[Uterine fibromas and infertility]

Fibromas is relatively common in the patients in reproductive age and is exclusively responsible for infertility and abortions in 5% of the patients. Approximately 50% of the women with infertility and myomas become pregnant after myomectomy. The evidence suggests most of women who wish to become pregnant are able to do it in the first year, with a fall of these rates after this time. This can be attributed to the recurrence of fibromas. The site, number and size of myomas as well as the experience of the surgeon along with the preference of the patient can influence the management option. They are indications to make surgery in a woman who is considering the possibility of pregnancy by the natural methods or attended reproduction the presence of submucous or intramural fibroid that distorts the uterine cavity, fibromas greater of 3 cm. and manifold fibromas.