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Uterine devascularization and subsequent major intrauterine synechiae and ovarian failure.

Roman H, Sentilhes L, Cingotti M, Verspyck E, Marpeau L

Department of Gynecology and Obstetrics, University Hospital Rouen, Rouen, France. horace.roman@libertysurf.fr

OBJECTIVE: To report a case of major intrauterine synechiae associated with ovarian function failure secondary to uterine devascularization. DESIGN: Case report. SETTING: Departments of gynecology and obstetrics in two hospitals in France. PATIENT(S): A 29-year-old woman, para 1, presenting severe postpartum hemorrhage. INTERVENTION(S): Bilateral uterine, round ligament, utero-ovarian, and ovarian arteries ligation. MAIN OUTCOME MEASURE(S): Clinical and hormonal status, computed tomography scan, hysterosalpingography, laparoscopy, hysteroscopy, and histological examination. RESULT(S): Twelve months after uterine devascularization, the patient presented major intrauterine synechiae, absence of endometrium, and ovarian function failure. CONCLUSION(S): Uterine devascularization may be responsible for infertility as a result of intrauterine synechiae and ovarian function failure.

Published 7 March 2005 in Fertil Steril, 83(3): 755-7.
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