyoma in patients who wish bear children in the future.
authors.affiliation: Department of Obstetrics and Gynecology, Tohoku University School of Medicine, Sendai 980-8574, Japan. nabe-akt@umin.ac.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nabeshima
authors.forename: Takashi
authors.initials: T
authors.lastname: Murakami
authors.forename: Yumi
authors.initials: Y
authors.lastname: Sato
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Terada
authors.forename: Nobuo
authors.initials: N
authors.lastname: Yaegashi
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Okamura
mesh_terms: D000328:Adult; D001158:Arteries / Q000601:surgery; D004621:Embolization, Therapeutic; D005260:Female; D005640:Follicle Stimulating Hormone / Q000627:therapeutic use; D007987:Gonadotropin-Releasing Hormone / Q000819:agonists; D006801:Humans; D007247:Infertility, Female / Q000175:diagnosis / Q000628:therapy; D007315:Insemination, Artificial; D010535:Laparoscopy; D007889:Leiomyoma / Q000601:surgery* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D008595:Menorrhagia / Q000175:diagnosis; D009215:Myometrium / Q000601:surgery; D011247:Pregnancy; D011256:Pregnancy Outcome; D014463:Ultrasonography; D014594:Uterine Neoplasms / Q000601:surgery* / Q000628:therapy; D014599:Uterus / Q000098:blood supply / Q000601:surgery
chemical_list: D007987:Gonadotropin-Releasing Hormone; D005640:Follicle Stimulating Hormone