Author(s): Mohammad Reza Babaei , Soheila Amini Moghaddam , Komeil Farajnejad , Alaleh Rajabzadeh
The present study evaluated the effect of uterine artery embolization on
preservation of fertility in leiomyoma and its complications.
Materials/Methods:
Thirty women with leiomyoma were included in the present
study. Hormonal levels, leiomyoma size, patients’ symptoms and complications if
developed were evaluated, both before and after uterine artery embolization.
Results:
There was no significant difference between the mean follicle-stimulating
hormone, luteinizing hormone and estradiol levels, before and after uterine artery
embolization (p=0.431, p=0.672, p=0.772, respectively). Fibroids size measured before
and after 6 months of uterine artery embolization UAE were 86.47 ± 28.42 cm and
59.80 ± 20.90 cm, respectively (p<0.001). None of the patients developed complica-
tions such as embolism, wound problems or necessity for hysterectomy. After uterine
artery embolization, symptoms such as hypermenorrhea, dysmenorrhea, dyspareunia,
and dysuria decreased significantly among patients.
Conclusion:
Spiral computed tomography has a good sensitivity and specificity for the
diagnosis of pulmonary embolism. In the majority of patients who did not have pulmo-
nary embolism, it provided important ancillary information for the final diagnosis.
Therefore, combining Spiral computed tomography scan with a D-dimer Test is more
effective in the accurate diagnosis of pulmonary embolism.