title: The occurrence and outcome of 39 pregnancies after 1621 cases of transcervical resection of endometrium.
abstract: BACKGROUND
  To evaluate the outcomes and management of pregnancy after transcervical resection of the endometrium (TCRE).
  
  
  METHODS
  Retrospective study of 39 pregnancies after 1621 procedures of TCRE.
  
  
  RESULTS
  Among 1621 women who were successfully followed up after TCRE, there were 39 pregnancies in 32 women, including five ectopic pregnancies (12.8%) and 34 intrauterine pregnancies (87.2%). The majority of pregnancies (84.6%) occurred within the first 2 years. In the first year after TCRE, the incidence of pregnancy was 1.5%. In women who had amenorrhoea after TCRE, the chances of conception (2/676; 0.3%) were significantly (P < 0.001) lower than for those who continued to have period (30/945; 3.2%). Thirty-two cases with intrauterine pregnancy were terminated under ultrasound guidance with two difficult procedures. Only one pregnancy in our study resulted in spontaneous miscarriage which was managed by suction curettage. One term pregnancy had placenta increta resulting in Caesarean hysterectomy.
  
  
  CONCLUSIONS
  Pregnancies after TCRE are associated with increased risk, and clinicians should be aware of the various complications of pregnancy that may occur after TCRE, including an increased risk of ectopic pregnancy. Surgical termination of pregnancy after TCRE is potentially a difficult procedure and should be carried out under ultrasound guidance.
authors.affiliation: Hysteroscopic Center, Fuxing Hospital Affiliate of Capital University of Medical Sciences, Beijing, China. xiaenlan@public.bta.net.cn
authors.forename: Enlan
authors.initials: E
authors.lastname: Xia
authors.forename: Tin-Chiu
authors.initials: TC
authors.lastname: Li
authors.forename: Dan
authors.initials: D
authors.lastname: Yu
authors.forename: Xiaowu
authors.initials: X
authors.lastname: Huang
authors.forename: Jie
authors.initials: J
authors.lastname: Zheng
authors.forename: Yuhuan
authors.initials: Y
authors.lastname: Liu
authors.forename: Mei
authors.initials: M
authors.lastname: Zhang
mesh_terms: D004717:Endometrium / Q000601:surgery*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D016017:Odds Ratio; D011247:Pregnancy; D011256:Pregnancy Outcome; D018873:Pregnancy Rate; D012189:Retrospective Studies; D013997:Time Factors