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)
Pages (from-to)e9-e12
JournalFertility and sterility
Volume96
Issue number1
DOIs
StatePublished - Jul 2011

Keywords

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

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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