Criteria for fertility in women with uterine fibroid after uterine artery embolization
E.Yu. ANTROPOVA1, V.V. KOROBOV2, L.R. SAPHIULLINA2, M.I. MAZITOVA1
1Kazan State Medical Academy, 11 Mushtari St., Kazan, Russian Federation 420011
2City Clinical Hospital № 7, 54 Marshala Chuykova St., Kazan, Russian Federation 420000
AntropovaE.Yu. — Candidate of Medical Science, associate professor at the department of obstetrics and gynecology №2, tel. (843)555-73-03, e-mail: antropoval@mail.ru
Korobov V.V. — Candidate of Medical Science, doctor of angiosurgical department, tel. (843) 236-80-52, e-mail: korobov@mail.ru
Saphiullina L.R. — Candidate of Medical Science, ultrasonic medical investigation specialist, tel. (843) 236-86-14, e-mail: korobov@mail.ru
Mazitova M.I. — D. med. Sc., associate professor at the department of obstetrics and gynecology №2, tel. (843)555-73-03, e-mail: madina13@list.ru
A prospective analysis of therapy results of 56 patients with uterine fibroid after uterine artery embolisation was made. The effect of uterine artery embolisation on the functional status of the ovaries by assessing the level of sex hormones, echostructure of ovaries and myomayous uterine, ovaries blood supply and nodes on Doppler parameters was studied. Localization of the major nodes at the bottom and tubular angles of uterus to uterine artery embolization reduces blood flow and develops hypo-ovarionism by type of luteal-phase defect. Localization of nodes in the front and back uterine walls does not affect the ovaries blood flow and does not reduce their functional activity before and after embolization.
Key words: uterine fibroid, uterine artery embolisation.
REFERENCES
1. Tropeano G., Di Stasi C., Litwicka K., Romano D., Draisci G., Mancuso S. Uterine artery embolzaiton for fibroids does not have adverse effects on ovarian reserve in regularly cycling women younger than 40 years. Fertility and Sterility, 2004, vol. 81, no. 4, pp. 1055-1061.
2. Walker W.J., Pelage J.P. Uterine artery embolization for symptomatic fibroids: Clinical results in 400 women with imaging follow up. BJOG: An International Journal of Obstetrics and Gynaecology, 2002, vol. 109, no. 11, pp. 1262-1272. DOI: 10.1046/j.1471-0528.2002.01449.x.
3. Borisova O.G. Embolizatsiya matochnykh arteriy kak metod v algoritme terapii miom matki. Kand. med. nauk diss. Avtoref. [Uterine artery embolization as a method in the algorithm of uterine fibroid therapy. Cand. med. sci. diss. Synopsis]. Barnaul, 2004. 24 p.
4. Arinicheva A.V. Vliyanie embolizatsii matochnykh arteriy na funktsional’noe sostoyanie yaichnikov i endomiometriya u zhenshchin reproduktivnogo vozrasta s miomoy matki Kand. med. nauk diss. Avtoref. [Effectofuterinearteryembolizationonthefunctionalstateoftheovariesandendomyometritisinwomenofreproductiveagewithhysteromyoma. Cand. med. sci. diss. Synopsis]. Moscow, 2006. 24 p.
5. Payne J.F., Robboy S.J., Haney A.F. Embolic microspheres within ovarian arterial vasculature after uterine artery embolization. Obstetrics and Gynecology, 2002, vol. 100, no. 5, pp. 883-886. DOI: 10.1016/S0029-7844(02)02270-6.