Pregnancy following GnRH agonist therapy of uterine leiomyoma obstructing a single Fallopian tube

Several studies have shown that gonadotrophin-releasing hormoneanalogue (GnRHa) offers a promising medical approach in thetreatment of uterine leiomyomas. Medical management is veryimportant especially when fertility is desired. We report ona case with mechanical infertility, in which the right tubewas obstructed by cornual myoma and the left tube was resecteddue to a ruptured ectopic pregnancy. The myoma was reduced insize by GnRHa treatment and the patient subsequently conceived.