Submucous fibroids and infertility: Effect of hysteroscopic myomectomy and factors influencing outcome
| Autor: | Vandana Menon, K Jayakrishnan, Divya Nambiar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Infertility
medicine.medical_specialty business.industry media_common.quotation_subject myoma Fertility Retrospective cohort study Myoma Hysteroscopic myomectomy medicine.disease lcsh:Gynecology and obstetrics Tertiary care Surgery Pregnancy rate Reproductive Medicine medicine Etiology Original Article business infertility lcsh:RG1-991 Unexplained infertility media_common |
| Zdroj: | Journal of Human Reproductive Sciences Journal of Human Reproductive Sciences, Vol 6, Iss 1, Pp 35-39 (2013) |
| ISSN: | 1998-4766 0974-1208 |
| Popis: | Background: Submucosal myomas are associated with infertility and may be treated by hysteroscopic resection. Objective: The aim of this retrospective study was to analyze 37 subfertile patients who unnderwent hysteroscopic myomectomy in a tertiary care center with particular regard to their postprocedure reproductive outcome. Materials and Methods: The entire patient group (n = 37) underwent the procedure between March 2004 and March 2010. The submucosal myomas were type 0 (n = 27), type 1 (n = 8), and type 2 (n = 2). The mean myoma size was 2.1 cm; mean duration of the procedure was 54 mins and mean follow-up was 26 10 months. 22 patients had one or more associated infertility factors. Results: The complication rate was 5.4%. 11 patients (29.7%) conceived after the procedure. The pregnancy rate was better when myoma was the exclusive etiology of infertility (40%), when the myoma was completely intracavitary (33.3%), when the lesion was ≥ 30 mm in size (50%), and there were no associated intramural fibroids. Conclusion: Hysteroscopic myomectomy is a safe procedure to enhance fertility especially in cases with unexplained infertility. |
| Databáze: | OpenAIRE |
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