NDLI: Disappearance of a uterine arteriovenous malformation following long-term administration of oral norgestrel/ethinyl estradiol.

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Disappearance of a uterine arteriovenous malformation following long-term administration of oral norgestrel/ethinyl estradiol.

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Disappearance of a uterine arteriovenous malformation following long-term administration of oral norgestrel/ethinyl estradiol.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Oride, Aki Kanasaki, Haruhiko Miyazaki, Kohji
Description	Country affiliation: Japan Author Affiliation: Oride A ( Department of Obstetrics and Gynecology, Shimane University School of Medicine, Izumo, Shimane, Japan.)
Abstract	Uterine arteriovenous malformation (AVM) can cause sudden massive hemorrhage. We report a case of uterine AVM following curettage in a patient treated conservatively with an intermediate-dose pill. An 18-year-old gravida 2 para 0 underwent curettage at 12 weeks of gestation and was examined for massive genital hemorrhage that occurred in postoperative month 4. Abundant blood flow in a mass within the uterine lumen was observed on color Doppler ultrasonography, and the patient was diagnosed with AVM. Six days after starting oral norgestrel/ethinyl estradiol, the hemorrhage ceased, and computed tomography on day 37 of administration showed disappearance of the abnormal vasculature. After 12 months, the patient's course remains favorable without relapse. Transarterial embolization for AVM can cause ovarian failure and subsequent placental malpositioning. Administration of oral norgestrel/ethinyl estradiol may be an alternative conservative treatment option for patients who wish to maintain fertility.
File Format	HTM / HTML
ISSN	13418076
Issue Number	6
Volume Number	40
e-ISSN	14470756
Journal	Journal of Obstetrics and Gynaecology Research
Language	English
Publisher	Wiley
Publisher Date	2014-06-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Obstetrics Discipline Gynecology Arteriovenous Malformations Drug Therapy Contraceptives, Oral, Synthetic Administration & Dosage Ethinyl Estradiol Norgestrel Uterine Artery Abnormalities Abortion, Induced Adverse Effects Adolescent Complications Female Humans Uterine Hemorrhage Etiology Case Reports Journal Article
Content Type	Text
Resource Type	Case study Article
Subject	Obstetrics and Gynecology

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