Abstract

AFONSO, Hermínia Gomes; COSTA, Vera; LANZINHA, Ana  and  CORGO, Paulina. Selective progesterone receptor modulator for the management of uterine fibroids in childbearing age: based on a case report. Acta Obstet Ginecol Port [online]. 2016, vol.10, n.1, pp.66-69. ISSN 1646-5830.

Fibromyomas are a benign and common condition, with an unclear impact on reproduction. Medical therapy has been the first-line treatment in young women, especially those with previous myomectomy, due to the highest surgical risks, and its adverse effects on fertility. Ulipristal acetate(UPA) appears to be an effective treatment with prolonged effect on symptom control and reduction of myomas. With a wellestablished pre-surgical recommendation, its indication in infertility or prior to a spontaneous pregnancy still has little evidence. The increasing reports of successful pregnancies after treatment with UPA, support its potential usefulness, as seen in the clinical case described.

Keywords : Fibromyoma; Ulipristal acetate; Uterine myomectomy; Fertility.

        · text in Portuguese     · Portuguese ( pdf )