Open AccessInfertility after abdominal trachelectomy
Author(s) -
Egashira Katsuko,
Hiasa Kana,
Yokota Natsuko,
Kawamura Teruhiko,
Matsushita Tomoko,
Okugawa Kaoru,
Yahata Hideaki,
Sonoda Kenzo,
Kato Kiyoko
Publication year - 2018
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.13429
Subject(s) - trachelectomy , medicine , infertility , fertility , gynecology , pregnancy , obstetrics , population , environmental health , biology , genetics
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.