Term delivery following spontaneous resolution of uterine arteriovenous malformation with subsequent in vitro fertilization

Abstract

Introduction:A uterine arteriovenous malformation (AVM) is an abnormal connection between the arterial and venous systems and is clinically relevant due to the risk of hemorrhage and death. Arteriovenous malformations are often treated with uterine artery embolization which may compromise fertility. Conservative management is one treatment option that can preserve fertility; however, limited data has documented fertility success after conservative management, especially in the context of later pregnancy achieved by in vitro fertilization (IVF). This case report presents a successful case of IVF after spontaneous resolution of a uterine AVM. Case Report: A 40-year-old G1P0100 Caucasian female presented to a six-week postpartum visit with episodic vaginal bleeding after spontaneous vaginal delivery of a previable infant in the setting of preterm premature rupture of membranes complicated by chorioamnionitis. Transvaginal ultrasound (TVUS) and pelvic magnetic resonance imaging (MRI) were consistent with