Removal of myomas in asymptomatic patients to improve fertility and/or reduce miscarriage rate: a guideline
| Autor: | Andrew La Barbera, Kristin Bendikson, Robert W. Rebar, Richard H. Reindollar, Tommaso Falcone, Margareta D. Pisarska, Mitchell P. Rosen, Karl R. Hansen, Richard Paulson, Jay I. Sandlow, Clarisa R. Gracia, Samantha Butts, Gregory Fossum, Michael Vernon, Christos Coutifaris, Randall Odem, Alan S. Penzias, Samantha M. Pfeifer, Jennifer Mersereau |
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| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
media_common.quotation_subject Early Pregnancy Loss Clinical pregnancy Fertility Asymptomatic Miscarriage 03 medical and health sciences 0302 clinical medicine Pregnancy Prevalence medicine Humans 030212 general & internal medicine media_common Gynecology Evidence-Based Medicine 030219 obstetrics & reproductive medicine Leiomyoma Obstetrics business.industry Pregnancy Outcome Fertility Preservation Obstetrics and Gynecology Guideline medicine.disease United States Abortion Spontaneous Causality Treatment Outcome Reproductive Medicine Infertility Practice Guidelines as Topic Uterine Neoplasms Female medicine.symptom business Live birth |
| Zdroj: | Fertility and Sterility. 108:416-425 |
| ISSN: | 0015-0282 |
| Popis: | The purpose of this systematic review is to evaluate if uterine myomas impact the likelihood of pregnancy and pregnancy loss, and if myomectomy influences pregnancy outcomes in asymptomatic women. There is insufficient evidence to conclude that the presence of myomas reduces the likelihood of achieving pregnancy. However, there is fair evidence that myomectomy (open or laparoscopic) for cavity-distorting myomas (intramural or intramural with a submucosal component) improves pregnancy rates and reduces the risk of early pregnancy loss. There is fair evidence that hysteroscopic myomectomy for cavity-distorting myomas improves clinical pregnancy rates but insufficient evidence regarding the impact of this procedure on the likelihood of live birth or early pregnancy loss. In women with asymptomatic cavity-distorting myomas, myomectomy may be considered to optimize pregnancy outcomes. |
| Databáze: | OpenAIRE |
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