Fertility and sterility · 2011
Presurgical management of dysmenorrhea and endometriosis in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Elliott Jason E, Abduljabar Hanin, Morris Margaret
Аннотация
OBJECTIVE: To report a patient with Mayer-Rokitansky-Kuster-Hauser syndrome with functional endometrium treated with preoperative continuous combined low-dose monophasic oral contraceptives.
DESIGN: Case report.
SETTING: University hospital.
PATIENT(S): A 12-year-old nulligravid adolescent girl.
INTERVENTION(S): Preoperative continuous combined low-dose monophasic oral contraceptives for 7 months, and laparoscopic resection of the rudimentary uterus and uterine horns with unilateral salpingo-oophorectomy.
MAIN OUTCOME MEASURE(S): Relief of pain after hormonal treatment and the operative procedure.
RESULT(S): Successful preoperative treatment of endometriosis and pain before definitive diagnosis and removal of müllerian remnants in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome.
CONCLUSION(S): Patients with obstructive müllerian malformations with functional endometrium can be preoperatively managed with continuous combined low-dose monophasic oral contraceptives to control pain and treat endometriosis. This may permit a delay in surgical intervention to facilitate other investigations and to allow thorough counselling of the patient and her family about the implications of the diagnosis.
DESIGN: Case report.
SETTING: University hospital.
PATIENT(S): A 12-year-old nulligravid adolescent girl.
INTERVENTION(S): Preoperative continuous combined low-dose monophasic oral contraceptives for 7 months, and laparoscopic resection of the rudimentary uterus and uterine horns with unilateral salpingo-oophorectomy.
MAIN OUTCOME MEASURE(S): Relief of pain after hormonal treatment and the operative procedure.
RESULT(S): Successful preoperative treatment of endometriosis and pain before definitive diagnosis and removal of müllerian remnants in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome.
CONCLUSION(S): Patients with obstructive müllerian malformations with functional endometrium can be preoperatively managed with continuous combined low-dose monophasic oral contraceptives to control pain and treat endometriosis. This may permit a delay in surgical intervention to facilitate other investigations and to allow thorough counselling of the patient and her family about the implications of the diagnosis.
Предметные рубрики MeSH
46, XX Disorders of Sex DevelopmentAbnormalities, MultipleChildCongenital AbnormalitiesContraceptives, Oral, CombinedDrug Administration ScheduleDysmenorrheaEndometriosisFemaleHumansKidneyLaparoscopyMagnetic Resonance ImagingMullerian DuctsOvariectomyPelvic PainPreoperative CareSalpingectomySomitesSpineTreatment OutcomeUltrasonography, Doppler, ColorUterusVagina