This was assumed to be necrotic material from degenerating fibroids. Most of the women wished to retain their potential for future pregnancies, but the unknown effect of this technique regarding fertility and pregnancy was discussed fully. Five women strongly agreed that they would recommend this treatment to other women in a similar position.Percutaneous transcatheter embolisation has been used in a variety of clinical situations in the pelvis for over 20 years.
Two women required myomectomy, but because of their religious beliefs they were not prepared to have a blood transfusion during the course of an operation. A vag*nal examination, with … Three had been treated with ferrous sulphate for anaemia. We performed follicular phase hormone profiles routinely before the procedure in subsequent patients.After the discomfort from the embolisation procedure had resolved, the original pain from the fibroids improved, and four women no longer required analgesia throughout their cycle. The pedunculated fibroid was avulsed easily under general anaesthetic with no bleeding, and all her symptoms subsequently resolved. Two women had been offered a hysterectomy but did not wish to have their uterus removed.Six women had had severe menorrhagia for between one and five years, requiring double protection for up to four days with flooding and clots. The arteriogram shows the enlarged and very tortuous uterine artery which ends in serpiginous branches that enter the fibroid mass. Another woman experienced urinary retention immediately after the procedure and required an in‐dwelling catheter for 24 hours. You may report side effects to FDA at 1-800-FDA-1088.Do not take evening primrose without medical advice if you are using any of the following medications:This list is not complete. The fibroids were not the sole factor for subfertility in all cases. The date of the most recent period was confirmed on the day of the procedure and urine pregnancy test performed if there was any uncertainty with the dates.Following embolisation, the women were regularly assessed to check their symptoms and after three months the women were asked to fill out a five point patient satisfaction survey (strongly agree/agree/neu‐tral/disagree/strongly disagree) to determine how they felt about the technique.In all women arteriography and embolisation were performed via a percutaneous right femoral artery approach using local anaesthesia and intravenous sedation.
In some women, periods are irregular and with a small amount of blood, while about five percent of women have constitutionally heavy menstrual periods (menorrhagia).Besides being a normal variation, increased bleeding can be a sign of a disease, … 0.5% Bupivacaine hydrochloride (5–10 mL) (Marcaine; Astra, Kings Langley, UK) was administered both before and during the embolisation procedure via the catheter.
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