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A pregnancy after planned partial endometrial resection

C Wood1, P Rogers

  • 1Department of Obstetrics and Gynaecology, Monash University, Victoria, Australia.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|August 1, 1993
PubMed
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A partial endometrial resection for menorrhagia resulted in a complicated pregnancy and preterm birth. Preserving specific uterine areas may allow fertility while treating heavy bleeding.

Area of Science:

  • Reproductive Medicine
  • Gynecologic Surgery

Background:

  • Endometrial resection is a surgical treatment for menorrhagia (heavy menstrual bleeding).
  • The procedure involves removing the uterine lining (endometrium).
  • Concerns exist regarding the impact of endometrial resection on future fertility and pregnancy outcomes.

Observation:

  • A case study of a patient with infertility who underwent a planned partial endometrial resection.
  • The patient subsequently became pregnant.
  • The pregnancy resulted in premature rupture of membranes, preterm labor, and delivery at 28 weeks.

Findings:

  • The infant died 32 hours after birth due to extreme prematurity.
  • A partial placenta accreta was identified and managed during the Cesarean section.

Related Experiment Videos

  • Complete endometrial resection might not be necessary for menorrhagia control.

    • Implications:

    • Targeting specific endometrial areas may control menorrhagia while preserving fertility.
    • Leaving the fundal and peritubal endometrium could support successful pregnancy.
    • Further research is needed to optimize endometrial resection techniques for both menorrhagia treatment and pregnancy viability.