{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:42:49Z","timestamp":1777660969004,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T00:00:00Z","timestamp":1557187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T00:00:00Z","timestamp":1557187200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Gynecologic Surgery"],"published-print":{"date-parts":[[2019,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Transcervical radiofrequency (RF) ablation of uterine fibroids is an incisionless procedure to treat nonpedunculated uterine fibroids, including those that are not amenable to operative hysteroscopy. However, its safety and effectiveness regarding fertility and fecundity have not been established, including among women with infertility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      A 38-year-old nullipara with infertility since 2008 and a recent complaint of refractory dysmenorrhea in association with a uterine fibroid underwent transcervical RF ablation with the Sonata\n                      <jats:sup>\u00ae<\/jats:sup>\n                      System (Gynesonics, Redwood City, CA) to treat the symptomatic myoma. Unsuccessful assisted reproduction (intracytoplasmic sperm injection\/embryo transfer) as confirmed by negative pregnancy testing had been attempted 1 month preablation, and a second embryo transfer after thawing the previously cryopreserved pronuclei was performed 7 months postablation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      RF ablation with the Sonata System resulted in a 68% reduction in fibroid volume noted on sonography 2 months post-treatment along with resolution of the patient's dysmenorrhea. No residual fibroid was noted on sonography 7 months postablation. A second attempt at assisted reproduction produced an uncomplicated pregnancy that resulted in vacuum-assisted vaginal delivery of a liveborn infant at term weighing 3670\u2009g with Apgar scores of 9\n                      <jats:sup>1<\/jats:sup>\n                      \/10\n                      <jats:sup>5<\/jats:sup>\n                      \/10\n                      <jats:sup>10<\/jats:sup>\n                      . Pelvic sonography 4 months postpartum an unremarkable uterus, again, with no evidence of a fibroid remnant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This is the first report of a pregnancy and delivery in an infertile couple who underwent transcervical RF ablation of a uterine fibroid followed by assisted reproduction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/gyn.2019.0001","type":"journal-article","created":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T14:43:30Z","timestamp":1557240210000},"page":"253-255","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Term Delivery in an Infertile Patient after Transcervical Radiofrequency Fibroid Ablation and Assisted Reproductive Technology"],"prefix":"10.1177","volume":"35","author":[{"given":"Gregor","family":"Pschadka","sequence":"first","affiliation":[{"name":"Department of Gynecology, Josephs-Hospital Warendorf, Warendorf, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Engelhardt","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Josephs-Hospital Warendorf, Warendorf, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Niehoff","sequence":"additional","affiliation":[{"name":"MVZ Kinderwunsch-und Hormonzentrum, M\u00fcnster, Germany."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Toub","sequence":"additional","affiliation":[{"name":"Gynesonics, Redwood City, CA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,5,7]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-014-0873-1"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-015-0915-3"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003032"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1089\/gyn.2018.0051"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13669-017-0194-2"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2017.01.009"},{"key":"e_1_3_2_8_2","first-page":"194","article-title":"Reproductive outcomes in women following radiofrequency volumetric thermal ablation of symptomatic fibroids: A retrospective case series analysis","volume":"60","author":"Berman JM","year":"2015","unstructured":"Berman JM, , Bolnick JM, , Pemueller RR, , Garza Leal JG. 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