Fertility and Pregnancy Outcomes after High-Intensity Focused Ultrasound Ablation for Uterine Fibroids and Adenomyosis: A Review

Author:

Thomas Li Kwok To1,Wong WS Felix2

Affiliation:

1. Department of Obstetrics and Gynaecology, Queen Mary Hospital, The University of Hong Kong, China

2. Division of Women’s and Children’s Health, The University of New South Wales, Sydney, Australia

Abstract

High-intensity focused ultrasound (HIFU) ablation, also known as focused ultrasound surgery, is the latest advancement in treating uterine fibroids and adenomyosis. Limited evidence, in terms of case series only, suggest that ultrasound-guided focused ultrasound/magnetic resonance-guided focused ultrasound treatment for fibroids and adenomyosis could be a safe alternative to myomectomy or uterine artery embolisation for females who wish to have babies. It also appears that this non-invasive HIFU treatment can shorten the treatment to pregnancy interval after HIFU ablation. Further studies are needed to confirm such findings.

Publisher

European Medical Group

Subject

General Medicine

Reference45 articles.

1. Mirzamoradi M et al. Evaluation of pregnancy outcomes in Iranian women with uterine myomas. Novelty in Biomedicine. 2020;8(3):142-5.

2. Adenomyosis a forgotten cause of infertility

3. Lee HJ et al. Contemporary management of fibroids in pregnancy. Rev Obstet Gynecol. 2010;3(1):20-7.

4. Mehla S, Singh N. Assessment of pregnancy outcome in patients with uterine fibroids. JAMDSR. 2020;8(11):145-8.

5. The Impact of Adenomyosis on Women's Fertility

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