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Uterine fibroids associated with infertility
Kristin Van Heertum1, Larry Barmat
1Department of Obstetrics & Gynecology, Abington Memorial Hospital, 1200 Old York Road, Abington, PA 19001, USA.
Women'S Health (London, England)
|December 9, 2014
Summary
Uterine fibroids increasingly impact fertility as women delay childbearing. This review examines treatments for fibroids in infertile patients, noting controversy around intramural fibroid management.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
- Women's Health
Background:
- Uterine fibroids are common tumors, with prevalence increasing with age.
- Delayed childbearing leads to a higher incidence of fibroids and infertility co-occurring.
- Fibroid treatment selection depends on location and size.
Purpose of the Study:
- To review and summarize current literature on managing uterine fibroids in infertile patients.
- To highlight treatment consensus for submucosal fibroids and controversy for intramural fibroids.
Main Methods:
- Literature review of current research on uterine fibroid treatments.
- Analysis of treatment modalities including myomectomy (open, laparoscopic, robotic), medical therapy, uterine artery embolization, and MR-guided focused ultrasound surgery.
Main Results:
- Established treatment protocols exist for submucosal fibroids.
- Management strategies for intramural fibroids in infertile women remain a subject of debate.
- Various surgical and non-surgical options are available depending on fibroid characteristics.
Conclusions:
- Optimal management of uterine fibroids in infertile patients requires careful consideration of fibroid type and patient factors.
- Further research may clarify best practices for challenging cases like intramural fibroids.
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