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Pregnancy after uterine artery embolization using Gelfoam™.
Katherine Jane C Chua1, Bruce McLucas2
1a Saint George's University School of Medicine , Grenada , West Indies.
Summary
Uterine artery embolization (UAE) effectively treated symptomatic fibroids, leading to significant uterine and fibroid volume reduction. This successful treatment allowed for a subsequent healthy twin pregnancy 15 months post-procedure.
Area of Science:
- Reproductive Medicine
- Interventional Radiology
- Gynecologic Surgery
Background:
- Uterine fibroids (myomas) are common benign tumors that can cause significant symptoms like menorrhagia and bulk issues.
- Uterine artery embolization (UAE) is a minimally invasive procedure used to treat symptomatic uterine fibroids.
- The impact of UAE on subsequent fertility and pregnancy outcomes remains an area of ongoing research.
Observation:
- A 38-year-old female with symptomatic myomas underwent UAE using Gelfoam™.
- The patient experienced substantial symptom relief and significant reduction in uterine and fibroid volume seven months post-procedure.
- The patient subsequently conceived and carried a twin pregnancy to term.
Findings:
- UAE resulted in a 43.9% reduction in uterine volume and a 74.5% reduction in the largest fibroid volume.
- Symptomatic relief from menorrhagia and bulk symptoms was achieved.
- A successful term delivery of healthy twin infants occurred 15 months after UAE.
Implications:
- UAE can be a viable treatment option for women with symptomatic fibroids who desire future fertility.
- Successful pregnancy following UAE suggests that uterine artery embolization may not significantly impair reproductive potential in all cases.
- Further research is warranted to establish definitive guidelines on UAE and pregnancy planning.
