Pregnancy Following Hysteroscopic Resection of a Leiomyoma and Oocyte Donation

Articles:

Title:: Pregnancy Following Hysteroscopic Resection of a Leiomyoma and Oocyte Donation
Author(s):: Sauer, Mark V.
March, Charles M.
Date:: 1994
Type:: Articles
Department:: Obstetrics and Gynecology
Volume:: 10
Permanent URL:: http://hdl.handle.net/10022/AC:P:14458
Book/Journal Title:: Journal of Gynecologic Surgery
Abstract:: A successful pregnancy was established in a functionally agonadal woman using oocyte donation following resection of a large leiomyoma. The patient had a 6 × 6 cm intramural tumor with intracavitary extension. She was symptomatic with metrorrhagia. A conservative approach was undertaken in an attempt to restore normal endometrial anatomy. Hysteroscopic resection removed a 3 × 3 × 2 cm mass. Postoperatively, hysteroscopy was normal, and oocyte donation was performed. Implantation occurred, and a living, 3600 g female infant was delivered vaginally at 40 weeks gestation without complication. This case illustrates an approach to managing cavity-distorting leiomyomas in perimenopausal women interested in oocyte donation. When hysteroscopic resection of leiomyomas is successful, major surgery is avoided, and pregnancy, labor, and delivery may proceed normally.
Subject(s):: Obstetrics and gynecology
DOI:: http://dx.doi.org/10.1089/gyn.1994.10.255