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Pregnancy Following Hysteroscopic Resection of a Leiomyoma and Oocyte Donation

Sauer, Mark V.; March, Charles M.

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.

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Title
Journal of Gynecologic Surgery
DOI
https://doi.org/10.1089/gyn.1994.10.255

More About This Work

Academic Units
Obstetrics and Gynecology
Published Here
August 20, 2012
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