Evidence map›Paper›PMID 40206394›Full record

ArticleEuropean journal of obstetrics & gynecology and reproductive biology: X2025

Clinical investigation of fertility after uterine artery embolization combined with dilation and curettage(D&C) or D&C alone for cesarean scar pregnancies.

Jie Gao, Wenjing Wang, Zhuoying Zhang, Saiming Cheng, Jiejun Cheng, Le Fu, Feng Gao

Abstract read
In one paragraph

Article in European journal of obstetrics & gynecology and reproductive biology: X, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jie GaoDepartment of Radiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Wenjing WangDepartment of Radiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Zhuoying ZhangDepartment of Radiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Saiming ChengDepartment of Radiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Jiejun ChengDepartment of Radiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Le FuDepartment of Radiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.
Feng GaoDepartment of Radiology, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The aim of this study was to compare the reproductive outcomes of patients with cesarean scar pregnancies (CSP) following uterine artery embolization (UAE) and dilation and curettage (D&C) treatments, and to evaluate the impact of UAE on fertility. Materials: and methods: A retrospective case-control study was conducted. Patients diagnosed with CSP between 2019 and 2021 were included in the study. Clinical data and fertility outcomes were collected and reviewed retrospectively. Patients were divided into two groups based on their treatment option: the UAE combined with D&C group and the D&C alone group. Results: A total of 91 CSP patients were enrolled in the study. Of these, 49 were treated with D&C, while 42 received UAE combined with D&C. The average gestational age in the UAE group was significantly longer than that in the D&C group. The average diameter of the gestational mass was significantly larger in the UAE group than in the D&C group (42.2 ± 19.8 mm vs 23.8 ± 15.9 mm). The other clinical features were not significantly different between the two groups. The average menstrual recovery time was 1.0 ± 0.20 months (range: 1-2 months) in the D&C group, and 2.0 ± 2.85 months (range: 1-18 months) in the UAE combined with D&C group, with a significant difference between the two groups. The average menstrual blood volume (MBV) decreased in 79 % of patients in the UAE group, compared to 18 % in the D&C group, with a significant difference between the two groups. There was no significant difference between the two groups in terms of pregnancy rate and birth rate (75 % vs 78 %, 63 % vs 56 %). Conclusion: UAE combined with D&C is an efficient and safe treatment for CSP. Our study showed that decreased MBV and longer menstrual recovery time in UAE combined with D&C group, but there are no statistical difference in fertility outcomes between the two groups, which suggests probably a reversible impact on the reproductive function.

Indexed as

Dilation and curettageFertilityUterine artery embolisation

Identifiers

PMID40206394
PMCPMC11979471

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.