administration has a more rapid onset.
Bradycardia and cardiac arrest caused by intramyometrial
injection of vasopressin during a laparoscopically assisted myomectomy.
Ruspa, "Large intramyometrial
cystic adenomyosis: A hysteroscopic approach with bipolar resectoscope: Case report," European Journal of Gynaecological Oncology, vol.
 Off-label intramyometrial
injection has been described,  but its use should be confined to institutions with specialist skills and experience.
Acute pulmonary edema after intramyometrial
* Direct intramyometrial
injection of carboprost 0.5 mg im (Haemobate or Prostaglandin F2a) with responsibility of the administering clinician as it is not recommended for intramyometrial
Lindblom, "Contractile effects of endothelin 1 and endothelin 3 on myometrium and small intramyometrial
arteries of pregnant women at term," Gynecologic and Obstetric Investigation, vol.
One group received 600mcg sublingual misoprostol (Parke-Davis) combined with standard oxytocic treatment and the other group received intramyometrial
PGF2a (Prostin F2alpha, Dinoprost- Parke-Davis) combined with standard oxytocic for treatment of primary PPH.
When this observation is added to the propensity of endometrium to extend as diverticula into the myometrium as adenomyosis, this creates yet another pitfall in the distinction of intramyometrial
extension into adenomyosis versus true myometrial invasion by carcinoma.
Option 2: Lash Technique (Intramyometrial
Coring) Make successive circular incisions in myometrium to core it out.
It can be given by intravenous, intramuscular, or intramyometrial
(IMM) routes, but always in a continuous infusion--never a bolus.