Effect of gonadotropin-releasing hormone agonist on a uterine arteriovenous malformation

被引：26
|
作者：
Morikawa, Mamoru [1 ]
Yamada, Takashi [1 ]
Yamada, Hideto [1 ]
Minakami, Hisanori [1 ]
机构：
[1] Hokkaido Univ, Grad Sch Med, Dept Obstet & Gynecol, Sapporo, Hokkaido 0608638, Japan
来源：
OBSTETRICS AND GYNECOLOGY | 2006年 / 108卷 / 03期
关键词：
D O I：
10.1097/01.AOG.0000191584.28717.2c
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
BACKGROUND: The effect of gonadotropin-releasing hormone agonist (GnRHa) on uterine arteriovenous malformations (AVM) is not well known. CASE: A 37-year-old woman with a previous cesarean was diagnosed as having a uterine AVM after a spontaneous abortion with massive vaginal bleeding. The AVM decreased in size from 5.1 x 3.8 cm to 1.4 x 1.0 cm after 6 months of therapy with a GnRHa. Uterine artery embolization conducted after the GnRH therapy resulted in complete disappearance of the AVM. The patient's menstrual cycles and ovulation resumed 3 months after uterine artery embolization. CONCLUSION: Gonadotropin-releasing hormone agonist therapy reduced the size of the uterine AVM. Thus, GnRHa therapy may be useful for uterine AVM in situations where uterine artery embolization must be postponed.
引用
收藏
页码：751 / 753
页数：3
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