Pregnancy outcomes of adenomyotic patients with primary infertility after high-intensity focused ultrasound treatment
AbstractObjective To evaluate the therapeutic effect of high-intensity focused ultrasound (HIFU) treatment for adenomyotic patients with primary infertility and to explore the factors that affect the pregnancy outcomes.Materials and methods Twenty-seven adenomyotic patients with primary infertility...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2023-12-01
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| Series: | International Journal of Hyperthermia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/02656736.2023.2264547 |
| _version_ | 1797374224091840512 |
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| author | Li Xiong Wei Cheng Zhibiao Wang Qiuling Shi |
| author_facet | Li Xiong Wei Cheng Zhibiao Wang Qiuling Shi |
| author_sort | Li Xiong |
| collection | DOAJ |
| description | AbstractObjective To evaluate the therapeutic effect of high-intensity focused ultrasound (HIFU) treatment for adenomyotic patients with primary infertility and to explore the factors that affect the pregnancy outcomes.Materials and methods Twenty-seven adenomyotic patients with primary infertility who underwent HIFU at HUNAN Provincial Maternal and Child Health Care Hospital, China, between July 2018 and December 2022 were retrospectively reviewed. We evaluated the pregnancy outcomes and analyzed the factors that may affect pregnancy outcomes including time to conception, pregnancy approach, gestational age, delivery mode, neonatal outcomes, and complications during pregnancy and delivery.Results Among the 27 adenomyotic patients with primary infertility, 10 patients had a total of 11 pregnancies after HIFU treatment. Of these, eight (72%) cases were natural pregnancies and three (23%) were in vitro fertilization (IVF) pregnancies. The median time to conception was 10 (range 4–25) months. There were eight (72%) successful deliveries. The rate of full-term deliveries was 90%. Of the eight live births, four (50%) were born vaginally and four (50%) by cesarean section. No severe complications occurred. The mean birth weight of newborns was 3.1 (range: 2.3–3.9) kg; all newborns developed well without complications during postpartum and breastfeeding.Conclusions HIFU treatment for adenomyosis could improve fertility of patients with primary infertility. HIFU is a promising therapeutic approach for patients with adenomyosis and infertility who wish to achieve pregnancy and have live birth deliveries. |
| first_indexed | 2024-03-08T19:02:48Z |
| format | Article |
| id | doaj.art-6db912d4634f4da1aeb26761d9ea2cc7 |
| institution | Directory Open Access Journal |
| issn | 0265-6736 1464-5157 |
| language | English |
| last_indexed | 2024-03-08T19:02:48Z |
| publishDate | 2023-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | International Journal of Hyperthermia |
| spelling | doaj.art-6db912d4634f4da1aeb26761d9ea2cc72023-12-28T04:15:42ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572023-12-0140110.1080/02656736.2023.2264547Pregnancy outcomes of adenomyotic patients with primary infertility after high-intensity focused ultrasound treatmentLi Xiong0Wei Cheng1Zhibiao Wang2Qiuling Shi3State Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaDepartment of Gynaecology and Obstetrics of Hunan Provincial Maternal and Child Health Care Hospital, Changsha, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaState Key Laboratory of Ultrasound in Medicine and Engineering, College of Biomedical Engineering, Chongqing Medical University, Chongqing, ChinaAbstractObjective To evaluate the therapeutic effect of high-intensity focused ultrasound (HIFU) treatment for adenomyotic patients with primary infertility and to explore the factors that affect the pregnancy outcomes.Materials and methods Twenty-seven adenomyotic patients with primary infertility who underwent HIFU at HUNAN Provincial Maternal and Child Health Care Hospital, China, between July 2018 and December 2022 were retrospectively reviewed. We evaluated the pregnancy outcomes and analyzed the factors that may affect pregnancy outcomes including time to conception, pregnancy approach, gestational age, delivery mode, neonatal outcomes, and complications during pregnancy and delivery.Results Among the 27 adenomyotic patients with primary infertility, 10 patients had a total of 11 pregnancies after HIFU treatment. Of these, eight (72%) cases were natural pregnancies and three (23%) were in vitro fertilization (IVF) pregnancies. The median time to conception was 10 (range 4–25) months. There were eight (72%) successful deliveries. The rate of full-term deliveries was 90%. Of the eight live births, four (50%) were born vaginally and four (50%) by cesarean section. No severe complications occurred. The mean birth weight of newborns was 3.1 (range: 2.3–3.9) kg; all newborns developed well without complications during postpartum and breastfeeding.Conclusions HIFU treatment for adenomyosis could improve fertility of patients with primary infertility. HIFU is a promising therapeutic approach for patients with adenomyosis and infertility who wish to achieve pregnancy and have live birth deliveries.https://www.tandfonline.com/doi/10.1080/02656736.2023.2264547High-intensity focused ultrasound (HIFU)pregnancyadenomyosisprimary infertility |
| spellingShingle | Li Xiong Wei Cheng Zhibiao Wang Qiuling Shi Pregnancy outcomes of adenomyotic patients with primary infertility after high-intensity focused ultrasound treatment International Journal of Hyperthermia High-intensity focused ultrasound (HIFU) pregnancy adenomyosis primary infertility |
| title | Pregnancy outcomes of adenomyotic patients with primary infertility after high-intensity focused ultrasound treatment |
| title_full | Pregnancy outcomes of adenomyotic patients with primary infertility after high-intensity focused ultrasound treatment |
| title_fullStr | Pregnancy outcomes of adenomyotic patients with primary infertility after high-intensity focused ultrasound treatment |
| title_full_unstemmed | Pregnancy outcomes of adenomyotic patients with primary infertility after high-intensity focused ultrasound treatment |
| title_short | Pregnancy outcomes of adenomyotic patients with primary infertility after high-intensity focused ultrasound treatment |
| title_sort | pregnancy outcomes of adenomyotic patients with primary infertility after high intensity focused ultrasound treatment |
| topic | High-intensity focused ultrasound (HIFU) pregnancy adenomyosis primary infertility |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2023.2264547 |
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