OBJECTIVE:
To describe magnetic resonance-guided focused ultrasound surgery (FUS) as a treatment for a case of leiomyoma-associated infertility.
DESIGN:
Case report from a randomized clinical trial.
SETTING:
Academic medical center.
PATIENT(S):
A 37-year-old woman with known leiomyomas and a history of 18 months of home-inseminations from a known donor.
INTERVENTION(S):
Magnetic resonance-guided FUS treatment of uterine fibroids, where the dominant fibroid distorted the uterine cavity.
MAIN OUTCOME MEASURE(S):
Pregnancy.
RESULT(S):
A viable intrauterine pregnancy, with a full-term vaginal delivery, was conceived after a single clomiphene citrate and intrauterine insemination cycle.
CONCLUSION(S):
The role of FUS for enhancement of fertility in women with nonhysteroscopically resectable uterine fibroids distorting the uterine cavity should be investigated further.
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.