Gonadotropin-releasing hormone agonist and depot medroxyprogesterone acetate following uterine artery embolization in the management of uterine arteriovenous malformation

Padma Krishnaswamy, M.S.Ramaiah Medical College, Bangalore, India
Indushekar Subbanna, M.S.Ramaiah Medical College, Bangalore, India
Gayatri Devi Sivasambu, M.S.Ramaiah Medical College, Bangalore, India
Urvashi Thukral, M.S.Ramaiah Medical College, Bangalore, India

Abstract

A young woman presenting with recurrent episodes of uterine bleeding due to an extensive uterine arteriovenous malformation was treated with two sessions of uterine artery embolization. Further bleeding was managed with a combination of gonadotropin-releasing hormone and depot medroxyprogesterone acetate. The patient remains asymptomatic with a significant decrease in uterine and pelvic vascularity at one year follow-up.

These drugs may decrease the need for repeat embolization.

 

URL

http://ir.uiowa.edu/pog_in_press/23