Spontaneous Regression of Uterine Arteriovenous Malformations with Conservative Management
Uterine arteriovenous malformation (AVM) can cause massive hemorrhage and is often treated with uterine artery embolization (UAE), which may lead to ovarian insufficiency. Thus, avoiding UAE should be considered, particularly in women undergoing fertility treatments. We present three women diagnosed...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2017/6437670 |
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| author | Keiko Mekaru Sugiko Oishi Kozue Akamine Chiaki Heshiki Yoichi Aoki |
| author_facet | Keiko Mekaru Sugiko Oishi Kozue Akamine Chiaki Heshiki Yoichi Aoki |
| author_sort | Keiko Mekaru |
| collection | DOAJ |
| description | Uterine arteriovenous malformation (AVM) can cause massive hemorrhage and is often treated with uterine artery embolization (UAE), which may lead to ovarian insufficiency. Thus, avoiding UAE should be considered, particularly in women undergoing fertility treatments. We present three women diagnosed with postmiscarriage AVM on color Doppler by transvaginal ultrasound imaging. They had no genital bleeding and a small mass, measuring 16–22 mm. If estradiol was >300 pg/mL when AVM was diagnosed, then a gonadotropin-releasing hormone agonist was administered. All three women underwent follow-up observation, revealing spontaneous mass disappearance. To avoid ovarian insufficiency risk with UAE, conservative management and close follow-up observation should be considered in patients with AVM without bleeding, particularly during the fertility treatment. |
| format | Article |
| id | doaj-art-71bc01bd761f4f6a9dd5c7daed5625b0 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-71bc01bd761f4f6a9dd5c7daed5625b02025-02-03T01:09:39ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/64376706437670Spontaneous Regression of Uterine Arteriovenous Malformations with Conservative ManagementKeiko Mekaru0Sugiko Oishi1Kozue Akamine2Chiaki Heshiki3Yoichi Aoki4Department of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanDepartment of Obstetrics and Gynecology, Graduate School of Medical Science, University of the Ryukyus, 207 Uehara, Nishihara, Okinawa 903-0215, JapanUterine arteriovenous malformation (AVM) can cause massive hemorrhage and is often treated with uterine artery embolization (UAE), which may lead to ovarian insufficiency. Thus, avoiding UAE should be considered, particularly in women undergoing fertility treatments. We present three women diagnosed with postmiscarriage AVM on color Doppler by transvaginal ultrasound imaging. They had no genital bleeding and a small mass, measuring 16–22 mm. If estradiol was >300 pg/mL when AVM was diagnosed, then a gonadotropin-releasing hormone agonist was administered. All three women underwent follow-up observation, revealing spontaneous mass disappearance. To avoid ovarian insufficiency risk with UAE, conservative management and close follow-up observation should be considered in patients with AVM without bleeding, particularly during the fertility treatment.http://dx.doi.org/10.1155/2017/6437670 |
| spellingShingle | Keiko Mekaru Sugiko Oishi Kozue Akamine Chiaki Heshiki Yoichi Aoki Spontaneous Regression of Uterine Arteriovenous Malformations with Conservative Management Case Reports in Obstetrics and Gynecology |
| title | Spontaneous Regression of Uterine Arteriovenous Malformations with Conservative Management |
| title_full | Spontaneous Regression of Uterine Arteriovenous Malformations with Conservative Management |
| title_fullStr | Spontaneous Regression of Uterine Arteriovenous Malformations with Conservative Management |
| title_full_unstemmed | Spontaneous Regression of Uterine Arteriovenous Malformations with Conservative Management |
| title_short | Spontaneous Regression of Uterine Arteriovenous Malformations with Conservative Management |
| title_sort | spontaneous regression of uterine arteriovenous malformations with conservative management |
| url | http://dx.doi.org/10.1155/2017/6437670 |
| work_keys_str_mv | AT keikomekaru spontaneousregressionofuterinearteriovenousmalformationswithconservativemanagement AT sugikooishi spontaneousregressionofuterinearteriovenousmalformationswithconservativemanagement AT kozueakamine spontaneousregressionofuterinearteriovenousmalformationswithconservativemanagement AT chiakiheshiki spontaneousregressionofuterinearteriovenousmalformationswithconservativemanagement AT yoichiaoki spontaneousregressionofuterinearteriovenousmalformationswithconservativemanagement |