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Gravidez é possível após embolização de miomas uterinos!

Um estudo publicado no fascículo de Janeiro da revista Obstetrics & Gynecology confirmou a possibilidade de preservar a fertilidade após o tratamento de miomas feito pela técnica de embolização. O Colegio Americano de Obstetrícia e Ginecologia informou em seu sitio em Internet o reconhecimento ao valor deste trabalho. O estudo conduzido pela epidemiologista Gaylene Pron da Universidade de Toronto no Canadá agrupou uma população de 555 mulheres com idades entre 27 e 42 anos. Embora o estudo não fora idealizado para investigar o impacto do tratamento sobre a fertilidade os pesquisadores observaram que 21 mulheres ficaram grávidas sendo que três delas duas vezes. Veja o reporte original e o link para o trabalho.

 

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ACOG NEWS RELEASE

For Release: December 29, 2004
Contact: ACOG Office of Communications
(202) 484-3321
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Pregnancy Possible After UAE
Washington, DC -- A study published in the January issue of Obstetrics & Gynecology indicates that pregnancy is possible for women who undergo uterine artery embolization (UAE) treatment for problem fibroids. Due to abnormal placental development in a few of the pregnancies, however, researchers suggest that post-UAE pregnancies be managed conservatively and that the condition of the placenta be closely monitored during pregnancy.
Fibroids are benign tumors of the uterus that affect up to one-fourth of all women. UAE is a newer treatment option available for women whose fibroids cause symptoms such as pain or heavy bleeding and who wish to preserve their uterus or avoid surgery to remove fibroids (myomectomy). During this non-surgical radiological procedure, small particles are inserted into arteries to block the blood supply feeding fibroids, causing them to shrink.
Medical groups such as ACOG do not currently recommend UAE for women who may wish to get pregnant, due to the lack of studies on women's ability to conceive or carry a pregnancy following UAE. However, in a study of 555 women between the ages of 27 and 42 who underwent UAE as an alternative to hysterectomy (part of the Ontario Uterine Fibroid Embolization Trial), Canadian researchers made an interesting discovery. Although the study was not intended to examine UAE's effect on pregnancy, researchers discovered that 21 of the women subsequently conceived, three of them twice. Eighteen of the women (average age 36) went on to deliver babies, mostly at term. There were six spontaneous or elective abortions in the group. Researchers were surprised by the relatively high number of problem placenta cases (3 out of 18 deliveries), one of which resulted in a hysterectomy. Study authors call for larger prospective studies to examine the impact of UAE on fertility and pregnancy.
Contact: Gaylene Pron, PhD, Epidemiologist, Dept. of Public Health Sciences, Faculty of Medicine, University of Toronto, Ontario, at Este endereço de e-mail está protegido contra spambots. Você deve habilitar o JavaScript para visualizá-lo. .

Pregnancy After Uterine Artery Embolization for Leiomyomata: The Ontario Multicenter Trial
Gaylene Pron, PhD, Eva Mocarski, MD, John Bennett, MD, George Vilos, MD, Andrew Common, MD, and Leslie Vanderburgh, MD,
for the Ontario UFE Collaborative Group

Obstet Gynecol 2005;105:67–76.