Reactions 1680, p153 - 2 Dec 2017 Temporary anorgasmia: case report A 44-year-old woman developed temporary anorgasmia following uterine artery embolisation (UAE) with gelatin particles [Embosphere]. The woman presented at a radiology clinic for evaluation of symptomatic fibroids. Her medical history included two uncomplicated vaginal deliveries and chronic iron deficiency anaemia with intermittent asthma. Her pelvic MRI showed multiple, moderately vascularised, intramural fibroids and a small sub mucosal fibroid. Presence of adenomyosis was confirmed by a thickened junctional zone. A decision to perform UAE was made. Both uterine arteries were embolised to stasis using a right common femoral artery access by one vial of gelatin particles 300 500 microns per side. She was admitted for observation overnight and pain management with analgesia. Next day she was discharged on pain control medicines. Two and half months after UAE, she presented for routine follow-up where she reported that her menstrual cycles were lighter and shorter. She complained that following the procedure, she had become anorgasmic and was no longer able to achieve internal or external orgasm [time to reaction onset not clearly stated]. Three months after UAE, the woman regained the ability to achieve external or clitoral orgasm while it took five months to regain the internal orgasm. Author comment: "We report a rare case of temporary anorgasmia following uterine artery embolization (UAE) performed for symptomatic uterine fibroids". "Sexual dysfunction, such as anorgasmia, is a rarely reported complication of UAE." Speir E, et al. Temporary Anorgasmia Following Uterine Artery Embolization for Symptomatic Uterine Fibroids. Cardiovascular and Interventional Radiology 40: 1792-1795, No. 11, Nov 2017. Available from: URL: http://doi.org/10.1007/ s00270-017-1776-0 - USA 803284111 0114-9954/17/1680-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved Reactions 2 Dec 2017 No. 1680
Reactions Weekly – Springer Journals
Published: Dec 2, 2017
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