Use of laparoscopic cytoreductive surgery to treat infertile women with localized adenomyosis

Chin Jung Wang, Leung To Yuen, Shuenn Dyh Chang, Chyi Long Lee*, Yung Kuei Soong

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

37 Scopus citations

Abstract

Objective: We report on two infertile women with localized adenomyosis who had successful pregnancies after treatment with laparoscopic cytoreductive surgery. Design: Case report. Setting: Tertiary care university hospital. Patient(s): Two infertile women with localized adenomyosis. Intervention(s): Laparoscopic excision of adenomyotic lesion with/without subsequent hypoestrogenic agent was performed. Main Outcome Measure(s): Pregnancy. Result(s): Hypoestrogenic agent with danazol was administered 3 months immediately after surgery in one woman. Both women conceived spontaneously at 30 and 21 months after surgery, respectively. The pregnancies were uneventful, and healthy infants were delivered via cesarean section at term. Conclusion(s): Laparoscopic cytoreductive surgery can be an alternative treatment to the use of hypoestrogenic agents or hysterectomy in women with localized adenomyosis, especially for those who want to maintain their fertility and achieve successful pregnancies. Patients may wait up to 21 months after surgery until a pregnancy occurs.

Original languageEnglish
Pages (from-to)462.e5-462.e8
JournalFertility and Sterility
Volume86
Issue number2
DOIs
StatePublished - 08 2006

Keywords

  • Adenomyosis
  • cytoreductive surgery
  • infertility
  • laparoscopy

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