Spontaneous pregnancy after pessary placement in a patient with infertility and advanced pelvic organ prolapse

Autor: Tsia-Shu Lo, Chun-Kai Chen, Anil Krishna Dass, Leng Boi Pue, Eileen Feliz M. Cortes
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Gynecology and Minimally Invasive Therapy, Vol 5, Iss 1, Pp 38-40 (2016)
Druh dokumentu: article
ISSN: 2213-3070
DOI: 10.1016/j.gmit.2015.11.001
Popis: To highlight possible association of advanced pelvic organ prolapse with infertility and its successful outcome following conservative management. We report herein a 38-year-old para 1, non-overweight woman who presented with secondary infertility without any factors for infertility except for an advanced POP. She had intrauterine insemination (IUI) performed twice at a local clinic and in vitro fertilization-embryo transfer (IVF-ET) program twice in our institute unsuccessfully. She conceived spontaneously after vaginal pessary placement and delivered, vaginally, a healthy female baby weighing 3,365 g at the 38th week of gestation. Advanced POP appears to be an important risk factor for infertility. After completing an infertility workup, pessary application can be the first-line treatment modality for women with unexplained infertility due to advanced POP.
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