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Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
Published on: January 17, 2019
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Infertility and uterine fibroids
Leonidas I Zepiridis1, Grigoris F Grimbizis1, Basil C Tarlatzis1
1First Department of Obstetrics and Gynaecology, Papageorgiou University Hospital, Aristotle University of Thessaloniki, Greece.
Best Practice & Research. Clinical Obstetrics & Gynaecology
|February 10, 2016
Summary
Uterine fibroids negatively impact fertility, particularly submucosal types. Myomectomy, especially endoscopic removal of submucosal fibroids, may improve pregnancy rates.
Area of Science:
- Gynecology
- Reproductive Medicine
- Oncology
Background:
- Uterine fibroids are common tumors in women, disproportionately affecting those with infertility.
- Current classification focuses on location, lacking parameters like size or number.
- Submucosal fibroids are known to negatively impact fertility.
Purpose of the Study:
- To review the impact of uterine fibroids on female fertility.
- To discuss proposed mechanisms by which fibroids affect reproductive potential.
- To outline best practices for managing fibroids concerning fertility.
Main Methods:
- Review of published literature on uterine fibroids and fertility.
- Analysis of the effects of different fibroid types (submucosal, intramural, subserosal) on fertility.
- Evaluation of myomectomy outcomes for fertility improvement.
Main Results:
- Submucosal fibroids significantly impair fertility.
- Intramural fibroids >4 cm may negatively affect fertility, even without cavity distortion.
- Subserosal fibroids generally have minimal impact on fertility.
Conclusions:
- Myomectomy can improve fertility in select cases, particularly submucosal fibroid excision.
- Endoscopic myomectomy is recommended for its postoperative advantages.
- Treatment of subserosal fibroids is not typically necessary for fertility concerns.
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