{"id":805,"date":"2026-06-16T20:17:15","date_gmt":"2026-06-16T20:17:15","guid":{"rendered":"https:\/\/testing.smeouro.gr\/?p=805"},"modified":"2026-06-18T09:10:34","modified_gmt":"2026-06-18T09:10:34","slug":"peristatiko4","status":"publish","type":"post","link":"https:\/\/exosomatiki.eu\/en\/peristatiko4\/","title":{"rendered":"Case Reports &#8211; 38 year old woman"},"content":{"rendered":"<div id=\"fws_6a5c9b2a93e86\"  data-column-margin=\"default\" data-midnight=\"dark\"  class=\"wpb_row vc_row-fluid vc_row\"  style=\"padding-top: 0px; padding-bottom: 0px; \"><div class=\"row-bg-wrap\" data-bg-animation=\"none\" data-bg-animation-delay=\"\" data-bg-overlay=\"false\"><div class=\"inner-wrap row-bg-layer\" ><div class=\"row-bg viewport-desktop\"  style=\"\"><\/div><\/div><\/div><div class=\"row_col_wrap_12 col span_12 dark left\">\n\t<div  class=\"vc_col-sm-12 wpb_column column_container vc_column_container col no-extra-padding inherit_tablet inherit_phone flex_gap_desktop_10px\"  data-padding-pos=\"all\" data-has-bg-color=\"false\" data-bg-color=\"\" data-bg-opacity=\"1\" data-animation=\"\" data-delay=\"0\" >\n\t\t<div class=\"vc_column-inner\" >\n\t\t\t<div class=\"wpb_wrapper\">\n\t\t\t\t\n<div class=\"wpb_text_column wpb_content_element\" >\n\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dcae936 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dcae936\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n<div class=\"elementor-container elementor-column-gap-default\">\n<div class=\"elementor-row\">\n<div class=\"aux-parallax-section elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e42141e\" data-id=\"e42141e\" data-element_type=\"column\">\n<div class=\"elementor-column-wrap elementor-element-populated\">\n<div class=\"elementor-widget-wrap\">\n<div class=\"elementor-element elementor-element-b15d50f elementor-widget elementor-widget-text-editor\" data-id=\"b15d50f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n<div class=\"elementor-widget-container\">\n<div class=\"elementor-text-editor elementor-clearfix\">\n<p class=\"p1\"><b>Patient Profile<\/b><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\">38 year old woman<\/li>\n<li class=\"li1\">Infertility history: 7 years<\/li>\n<li class=\"li1\">12 previous IVF cycles<\/li>\n<li class=\"li1\">History of laparotomy, i.e. open surgery, for removal of fibroids 5 years ago<\/li>\n<\/ul>\n<p class=\"p1\"><b>effort history<\/b><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\">Long-term infertility lasting 7 years<\/li>\n<li class=\"li1\">12 Failed IVF Cycles<\/li>\n<li class=\"li1\">Previous Open Surgery for Fibroid Removal<\/li>\n<li class=\"li1\">Aggravated history of uterus due to fibroids and previous surgical intervention<\/li>\n<\/ul>\n<p class=\"p1\"><b>clinical challenge<\/b><\/p>\n<p class=\"p1\">During the first evaluation, the presence of multiple fibroids was found, with dimensions up to 7 cm.<\/p>\n<p class=\"p1\">At the same time, the endometrial cavity showed adhesions, which seem to have been related to both the presence of the fibroids and the previous surgery.<\/p>\n<p class=\"p1\">The incident was particularly demanding, as the uterus had already been burdened by a previous open surgery. Choosing a new operation to remove fibroids could cause further burden on the endometrial cavity and negatively affect the chances of implantation.<\/p>\n<p class=\"p1\">It is a multifactorial infertility incident, where the main challenge was not only the presence of fibroids, but also the need to protect as much as possible the functionality of the endometrial cavity.<\/p>\n<p class=\"p1\"><b>diagnostic assessment<\/b><\/p>\n<p class=\"p1\">The assessment of the case showed that the intrauterine cavity had been significantly affected.<\/p>\n<p class=\"p1\">The adhesions, combined with the history of previous laparotomy, created unfavorable conditions for implantation and probably explained part of the repeated IVF failures.<\/p>\n<p class=\"p1\">In this context, the strategy could not be aggressive or standardized. A careful, targeted and completely individualized approach was needed, with the main goal of improving the endometrial cavity without further injury.<\/p>\n<p class=\"p1\"><b>Therapeutic decision<\/b><\/p>\n<p class=\"p1\">After analytical discussion and reassessment of the data, it was decided to avoid a new extensive surgery to remove fibroids.<\/p>\n<p class=\"p1\">This decision was based on the risk of further burden on the uterus and the endometrial cavity.<\/p>\n<p class=\"p1\">Instead, a more conservative but targeted approach was agreed:<\/p>\n<ul class=\"ul1\">\n<li class=\"li1\">Hysteroscopic solution of intrauterine adhesions<\/li>\n<li class=\"li1\">Renewing the endometrium during hysteroscopy<\/li>\n<li class=\"li1\">Avoiding unnecessary surgical injury<\/li>\n<li class=\"li1\">Subsequent medication<\/li>\n<li class=\"li1\">Careful planning of the next cycle of extracorporeal<\/li>\n<\/ul>\n<p class=\"p1\"><b>Diagnostic &amp; Therapeutic Approach<\/b><\/p>\n<p class=\"p1\">Hysteroscopy was aimed at restoring the endometrial cavity and creating better implantation conditions.