Spontaneous Pregnancy in a Case With Concurrent Uterine Artery Embolization Induced Transient Premature Ovarian Failure and Asherman Syndrome: A Case Report Publisher



Tarafdari A¹ ; Vahdani FG¹ ; Hadizadeh A^{2, 3} ; Khoshravesh S⁴ ; Hadizadeh S⁵ Show Affiliations
Source: Oxford Medical Case Reports Published:2023

Abstract

Premature ovarian insufficiency (POI) is an uncommon cause of infertility in females characterized by hypoestrogenism. Studies have shown that uterine artery embolization (UAE) is associated with POI. Meanwhile, Asherman syndrome (AS) is a rare condition because of intracervical or intrauterine adhesions, which can happen after dilation and curettage. Both these syndromes are causes of amenorrhea and infertility. This case is of a 40-year-old woman who, after cesarean scar pregnancy and subsequent UAE because of uncontrollable vaginal bleeding, developed premature ovarian failure and AS. She underwent hysteroscopic adhesiolysis. She became pregnant with low anti-Mullerian hormone levels. Initial adhesiolysis and intervention in AS can restore uterine endometrium's ability to host a fetus. Moreover, UAE can cause POI, which might regress to some degree. © 2023 The Author(s). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.