PREGNANCY AFTER UTERINE ARTERIAL EMBOLIZATION FOR THE TREATMENT OF FIBROID - CASE REPORT (Atena Editora)

Abstract

Leiomyomas are benign tumors which have a high prevalence in the gynecological routine and great economic impact on the health system. Embolization of the uterine artery represents a less invasive therapeutic proposal in the management of myomatosis, but it still faces resistance in its use, especially in women with a desire to become pregnant in the future. In the literature, there is documentation on the safety and efficacy of EAU in the short term, but further studies are needed on its long-term effects, especially in relation to fertility, since there is a risk of damage to the utero-ovarian collateral circulation and consequent local change in blood flow. during the procedure. The aim of the study is to report the case of gestational success after the approach of myomatosis by uterine artery embolization. The work consists of a descriptive study of the case report type, followed at the Centro de Mioma, RJ, and is based on the analysis of medical records. Due to limited studies on the effects of EAU in the long term, it was not possible to establish the superiority or advantage of the EAU in relation to other therapeutic methods, as well as it was impossible to identify individual and/or external factors that contribute to a greater chance of the patient to preserve her fertility. More scientific studies are needed to assist in choosing the most beneficial invasive leiomyoma treatment method for each woman, especially nulliparous women.