Abstract

To research the causative factors for uterine AV malformations, uterus - operative procedures, post-procedure monitoring of uterine AVM patients, recovery of menstrual function, and future fertility. Methods: Department of Obstetrics and Gynaecology, Mallareddy Nrayana hospital, Hyderabad, Telangana, India, conducted prospective research examined women with excessive menstrual bleeding after abortion and LSCS from December 2014 to February 2020. All acute AUB patients from uterine curettage or C-section were recruited. Doppler USG, CT scan, MR angiography, and case history identified uterine artery AVMs. Uterine artery embolization or other treatments need informed consent. Results: Women of heavy bleeding after abortion and LSCS identified as arteriovenous malformations by pelvic ultrasonography (hypoechoic spaces in myometrium), Doppler Ultrasonography (Enhanced myometrial vascularity), Spectral Doppler (Low impedance and high velocity flow in lesions), and MR angiography. UAE was minimally invasive for all 10 AVM-afflicted women. One molar pregnancy patient survived suction and curettage. 5 individuals resumed menstruation within 2 months and other 5 between 2-5 months. All had brief initial cycles. Conclusion: With Doppler ultrasound, MR angiography, acquired AV uterine abnormalities are prevalent in early reproductive age. Most follow uterine cavity interventions. UAE is best for severe and acute AUB since it requires little hospital stay and local anaesthetic. Uterine artery embolization conserves the uterus and restores menstruation and reproductive functioning

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