OBJECTIVE: To report a case of major intrauterine synechiae associated with ovarian function failure secondary to uterine devascularization. DESIGN: Case report. SETTING: Departments of gynecology and obstetrics in two hospitals in France. PATIENT(S): A 29-year-old woman, para 1, presenting severe postpartum hemorrhage. INTERVENTION(S): Bilateral uterine, round ligament, utero-ovarian, and ovarian arteries ligation. MAIN OUTCOME MEASURE(S): Clinical and hormonal status, computed tomography scan, hysterosalpingography, laparoscopy, hysteroscopy, and histological examination. RESULT(S): Twelve months after uterine devascularization, the patient presented major intrauterine synechiae, absence of endometrium, and ovarian function failure. CONCLUSION(S): Uterine devascularization may be responsible for infertility as a result of intrauterine synechiae and ovarian function failure.
OBJECTIVE: To report a case of major intrauterine synechiae associated with ovarian function failure secondary to uterine devascularization. DESIGN: Case report. SETTING: Departments of gynecology and obstetrics in two hospitals in France. PATIENT(S): A 29-year-old woman, para 1, presenting severe postpartum hemorrhage. INTERVENTION(S): Bilateral uterine, round ligament, utero-ovarian, and ovarian arteries ligation. MAIN OUTCOME MEASURE(S): Clinical and hormonal status, computed tomography scan, hysterosalpingography, laparoscopy, hysteroscopy, and histological examination. RESULT(S): Twelve months after uterine devascularization, the patient presented major intrauterine synechiae, absence of endometrium, and ovarian function failure. CONCLUSION(S): Uterine devascularization may be responsible for infertility as a result of intrauterine synechiae and ovarian function failure.