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Case Report: Assisted Reproductive Techniques and submucous myoma

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Year: 2019
COI code: DTOGIMED03_192
Paper Language: English

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Authors Case Report: Assisted Reproductive Techniques and submucous myoma

  Roshan Nikbakht - Fertility Infertility Perinatology Research Center, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran
Parvin Dorfeshan - Department of Social Medicine, Faculty of Medicine, Ahvaz Jundishapure University of Medical Sciences, Ahvaz,Iran.

Abstract:

Background and Aim : Submucous myomas have negatively effects on fertility. In order to preservefertility, a conservative treatment should be proposed to women wishing pregnancy, especially in thoseyounger patients.Methods : The patient was a 33-year-old woman. She had secondary infertility for 3 years. In vaginalultrasound, a submucous myoma measuring 26 mm ˟ 31 mm with a compressive effect on the anteriorsurface endometrium, was observed. Ovarian reserve was low. The gold standard of myoma treatment issurgical intervention. But, for the following reasons: the adverse effects of surgery on the endometrium(intrauterine adhesion), the patient s refusal to undergo a myomectomy and her request for pregnancy, ourstrategy for treating was to reduce volume of submucous myoma and start the assisted reproductivetechniques (ART) cycle. We administered three courses of Gonadotropin-releasing hormone analogues(GnRHa) and then induced controlled ovarian hyperstimulation. Ovum pick up was done. Finally, wetransferred two embryos (4 and 6 cells).Results : In subsequent patient visits, βhCG was positive after 14 days. At the last patient visit, the heartof the embryo is formed.Conclusion : From this finding, it may be concluded that combined GnRHa and ART is the treatment ofchoice for infertile women with uterine submucous myoma, considering the reduced ovarian reserve andresponse.

Keywords:

Infertility, Myomas, Assisted Reproductive Techniques (ART)

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COI code: DTOGIMED03_192

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Nikbakht, Roshan & Parvin Dorfeshan, 2019, Case Report: Assisted Reproductive Techniques and submucous myoma, 3rd debatable topics on obstetrics gynecology & infertility, تهران, دانشگاه علوم پزشكي و خدمات بهداشتي و درماني شهيد بهشتي, https://www.civilica.com/Paper-DTOGIMED03-DTOGIMED03_192.htmlInside the text, wherever referred to or an achievement of this article is mentioned, after mentioning the article, inside the parental, the following specifications are written.
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Type: Medical University
Paper No.: 2442
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