{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:57:43Z","timestamp":1790866663387,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T00:00:00Z","timestamp":1775606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the effectiveness of curettage, uterine artery embolization (UAE), and gonadotropin\u2010releasing hormone (GnRH) agonist therapy in the management of post\u2010abortion acquired uterine enhanced myometrial vascularity\/arteriovenous malformation (EMV\/AVM) with retained products of conception (RPOC), focusing on short\u2010term healing and reproductive outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This monocentric retrospective cohort study included 159 women with EMV\/AVM associated with RPOC after abortion, treated at a tertiary referral center affiliated with Shiraz University of Medical Sciences between January 2022 and December 2025. Patients underwent curettage, UAE with polyvinyl alcohol (PVA) particles, or GnRH agonist therapy. Outcomes included EMV\/AVM healing and RPOC resolution at 4\u2009weeks, change in RPOC volume, subsequent pregnancy, and recurrent abortion. Analyses were performed in SPSS version 26.0 with a two\u2010sided significance threshold of\n                      <jats:italic>P<\/jats:italic>\n                      less than 0.05, following STROBE guidelines.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At 4\u2009weeks, AVM healing occurred in 70.2% and RPOC resolution in 68.4% of patients. Curettage and UAE achieved significantly higher rates of EMV\/AVM and RPOC healing than GnRH agonist therapy (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.018 and\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.013, respectively). No significant between\u2010group differences were observed for subsequent pregnancy (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.933) or recurrent abortion (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.065).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Curettage and UAE provide superior short\u2010term healing compared with GnRH agonist therapy, while reproductive outcomes appear comparable across modalities. Treatment selection should consider Doppler parameters, clinical stability, and fertility goals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.71010","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T14:36:23Z","timestamp":1775658983000},"page":"257-262","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative effectiveness of curettage, uterine artery embolization, and gonadotropin\u2010releasing hormone (\n                    <scp>GnRH<\/scp>\n                    ) agonist therapy in the management of acquired uterine enhanced myometrial vascularity\/arteriovenous malformation (\n                    <scp>EMV<\/scp>\n                    \/\n                    <scp>AVM<\/scp>\n                    ) and retained products of conception (\n                    <scp>RPOC<\/scp>\n                    ): A retrospective cohort study"],"prefix":"10.1002","volume":"175","author":[{"given":"Amin Abolhasani","family":"Foroughi","sequence":"first","affiliation":[{"name":"Medical Imaging Research Center Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3436-8079","authenticated-orcid":false,"given":"Seyed Sina","family":"Dehghani","sequence":"additional","affiliation":[{"name":"Medical Imaging Research Center, Department of Radiology Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Shiravani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Oncology Gynecology, School of Medicine Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehran","family":"Mansoori","sequence":"additional","affiliation":[{"name":"Department of Radiology Shiraz University of Medical Sciences  Shiraz Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2021.05.095"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.23495"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0301-2115(00)00443-7"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.5603\/gpl.101558"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.16023"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.23906"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2024.10.075"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2022.05.005"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/02841850903008792"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm12071098"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dev097"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.18203\/2320-1770.ijrcog20212208"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13224-023-01873-6"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13455"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/15266028211025022"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.sult.2020.08.002"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.21872"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2018.07.018"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics14111084"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2020.08.048"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000183684.67656.ba"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71010","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.71010","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.71010","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:23:50Z","timestamp":1790864630000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.71010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,8]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/ijgo.71010"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.71010","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,8]]},"assertion":[{"value":"2025-09-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}