短暂性卵巢功能衰竭：子宫动脉栓塞术的一种并发症。

Transient ovarian failure: a complication of uterine artery embolization.

作者信息

Amato P, Roberts A C

机构信息

Department of Reproductive Medicine, University of California, La Jolla, California, USA.

出版信息

Fertil Steril. 2001 Feb;75(2):438-9. doi: 10.1016/s0015-0282(00)01678-2.

DOI:10.1016/s0015-0282(00)01678-2

PMID:11172854

Abstract

OBJECTIVE

To report a case of transient ovarian failure shortly after arterial embolization for treatment of uterine fibroids, followed by recovery of ovarian function.

DESIGN

Case report.

SETTING

A university-based hospital.

PATIENT

A 49-year-old woman with menorrhagia and anemia secondary to uterine fibroids and refractory to medical management. The follicle-stimulating hormone (FSH) level on cycle day 3 before the procedure was 8.2 mIU/mL.

INTERVENTION(S): Bilateral uterine artery embolization for treatment of menorrhagia.

MAIN OUTCOME MEASURE(S): Serum FSH level.

RESULT(S): The patient developed amenorrhea and hot flashes 3 months after uterine artery embolization. Her serum FSH level at that time was 140.1 mIU/mL. Four months later, uterine bleeding resumed; her serum FSH level was 2.1 mIU/mL.

CONCLUSION(S): Uterine artery embolization may hasten ovarian failure. This procedure should be reserved for women who have completed their child-bearing or are poor candidates for myomectomy. Patients should be counseled appropriately about the risk of possible ovarian failure.

摘要