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Reproductive outcome after abdominal myomectomy
1Department of Obstetrics and Gynaecology, Jordan University Hospital, Amman. sssaleh@hotmail.com
Summary
This study evaluated reproductive outcomes following abdominal myomectomy. Over half of patients attempting pregnancy after surgery achieved a successful pregnancy, indicating positive reproductive results.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
Background:
- Uterine fibroids (myomas) are common and can cause infertility and abnormal uterine bleeding.
- Abdominal myomectomy is a surgical procedure to remove fibroids while preserving the uterus.
Purpose of the Study:
- To assess the reproductive success rate after abdominal myomectomy.
- To identify indications for myomectomy in women with infertility and abnormal uterine bleeding.
Main Methods:
- Retrospective analysis of 70 abdominal myomectomies performed over a 10-year period.
- Review of patient records to determine indications for surgery and subsequent pregnancy outcomes.
Main Results:
- 55% of patients had infertility prior to surgery.
- The primary indication was a combination of infertility and menorrhagia (34.2%).
- A successful pregnancy rate of 53.8% was observed in patients who attempted conception post-surgery.
Conclusions:
- Abdominal myomectomy can lead to successful pregnancy outcomes in a significant portion of infertile women.
- Myomectomy is an effective treatment for women experiencing infertility and menorrhagia due to uterine fibroids.