Magnetic resonance-guided focused ultrasound surgery for leiomyoma-associated infertility

Esther V A Bouwsma, Krzysztof R. Gorny, Gina K. Hesley, Jani R. Jensen, Lisa G. Peterson, Elizabeth A Stewart

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Objective: To describe magnetic resonance-guided focused ultrasound surgery (FUS) as a treatment for a case of leiomyoma-associated infertility. Design: Case report from a randomized clinical trial. Setting: Academic medical center. Patient(s): A 37-year-old woman with known leiomyomas and a history of 18 months of home-inseminations from a known donor. Intervention(s): Magnetic resonance-guided FUS treatment of uterine fibroids, where the dominant fibroid distorted the uterine cavity. Main Outcome Measure(s): Pregnancy. Result(s): A viable intrauterine pregnancy, with a full-term vaginal delivery, was conceived after a single clomiphene citrate and intrauterine insemination cycle. Conclusion(s): The role of FUS for enhancement of fertility in women with nonhysteroscopically resectable uterine fibroids distorting the uterine cavity should be investigated further.

Original languageEnglish (US)
JournalFertility and Sterility
Volume96
Issue number1
DOIs
StatePublished - Jul 2011

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Keywords

  • Fertility
  • focused ultrasound
  • FUS
  • leiomyomas
  • MRgFUS
  • pregnancy
  • randomized clinical trial

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Reproductive Medicine

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