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Updated: Oct 22, 2025
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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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Uterine Fibroids and Infertility
Damaris Freytag1, Veronika Günther1, Nicolai Maass1
1Department of Obstetrics and Gynecology, University Hospital of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 3, 24105 Kiel, Germany.
Diagnostics (Basel, Switzerland)
|August 27, 2021
Summary
Uterine fibroids, common in women, can cause infertility. Surgical removal of submucosal fibroids improves pregnancy rates, while subserosal fibroids do not impact fertility.
Area of Science:
- Reproductive Medicine
- Gynecologic Oncology
Background:
- Infertility affects women failing to achieve pregnancy after 12 months of unprotected intercourse.
- Uterine fibroids are common, impacting a significant number of women with infertility.
- Fibroid location is crucial, influencing infertility and recurrent pregnancy loss.
Purpose of the Study:
- To investigate the impact of uterine fibroid location on fertility outcomes.
- To clarify the role of myomectomy in improving pregnancy rates for infertile women with fibroids.
Main Methods:
- Review of existing literature on uterine fibroids and infertility.
- Analysis of pregnancy and live birth rates based on fibroid location (submucosal, subserosal, intramural).
Main Results:
- Submucosal fibroids are associated with low pregnancy and live birth rates; resection improves outcomes.
- Subserosal fibroids do not affect fertility, and removal offers no benefit.
- Intramural fibroids may reduce fertility, but treatment recommendations are uncertain.
Conclusions:
- Myomectomy for fibroids should be individualized, considering location and patient symptoms.
- Surgical intervention for submucosal fibroids is recommended to enhance fertility.
- Further research is needed for intramural fibroid treatment guidelines.
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