The effects of uterine artery embolization on ovarian reserve

Kim, Chang-Woon; Shim, Haeng Seon; Jang, Hong; Song, Yoon‐Jae

doi:10.1016/j.ejogrb.2016.09.001

Cited by 54 publications

(48 citation statements)

References 45 publications

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“…Previous studies have shown that serum hormone levels are predictive biomarkers of ovarian reserve, of which AMH and basal FSH are the most effective and commonly used. To the best of our knowledge, few studies have investigated serum AMH levels after UAO + M. Similar to our study, Kim et al . evaluated the effects of uterine artery embolization (UAE) for symptomatic uterine fibroids on ovarian reserve based on AMH, and reported significant decreases at 3 and 12 months postoperatively.…”

Section: Discussionsupporting

confidence: 78%

“…Our study showed statistically significant trends of a decrease at 3 months but recovery at 6 months after UAO + M in both AFC and ovarian volume, and these trends were more prominent in the right ovary. Similarly, Kim et al . evaluated the effects of UAE for symptomatic uterine fibroids on ovarian reserve, and found a significant decrease in AFC at 3 months, which then rebounded at 12 months after UAE.…”

Section: Discussionmentioning

confidence: 98%

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Effects of uterine artery occlusion during myomectomy on ovarian reserve: Serial follow‐up of sex hormone levels, ultrasound parameters and Doppler characteristics

Chen

Huang

Kung

2020

J of Obstet and Gynaecol

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Aim: To evaluate the influence of uterine artery occlusion at myomectomy (UAO + M) on ovarian reserve based on serum sex hormone levels, ultrasound and color Doppler examinations. Methods: In this cohort study, nine women with symptomatic uterine myomas underwent UAO + M were recruited. Each woman was assessed preoperatively and 3, 6 months postoperatively, through a serial of hormonal, ultrasound parameters and Doppler examination for ovarian stromal blood flow. The data were analyzed using generalized estimating equations.Results: There was no significant difference in serum anti-Müllerian hormone (AMH) or follicle-stimulating hormone (FSH) levels before and 3, 6 months after UAO + M. The ovarian volume, antral follicle count (AFC) and ovarian stromal blood flow had significant changes in the right ovary. Ovarian volume and AFC significantly reduced at 3 months and recovered at 6 months postoperatively (P = 0.046, P = 0.019, respectively). Peak systolic velocity and end diastolic velocity significantly decreased at 3 months and leveled off at 6 months (P < 0.001, P = 0.001, respectively). Resistance index significantly increased at 3 months and decreased at 6 months (P = 0.037). A similar trend in ultrasound and Doppler findings was observed in the left ovary, but no statistical significance was found. Conclusion: UAO + M had no detrimental effect on ovarian reserve 6 months postoperatively based on AMH and FSH levels. AFC, ovarian volume and stromal blood flow were transiently decreased in 3 months and recovered in 6 months.

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Section: Discussionsupporting

confidence: 78%

Section: Discussionmentioning

confidence: 98%

Effects of uterine artery occlusion during myomectomy on ovarian reserve: Serial follow‐up of sex hormone levels, ultrasound parameters and Doppler characteristics

Chen

Huang

Kung

2020

J of Obstet and Gynaecol

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“…The effect of this minimally invasive procedures on fertility is debatable [ 35 ]: nowadays no established data are available even if Kim et al [ 36 ] reported 3 cases of uncomplicated pregnancies in 69 patients treated with radiofrequency ablation. Ovarian reserve appears to be affected by UAE in premenopausal women [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Percutaneous High Frequency Microwave Ablation of Uterine Fibroids: Systematic Review

Ierardi

Savasi

Angileri

et al. 2018

BioMed Research International

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Uterine fibroids are the most common benign pelvic tumor of the female genital tract and tend to increase with age; they cause menorrhagia, dysmenorrhea, pelvic pressure symptoms, back pain, and subfertility. Currently, the management is based mainly on medical or surgical approaches. The nonsurgical and minimally invasive therapies are emerging approaches that to the state of the art include uterine artery embolization (UAE), image-guided thermal ablation techniques like magnetic resonance-guided focused ultrasound surgery (MRgFUS) or radiofrequency ablation (RF), and percutaneous microwave ablation (PMWA). The purpose of the present review is to describe feasibility results and safety of PMWA according to largest studies available in current literature. Moreover technical aspects of the procedure were analyzed providing important data on large scale about potential efficacy of PMWA in clinical setting. However larger studies with international registries and randomized, prospective trials are still needed to better demonstrate the expanding benefits of PMWA in the management of uterine fibroids.

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“…Aligning with Raba's study, we also did not find a significant difference in terms of mean FSH levels among the groups. Ovarian reserves might be altered after procedures affecting ovarian and/or uterine blood supply . The main blood supply of the ovaries is from the ovarian artery which originates from the aorta.…”

Section: Discussionmentioning

confidence: 99%

“…Ovarian reserves might be altered after procedures affecting ovarian and/or uterine blood supply. 4,12,14,17 The main blood supply of the ovaries is from the ovarian artery which originates from the aorta. The collateral circulation between the uterine and ovarian arteries provides an additional source of blood supply for the ovaries.…”

Section: Discussionmentioning

confidence: 99%

Ovarian reserve after internal iliac artery ligation

Mathyk

Çetin

Atakul³

et al. 2018

J of Obstet and Gynaecol

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The effects of uterine artery embolization on ovarian reserve

Abstract: Ovarian reserve appears to be affected by UAE in premenopausal women. However, younger ovaries (according to biological ovarian age) exhibit a greater capacity for recovery after ovarian damage. Therefore, larger studies are needed for more conclusive results.

Cited by 54 publications

References 45 publications

Effects of uterine artery occlusion during myomectomy on ovarian reserve: Serial follow‐up of sex hormone levels, ultrasound parameters and Doppler characteristics

Effects of uterine artery occlusion during myomectomy on ovarian reserve: Serial follow‐up of sex hormone levels, ultrasound parameters and Doppler characteristics

Percutaneous High Frequency Microwave Ablation of Uterine Fibroids: Systematic Review

Ovarian reserve after internal iliac artery ligation

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