Uterine devascularization and subsequent major intrauterine synechiae and ovarian failure.

Abstract:

OBJECTIVE:To report a case of major intrauterine synechiae associated with ovarian function failure secondary to uterine devascularization. DESIGN:Case report. SETTING:Departments of gynecology and obstetrics in two hospitals in France. PATIENT(S):A 29-year-old woman, para 1, presenting severe postpartum hemorrhage. INTERVENTION(S):Bilateral uterine, round ligament, utero-ovarian, and ovarian arteries ligation. MAIN OUTCOME MEASURE(S):Clinical and hormonal status, computed tomography scan, hysterosalpingography, laparoscopy, hysteroscopy, and histological examination. RESULT(S):Twelve months after uterine devascularization, the patient presented major intrauterine synechiae, absence of endometrium, and ovarian function failure. CONCLUSION(S):Uterine devascularization may be responsible for infertility as a result of intrauterine synechiae and ovarian function failure.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Roman H,Sentilhes L,Cingotti M,Verspyck E,Marpeau L

doi

10.1016/j.fertnstert.2004.07.975

keywords:

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

755-7

issue

3

eissn

0015-0282

issn

1556-5653

pii

S0015-0282(04)03001-8

journal_volume

83

pub_type

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