{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:22:54Z","timestamp":1787757774182,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Abnormal uterine bleeding (AUB) is frequently encountered in the gynecological complaint of perimenopausal female visiting the outpatient department. Beginning in mid-40s, perimenopause is often marked with menstrual irregularities. Intramyometrial pregnancy (IMP) is a rare type of ectopic pregnancy with an incidence of &lt;1% of all ectopic gestation may present as AUB in perimenopausal female. It remains a diagnostic challenge, especially in background of negative pregnancy test with the lesion ultrasonographically mimicking a fibroid with or without degeneration or an adenomyoma. We report the case of a 41-year-old perimenopausal female presenting with AUB not responding to medical management and ultrasound suggestive of degenerative fibroid. Hence, total laparoscopic hysterectomy was done and histopathology revealed the lesion to be IMP. The aim of this case report is to consider this rare entity as a possible cause of AUB in perimenopausal female even in the pretext of negative pregnancy test.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmh.jmh_156_21","type":"journal-article","created":{"date-parts":[[2022,5,2]],"date-time":"2022-05-02T06:58:20Z","timestamp":1651474700000},"page":"85-87","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Intramyometrial Pregnancy Presenting as Abnormal Uterine Bleeding in Perimenopausal Female"],"prefix":"10.4103","volume":"13","author":[{"given":"Amrita Razdan","family":"Kaul","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usha Priyambada","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divya","family":"Kant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita","family":"Kant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-15-20240906","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1002\/jcu.20703","article-title":"Sonographic diagnosis and successful medical management of an intramural ectopic pregnancy","volume":"38","author":"Ong","year":"2010","journal-title":"J Clin Ultrasound"},{"key":"R2-15-20240906","first-page":"58","article-title":"Approach to diagnosis and management of abnormal uterine bleeding","volume":"53","author":"Telner","year":"2007","journal-title":"Can Fam Physician"},{"key":"R3-15-20240906","first-page":"84","article-title":"Health issues of menopausal women in North India","volume":"3","author":"Mahajan","year":"2012","journal-title":"J Midlife Health"},{"key":"R4-15-20240906","first-page":"14","article-title":"A new type of ectopic gestation: Pregnancy in adenomyoma uteri","volume":"16","author":"Doederlien","year":"1913","journal-title":"Surg Gynecol Obstel"},{"key":"R5-15-20240906","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1093\/humupd\/dmt047","article-title":"Diagnosing ectopic pregnancy and current concepts in the management of pregnancy of unknown location","volume":"20","author":"Kirk","year":"2014","journal-title":"Hum Reprod Update"},{"key":"R6-15-20240906","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.bpobgyn.2010.10.009","article-title":"Deep placentation","volume":"25","author":"Pijenborg","year":"2011","journal-title":"Best Pract Res Clin Obstet Gynecol"},{"key":"R7-15-20240906","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1002\/jcu.20107","article-title":"Diagnosis of early intramural ectopic pregnancy","volume":"33","author":"Lee","year":"2005","journal-title":"J Clin Ultrasound"},{"key":"R8-15-20240906","doi-asserted-by":"crossref","first-page":"2427","DOI":"10.1093\/oxfordjournals.humrep.a138463","article-title":"Intramural pregnancy following difficult embryo transfer","volume":"9","author":"Khalifa","year":"1994","journal-title":"Hum Reprod"},{"key":"R9-15-20240906","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/j.rbmo.2010.02.022","article-title":"Intramyometrial ectopic pregnancy in an ICSI patient following uterine artery embolization","volume":"20","author":"Leyder","year":"2010","journal-title":"Reprod Biomed Online"},{"key":"R10-15-20240906","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0736-4679(00)00233-X","article-title":"Chronic ectopic pregnancy \u2013 Two cases of acute rupture despite negative beta hCG","volume":"19","author":"Brennan","year":"2000","journal-title":"J Emerg Med"}],"container-title":["Journal of Mid-life Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_156_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:52:55Z","timestamp":1787755975000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.jmh_156_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jmh.jmh_156_21","relation":{},"ISSN":["0976-7800"],"issn-type":[{"value":"0976-7800","type":"print"}],"subject":[],"published":{"date-parts":[[2022,1]]}}}