TY - JOUR
T1 - Infertility after abdominal trachelectomy
AU - Egashira, Katsuko
AU - Hiasa, Kana
AU - Yokota, Natsuko
AU - Kawamura, Teruhiko
AU - Matsushita, Tomoko
AU - Okugawa, Kaoru
AU - Yahata, Hideaki
AU - Sonoda, Kenzo
AU - Kato, Kiyoko
N1 - Publisher Copyright:
© 2018 Nordic Federation of Societies of Obstetrics and Gynecology
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2018/11
Y1 - 2018/11
N2 - Introduction: Despite numerous reports on pregnancy outcomes after trachelectomy, there are few descriptions of fertility treatment after trachelectomy. Moreover, little is known about the differences in fertility outcomes between various radical trachelectomy procedures. The purpose of this report was to clarify the infertility problems that occur in patients who have previously undergone an abdominal trachelectomy. Material and methods: We retrospectively investigated the medical records of 37 patients who received fertility treatments or were evaluated for menstrual disorders after trachelectomies in our institution between 2012 and 2016. Results: Twenty-two of 37 patients had complications which affected fecundity. Six patients had cervical stenosis requiring surgical dilation, 4 had ovarian insufficiency, and 14 had Asherman’s syndrome. Conclusions: In spite of efforts to preserve fertility, some patients have severe complications after trachelectomy, such as Asherman’s syndrome, resulting in infertility. Clinicians should pay careful attention to the status of the endometrial cavity after trachelectomy.
AB - Introduction: Despite numerous reports on pregnancy outcomes after trachelectomy, there are few descriptions of fertility treatment after trachelectomy. Moreover, little is known about the differences in fertility outcomes between various radical trachelectomy procedures. The purpose of this report was to clarify the infertility problems that occur in patients who have previously undergone an abdominal trachelectomy. Material and methods: We retrospectively investigated the medical records of 37 patients who received fertility treatments or were evaluated for menstrual disorders after trachelectomies in our institution between 2012 and 2016. Results: Twenty-two of 37 patients had complications which affected fecundity. Six patients had cervical stenosis requiring surgical dilation, 4 had ovarian insufficiency, and 14 had Asherman’s syndrome. Conclusions: In spite of efforts to preserve fertility, some patients have severe complications after trachelectomy, such as Asherman’s syndrome, resulting in infertility. Clinicians should pay careful attention to the status of the endometrial cavity after trachelectomy.
UR - http://www.scopus.com/inward/record.url?scp=85052838881&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85052838881&partnerID=8YFLogxK
U2 - 10.1111/aogs.13429
DO - 10.1111/aogs.13429
M3 - Article
C2 - 30063086
AN - SCOPUS:85052838881
VL - 97
SP - 1358
EP - 1364
JO - Acta Obstetricia et Gynecologica Scandinavica
JF - Acta Obstetricia et Gynecologica Scandinavica
SN - 0001-6349
IS - 11
ER -