Abstract
Objective: The aim of this study was to assess fertility outcome after abdominal myomectomy and to examine the influence of the number, size, and location of uterine fibroids pertaining to fertility outcome after the surgery. Study design: Retrospective clinical study. Patients and methods: Fertility outcome from 178 women who had abdominal myomectomy during 2000-2004 were analyzed. Data from women with unexplained infertility were collected from medical records and from survey interviews of all women participants. Main outcome measures: Conception rate, pregnancy loss, and live birth rate after myomectomy were measured. The relationship of size and location of fibroids to fertility outcome was also evaluated. Results: Conception rate was determined after myomectomy. The percentage of total pregnancies after myomectomy was 58% and spontaneous abortion rate was 45%. Age, number of fibroids removed, and indication for surgery predicted post-myomectomy fertility. Conclusions: Our study suggests that abdominal myomectomy might improve reproductive outcome in patients with myomas. The reproductive performance was particularly good when the patients were younger and had previous pregnancies prior to the surgery. Myomectomy is associated with less miscarriage rate after pregnancy, compared to those prior to the surgery.
Highlights
Uterine fibroids are the most common tumors of the female genital tract
Our study suggests that abdominal myomectomy might improve reproductive outcome in patients with myomas
Myomectomy is associated with less miscarriage rate after pregnancy, compared to those prior to the surgery
Summary
Uterine fibroids are the most common tumors of the female genital tract. These benign neoplasms are estimated to occur in 20% to 50% of women, with increased frequency during the later reproductive years [1]. Indirect evidence suggests a negative effect, including lengthy infertility before surgery (unexplained by other factors), and rapid return of fertility after fibroid removal [7]. 50% of women with unexplained infertility become pregnant after removal of uterine fibroids [7]. Our study assessed fertility outcome following abdominal myomectomy in infertile women. The aim of this study was to assess fertility outcome after abdominal myomectomy and to examine the influence of the number, size, and location of uterine fibroids pertaining to fertility outcome after the surgery
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
