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Prz Menopauzalny. 2016 Dec;15(4):205-209. doi: 10.5114/pm.2016.65665. Epub 2017 Feb 08.

The influence of uterine artery embolisation on ovarian reserve, fertility, and pregnancy outcomes - a review of literature.

Przeglad menopauzalny = Menopause review

Piotr Czuczwar, Anna Stępniak, Wojciech Wrona, Sławomir Woźniak, Paweł Milart, Tomasz Paszkowski

Affiliations

  1. 3 Department of Gynaecology, Medical University of Lublin, Lublin, Poland.

PMID: 28250724 PMCID: PMC5327622 DOI: 10.5114/pm.2016.65665

Abstract

Uterine fibroids are considered to be the most frequent female benign tumours. Fibroids affect mainly women of reproductive age. The most frequently reported signs and symptoms of fibroids include disturbances of the menstrual cycle such as heavy bleeding and painful menstruation, pelvic masses associated with pelvic pain, urinary problems or constipation, as well as infertility and recurrent pregnancy loss. The mainstay of fibroid treatment is still surgery. However, many patients seek alternative treatment options for fibroids, to preserve their uterus and fertility. One of the most important alternative treatment options for fibroids is uterine artery embolisation (UAE). However, there are some concerns that UAE may negatively influence ovarian function and even result in premature menopause. Moreover, the use of UAE in patients with future reproductive plans is still controversial, due to the possible pregnancy complications. The purpose of this review is to summarise the current knowledge regarding the possible influence of UAE on fertility, pregnancy outcome, and ovarian reserve.

Keywords: fertility; fibroids; ovarian reserve; uterine artery embolisation

References

  1. Fertil Steril. 2011 May;95(6):1890-7 - PubMed
  2. Ultrasound Obstet Gynecol. 2015 Jun;45(6):744-50 - PubMed
  3. Prz Menopauzalny. 2014 Mar;13(1):18-21 - PubMed
  4. J Vasc Interv Radiol. 2013 Jul;24(7):925-30 - PubMed
  5. Minim Invasive Ther Allied Technol. 2015;24(4):242-5 - PubMed
  6. Am J Obstet Gynecol. 2013 Oct;209(4):319.e1-319.e20 - PubMed
  7. Lancet. 1995 Sep 9;346(8976):671-2 - PubMed
  8. Acta Obstet Gynecol Scand. 1998 Mar;77(3):334-40 - PubMed
  9. J Vasc Interv Radiol. 2001 Apr;12(4):437-42 - PubMed
  10. Reprod Biol Endocrinol. 2014 Dec 15;12:125 - PubMed
  11. Minim Invasive Ther Allied Technol. 2016;25(1):1-7 - PubMed
  12. Fertil Steril. 2008 Nov;90(5):1886-91 - PubMed
  13. J Womens Health (Larchmt). 2006 Nov;15(9):1046-52 - PubMed
  14. Fertil Steril. 2011 Sep;96(3):704-10 - PubMed
  15. Aust N Z J Obstet Gynaecol. 2008 Aug;48(4):360-8 - PubMed
  16. J Obstet Gynaecol Can. 2014 Mar;36(3):240-7 - PubMed
  17. Hum Reprod Update. 2016 Nov;22(6):665-686 - PubMed
  18. J Matern Fetal Neonatal Med. 2016 Nov;29(21):3454-60 - PubMed
  19. Cardiovasc Intervent Radiol. 2008 Jan-Feb;31(1):73-85 - PubMed
  20. Fertil Steril. 2014 Nov;102(5):1404-9 - PubMed
  21. Hum Fertil (Camb). 2016 Apr;19(1):3-8 - PubMed
  22. Hum Reprod. 2014 Mar;29(3):490-501 - PubMed
  23. Best Pract Res Clin Obstet Gynaecol. 2016 Jul;34:66-73 - PubMed
  24. Fertil Steril. 2010 Jun;94(1):324-30 - PubMed
  25. Obstet Gynecol. 2005 Dec;106(6):1309-18 - PubMed
  26. Obstet Gynecol. 2008 Aug;112(2 Pt 1):387-400 - PubMed
  27. Surg Radiol Anat. 2012 Oct;34(8):737-41 - PubMed
  28. Minim Invasive Ther Allied Technol. 2013 Feb;22(1):39-44 - PubMed
  29. J Vasc Interv Radiol. 2013 Apr;24(4):459-67 - PubMed
  30. J Vasc Interv Radiol. 2000 Jun;11(6):699-703 - PubMed
  31. J Vasc Interv Radiol. 2001 Sep;12 (9):1071-4 - PubMed
  32. Am J Obstet Gynecol. 2004 Jul;191(1):18-21 - PubMed
  33. Fertil Steril. 2010 Nov;94(6):2296-300 - PubMed
  34. Eur J Obstet Gynecol Reprod Biol. 2015 Aug;191:33-8 - PubMed
  35. Fertil Steril. 2014 Sep;102(3):640-8 - PubMed
  36. Obstet Gynecol. 1995 Mar;85(3):407-11 - PubMed
  37. Fertil Steril. 2012 Dec;98(6):1407-15 - PubMed
  38. Cochrane Database Syst Rev. 2014 Dec 26;(12):CD005073 - PubMed
  39. Eur J Obstet Gynecol Reprod Biol. 2016 Nov;206:172-176 - PubMed
  40. Hum Reprod. 2007 Jul;22(7):1996-2005 - PubMed

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