<\/p>\n<p class=\"p1\">In a detailed and careful way, the adhesions were dissolved and the endometrial tissue was neatized, with the aim of improving the receptivity of the endometrium without causing new damage.<\/p>\n<p class=\"p1\">The approach was particularly careful, as in such cases excessive intervention can be as aggravating as insufficient treatment.<\/p>\n<p class=\"p1\"><b>IVF Strategy<\/b><\/p>\n<p class=\"p1\">After the hysteroscopic restoration, an individualized IVF cycle was designed.<\/p>\n<p class=\"p1\">The strategy was based on:<\/p>\n<ul class=\"ul1\">\n<li class=\"li1\">Improvement of the intrauterine cavity before embryo transfer<\/li>\n<li class=\"li1\">Avoiding additional surgical trauma in the uterus<\/li>\n<li class=\"li1\">Careful pharmaceutical support<\/li>\n<li class=\"li1\">Targeted endometrial preparation<\/li>\n<li class=\"li1\">Utilizing every detail that could increase the chance of implantation<\/li>\n<\/ul>\n<p class=\"p1\"><b>Result<\/b><\/p>\n<p class=\"p1\">The patient achieved pregnancy with the first IVF attempt after hysteroscopic rehabilitation.<\/p>\n<p class=\"p1\">Two years later, he achieved a second pregnancy through frozen embryo transfer.<\/p>\n<p class=\"p1\">After 7 years of infertility and 12 previous IVF cycles, this development was particularly moving.<\/p>\n<p class=\"p1\">Perhaps even the patient herself finds it difficult to believe that, after so many failures and so much mental fatigue, all this finally happened.<\/p>\n<p class=\"p1\"><b>clinical conclusions<\/b><\/p>\n<ul class=\"ul1\">\n<li class=\"li1\">Repeated IVF failures require a complete revaluation rather than a mere repetition of the same strategy<\/li>\n<li class=\"li1\">Fibroids and endometrial adhesions can decisively affect implantation<\/li>\n<li class=\"li1\">Previous uterine surgery may create additional difficulties in the endometrial cavity<\/li>\n<li class=\"li1\">The most extensive surgical solution is not always necessary<\/li>\n<li class=\"li1\">In selected cases, targeted hysteroscopic intervention may be more beneficial than a new major intervention<\/li>\n<li class=\"li1\">Protecting the endometrial cavity is critical to the success of IVF<\/li>\n<li class=\"li1\">The personalized approach can change the prognosis even after many failed attempts<\/li>\n<\/ul>\n<p class=\"p1\"><b>Final message<\/b><\/p>\n<p class=\"p1\">Even after many years of infertility and repeated failures, the solution does not always lie in doing more.<\/p>\n<p class=\"p1\">Sometimes it lies in doing the right thing, with precision, attention and respect for detail.<\/p>\n<p class=\"p1\">In difficult cases, the correct diagnosis, avoiding unnecessary interventions and targeted rehabilitation can change not only the prognosis, but also the life of a couple.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n\n\n\n\n\t\t\t<\/div> \n\t\t<\/div>\n\t<\/div> \n<\/div><\/div>","protected":false},"excerpt":{"rendered":"\u03a0\u03c1\u03bf\u03c6\u03af\u03bb \u0391\u03c3\u03b8\u03b5\u03bd\u03bf\u03cd\u03c2 \u0393\u03c5\u03bd\u03b1\u03af\u03ba\u03b1 38 \u03b5\u03c4\u03ce\u03bd \u0399\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03c5\u03c0\u03bf\u03b3\u03bf\u03bd\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2: 7 \u03ad\u03c4\u03b7 12 \u03c0\u03c1\u03bf\u03b7\u03b3\u03bf\u03cd\u03bc\u03b5\u03bd\u03bf\u03b9 \u03ba\u03cd\u03ba\u03bb\u03bf\u03b9 \u03b5\u03be\u03c9\u03c3\u03c9\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b3\u03bf\u03bd\u03b9\u03bc\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7\u03c2 \u0399\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03bb\u03b1\u03c0\u03b1\u03c1\u03bf\u03c4\u03bf\u03bc\u03ae\u03c2, \u03b4\u03b7\u03bb\u03b1\u03b4\u03ae \u03b1\u03bd\u03bf\u03b9\u03c7\u03c4\u03bf\u03cd \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b5\u03af\u03bf\u03c5, \u03b3\u03b9\u03b1 \u03b1\u03c6\u03b1\u03af\u03c1\u03b5\u03c3\u03b7 \u03b9\u03bd\u03bf\u03bc\u03c5\u03c9\u03bc\u03ac\u03c4\u03c9\u03bd \u03c0\u03c1\u03b9\u03bd \u03b1\u03c0\u03cc 5 \u03ad\u03c4\u03b7 \u0399\u03c3\u03c4\u03bf\u03c1\u03b9\u03ba\u03cc \u03a0\u03c1\u03bf\u03c3\u03c0\u03b1\u03b8\u03b5\u03b9\u03ce\u03bd \u039c\u03b1\u03ba\u03c1\u03bf\u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03c5\u03c0\u03bf\u03b3\u03bf\u03bd\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1...","protected":false},"author":1,"featured_media":808,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[],"class_list":["post-805","post","type-post","status-publish","format-standard","has-post-thumbnail","category-stories"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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