Ovarian function after uterine artery embolisation

South African Journal of Obstetrics and Gynaecology

A du Plessis¹  A Viljoen¹  M Nel¹  A Prollius¹  H S Cronjé¹ 

[1] University of the Free State

关键词: Uterine artery embolisation;    Follicle stimulating hormone;    Ovarian function;    Ovarian failure;    Amenorrhoea;   

DOI  :  

学科分类：农业科学（综合）

来源: South African Medical Association

【 摘 要 】

Objective. To evaluate ovarian function in 29 patients who underwent uterine artery embolisation (UAE).Methods. Twenty-nine patients with myomata of the uterus underwent uterine artery embolisation (UAE) using polyvinyl alcohol (PVA) particles with a particle size of 150-550 µm in diameter. Follicle stimulating hormone (FSH) levels were done pre- and post-UAE.Results. The median age of the patients was 39 years (range 19-51 years). Two patients (7%) were menopausal before UAE was attempted. In three patients (10%), normal pre-procedural FSH values raised to menopausal levels afterwards (95% CI [3.6%; 26.4%]). Only one of these patients was younger than 40 years of age (39 years). Therefore, in 15 patients less than 40 years of age, 6.7% (95% CI [1.2%; 29.8%]) developed a significant rise in FSH levels. One patient, aged 35 years, developed temporary amenorrhoea and endometrial atrophy which returned to normal within a year.Conclusions. UAE resulted in ovarian failure in 7% of patients younger than 40 years of age and 10% of patients overall.

【 授权许可】

Unknown