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Updated: Jul 4, 2026
05:46
Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
Impact of fibroids on reproductive function
Aradhana Khaund1, Mary Ann Lumsden
1North Glasgow University Hospitals, Glasgow Royal and Princess Royal Maternity Hospitals, 10 Alexandra Parade, Glasgow G31 2ER, UK. a.khaund@live.co.uk
Summary
Uterine fibroids may cause infertility in 2-3% of cases. Myomectomy surgery to remove fibroids can increase pregnancy rates, though miscarriage risks remain higher than in the general population.
Area of Science:
- Reproductive Medicine
- Gynecology
- Obstetrics
Background:
- Uterine fibroids are common benign tumors that can affect reproductive function.
- The exact relationship between fibroids and infertility or pregnancy loss is debated.
- Fibroids are present in 0.1-3.9% of pregnancies, potentially causing complications.
Purpose of the Study:
- To explore the role of uterine fibroids in infertility and pregnancy loss.
- To evaluate the impact of myomectomy on reproductive outcomes.
- To discuss management and contraceptive options for women with fibroids.
Main Methods:
- Review of existing literature on fibroids, infertility, and myomectomy.
- Analysis of data regarding pregnancy rates and miscarriage after myomectomy.
- Discussion of potential mechanisms linking fibroids to reproductive dysfunction.
Main Results:
- Fibroids are implicated in 2-3% of infertility cases.
- Myomectomy may significantly increase pregnancy rates in women with fibroid-associated infertility.
- Miscarriage rates appear to decrease after myomectomy but remain elevated compared to the general population.
Conclusions:
- Uterine fibroids can contribute to infertility and pregnancy complications.
- Myomectomy is a potential surgical option to improve fertility outcomes.
- Further research is needed to fully elucidate the mechanisms and optimize management strategies.
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