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Amenorrhea and resumption of menstruation after uterine artery embolization for fibroids
Author(s) -
Katsumori Tetsuya,
Kasahara Toshiyuki,
Tsuchida Yoko,
Nozaki Taiki
Publication year - 2008
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2008.07.010
Subject(s) - medicine , amenorrhea , menstruation , uterine artery embolization , obstetrics , gynecology , uterine artery , uterine fibroids , embolization , surgery , pregnancy , gestation , genetics , biology
Objectives To determine whether women will experience permanent amenorrhea following uterine artery embolization for fibroids, and whether rates of onset differ in the long term according to age at the time of the procedure. Methods Over 77 months, 211 consecutive eligible women were grouped by age (group A, < 40 years [n = 39]; group B, 40–44 years [n = 98]; and group C, ≥ 45 years [n = 74]) and the cumulative rates of onset of permanent amenorrhea were compared between the groups. Results The likelihood of incurring permanent amenorrhea was significantly higher in group C. The cumulative rates in groups A, B, and C were 0%, 1.4%, and 19.7% at 3 years and 0%, 11.2%, and 40.4% at 6 years. Conclusion The rates of onset of permanent amenorrhea changed over time and differed according to age at the time of the procedure, with little likelihood of permanent amenorrhea at 6 years for women younger than 40 years at the time of the procedure.