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Autors principals: Prof. Ana, Mitrovic Jovanovic, Bobana, Ivanovic
Format: Recurso digital
Idioma:anglès
Publicat: Zenodo 2026
Matèries:
Accés en línia:https://doi.org/10.5281/zenodo.18976163
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  • <p><strong><span lang="EN-US">Abstract</span></strong></p> <p><strong><span lang="EN-US">Introduction: </span></strong><span lang="EN-US">The incidence of endometrial cancer (EC) among young women has been increasing. The standard treatment for EC is surgical; however, fertility-sparing treatment options are available for young women with stage IA, grade 1 disease who wish to preserve their fertility. After treatment, pregnancy should be attempted as soon as possible following successful endometrial remission. If necessary, assisted reproductive technology should be actively considered to improve pregnancy rates. The limited time window between disease remission and recurrence makes in vitro fertilization (IVF) a favorable option for achieving pregnancy in the short term. IVF has been shown to be effective in reducing treatment duration for EC patients.</span></p> <p><strong><span lang="EN-US">Case Report: </span></strong><span lang="EN-US">We present a case of pregnancy in a young woman after fertility-sparing treatment for endometrial cancer. Conservative management consisted of a six-month course of GnRH-a and MPA, during which hysteroscopic evaluation was performed to assess the therapeutic response. Following this, the patient underwent IVF to increase her chances of conception and ultimately achieved pregnancy through oocyte donation. The pregnancy was complicated by multiple adverse events; however, the patient successfully delivered a live newborn.</span></p> <p><strong><span lang="EN-US">Conclusion: </span></strong><span lang="EN-US">Fertility-preserving treatments for young women with endometrial cancer improve reproductive outcomes. Careful patient selection and a multidisciplinary approach are essential for achieving favorable results.</span></p>