Magnetic resonance-guided focused ultrasound surgery for leiomyoma-associated infertility
Esther V A Bouwsma1, Krzysztof R Gorny, Gina K Hesley
1Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology, Mayo Clinic, Rochester, Minnesota, USA.
Objective:
To describe magnetic resonance-guided focused ultrasound surgery (FUS) as a treatment for a case of leiomyoma-associated infertility.
Design:
Case report from a randomized clinical trial.
Setting:
Academic medical center.
Patient(S):
A 37-year-old woman with known leiomyomas and a history of 18 months of home-inseminations from a known donor.
Intervention(S):
Magnetic resonance-guided FUS treatment of uterine fibroids, where the dominant fibroid distorted the uterine cavity.
Main Outcome Measure(S):
Pregnancy.
Result(S):
A viable intrauterine pregnancy, with a full-term vaginal delivery, was conceived after a single clomiphene citrate and intrauterine insemination cycle.
Conclusion(S):
The role of FUS for enhancement of fertility in women with nonhysteroscopically resectable uterine fibroids distorting the uterine cavity should be investigated further.
