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Case Reports in Medicine
Volume 2016, Article ID 5135780, 3 pages
http://dx.doi.org/10.1155/2016/5135780
Case Report

Ulipristal Acetate in Myomectomy Optimization in an Infertile Patient with Giant Myomas

Department of Obstetrics and Gynecology, Hospital de Sagunto, Valencia, Spain

Received 11 May 2016; Accepted 7 June 2016

Academic Editor: Raoul Orvieto

Copyright © 2016 Elena de la Fuente et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The use of ulipristal acetate (UPA) has been recently introduced in the treatment of uterine leiomyomas. This drug has proven useful to control menometrorrhagia and to reduce myoma size. In the case presented here, we show the benefits of UPA treatment in facilitating surgical removal of giant myomas in an infertile patient. In addition to myoma reduction and a better control of preoperative bleeding, the treatment with UPA reduced the duration and complexity of the surgery, as well as the area of uterine wall involved and the resulting scar. No side effects were observed and the patient became pregnant 6 months after the surgery and had a normal pregnancy and delivery. This case report shows the beneficial effects of UPA in the preoperative treatment of myomas which affect uterus function.