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Fertility after abdominal myomectomy.
G Connolly1, M Doyle, T Barrett
1Department of Obstetrics and Gynaecology, Royal College of Surgeons in Ireland, Rotunda Hospital, Dublin, Ireland.
Summary
Myomectomy surgery for women with uterine fibroids can lead to favorable pregnancy outcomes, especially when fibroids are the sole cause of infertility. This procedure shows promising results for improving fertility in affected women.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
Background:
- Uterine fibroids are common and can impact female fertility.
- Myomectomy is a surgical option for women with symptomatic fibroids.
Purpose of the Study:
- To evaluate the morbidity and pregnancy outcomes following myomectomy in infertile women.
- To assess the success rate of myomectomy in resolving infertility caused by uterine fibroids.
Main Methods:
- Cross-sectional study reviewing records of 100 women undergoing myomectomy (1995-1996).
- Follow-up via questionnaire to assess subsequent fertility and pregnancy outcomes.
- Analysis of complications, pregnancy rates, and miscarriage rates.
Main Results:
- Nine women (12%) experienced complications, including menstrual and discomfort issues.
- 33% of women achieved pregnancy, with 28% of those being IVF pregnancies.
- Pregnancy occurred in 19 out of 25 cases where fibroids were the only identified cause of infertility.
Conclusions:
- Abdominal myomectomy is associated with favorable pregnancy outcomes in infertile women.
- The procedure is particularly beneficial when uterine fibroids are the exclusive cause of infertility.
- Myomectomy can be an effective treatment for improving fertility in select patient groups.