Uterine devascularization and subsequent major intrauterine synechiae and ovarian failure.

Objective To report a case of major intrauterine synechiae associated with ovarian function failure secondary to uterine devascularization. Design Case report. Setting Departments of gynecology and obstetrics in two hospitals in France. Patient(s) A 29-year-old woman, para 1, presenting severe postpartum hemorrhage. Intervention(s) Bilateral uterine, round ligament, utero-ovarian, and ovarian arteries ligation. Main outcome measure(s) Clinical and hormonal status, computed tomography scan, hysterosalpingography, laparoscopy, hysteroscopy, and histological examination. Result(s) Twelve months after uterine devascularization, the patient presented major intrauterine synechiae, absence of endometrium, and ovarian function failure. Conclusion(s) Uterine devascularization may be responsible for infertility as a result of intrauterine synechiae and ovarian function failure.