Use of laparoscopic cytoreductive surgery to treat infertile women with localized adenomyosis.
OBJECTIVE
We report on two infertile women with localized adenomyosis who had successful pregnancies after treatment with laparoscopic cytoreductive surgery.


METHODS
Case report.


METHODS
Tertiary care university hospital.


METHODS
Two infertile women with localized adenomyosis.


METHODS
Laparoscopic excision of adenomyotic lesion with/without subsequent hypoestrogenic agent was performed.


METHODS
Pregnancy.


RESULTS
Hypoestrogenic agent with danazol was administered 3 months immediately after surgery in one woman. Both women conceived spontaneously at 30 and 21 months after surgery, respectively. The pregnancies were uneventful, and healthy infants were delivered via cesarean section at term.


CONCLUSIONS
Laparoscopic cytoreductive surgery can be an alternative treatment to the use of hypoestrogenic agents or hysterectomy in women with localized adenomyosis, especially for those who want to maintain their fertility and achieve successful pregnancies. Patients may wait up to 21 months after surgery until a pregnancy occurs.
Wang
Chin-Jung
CJ
Department of Obstetrics and Gynecology, Division of Gynecologic Endoscopy, Chang Gung Memorial Hospital, Kwei-Shan Tao-Yuan, Taiwan.
Yuen
Leung-To
LT
Chang
Shuenn-Dyh
SD
Lee
Chyi-Long
CL
Soong
Yung-Kuei
YK
D000328:Adult; D003613:Danazol / Q000627:therapeutic use*; D004715:Endometriosis / Q000150:complications* / Q000601:surgery*; D004965:Estrogen Antagonists / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007247:Infertility, Female / Q000188:drug therapy / Q000209:etiology*; D010535:Laparoscopy; D008297:Male; D011182:Postoperative Care; D011247:Pregnancy; D016896:Treatment Outcome
D004965:Estrogen Antagonists; D003613:Danazol