title: Spontaneous conception following GnRHa and progestogen therapy in adenomyosis.
abstract: Adenomyosis is a common gynaecological disorder that is associated with infertility and miscarriage. We report a case of adenomyosis presented with urinary retention and infertility. The patient successfully conceived spontaneously following GnRHa followed by progestogen therapy. This treatment option might provide a synergistic effect in improving fertility and pregnancy outcome for women with adenomyosis. This modality has no potential surgical risk; it minimises the long-term side effects of GnRHa and also provides luteal support.
authors.forename: Rima Anggrena
authors.initials: RA
authors.lastname: Dasrilsyah
authors.forename: Lim Pei
authors.identifier: http://orcid.org/0000-0002-1497-8398
authors.initials: LP
authors.lastname: Shan
authors.forename: Ng Beng
authors.initials: NB
authors.lastname: Kwang
authors.forename: Mohamad Nasir
authors.initials: MN
authors.lastname: Shafiee
authors.forename: Mohd Hashim
authors.initials: MH
authors.lastname: Omar
mesh_terms: D062788:Adenomyosis / Q000150:complications / Q000188:drug therapy*; D000328:Adult; D004357:Drug Synergism; D004394:Dydrogesterone / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D005306:Fertilization; D007987:Gonadotropin-Releasing Hormone / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000627:therapeutic use; D006801:Humans; D007247:Infertility, Female / Q000188:drug therapy* / Q000209:etiology; D011247:Pregnancy; D011372:Progestins / Q000008:administration & dosage / Q000627:therapeutic use*
chemical_list: D011372:Progestins; D007987:Gonadotropin-Releasing Hormone; C083781:LHRH, Ala(6)-Gly(10)-ethylamide-; D004394:Dydrogesterone