Fertility rates after hysteroscopic treatment of submucous myomas depending on their type

Stamatellos, Ioannis; Apostolides, Aristotelis; Antonios, Tarek F.; Stamatopoulos, P; Bontis, J.

doi:10.1007/s10397-006-0207-z

Cited by 9 publications

(5 citation statements)

References 26 publications

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“…We found that the results are best with type 0 fibroids-33.3% and the rates drastically fell with increasing intramural extension. The reduction in fertility rates with increasing intramural extension was also reported in a study by Ioannis et al .,[9] It was a small study that looked at 25 patients. They found a fertility rate of 57.15% in type 0, 42.8% in type 1, and 25% in type 2 fibroids.…”

Section: Discussionsupporting

confidence: 66%

Submucous fibroids and infertility: Effect of hysteroscopic myomectomy and factors influencing outcome

Jayakrishnan¹,

Menon

Nambiar³

2013

J Hum Reprod Sci

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BACKGROUND:Submucosal myomas are associated with infertility and may be treated by hysteroscopic resection.OBJECTIVE:The aim of this retrospective study was to analyze 37 subfertile patients who unnderwent hysteroscopic myomectomy in a tertiary care center with particular regard to their postprocedure reproductive outcome.MATERIALS AND METHODS:The entire patient group (n = 37) underwent the procedure between March 2004 and March 2010. The submucosal myomas were type 0 (n = 27), type 1 (n = 8), and type 2 (n = 2). The mean myoma size was 2.1 cm; mean duration of the procedure was 54 mins and mean follow-up was 26 ± 10 months. 22 patients had one or more associated infertility factors.RESULTS:The complication rate was 5.4%. 11 patients (29.7%) conceived after the procedure. The pregnancy rate was better when myoma was the exclusive etiology of infertility (40%), when the myoma was completely intracavitary (33.3%), when the lesion was ≥ 30 mm in size (50%), and there were no associated intramural fibroids.CONCLUSION:Hysteroscopic myomectomy is a safe procedure to enhance fertility especially in cases with unexplained infertility.

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Section: Discussionsupporting

confidence: 66%

Submucous fibroids and infertility: Effect of hysteroscopic myomectomy and factors influencing outcome

Jayakrishnan¹,

Menon

Nambiar³

2013

J Hum Reprod Sci

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“…A retro-* * * spective study found that the pregnancy rate was 33.8% after hysteroscopic resection of submucous fibroid, with 50% live births, 41.6% spontaneous abortions, and 8.4% fetal losses. The time from hysteroscopy to conception was 9.9 months, while the postoperative follow-up was 28.7 months [14]. Spontaneous abortion rate in the first trimester of pregnancy was 6% after hysteroscopic polypectomy and there was no statistical difference between patients with small or larger polyps [15].…”

Section: Discussionmentioning

confidence: 95%

The impact of hysteroscopic myomectomy on fertility and pregnancy outcomes of infertile women according characteristics of submucous fibroids

Biljic-Erski¹,

Vasiljevic²,

Rakic³

et al. 2019

Clin. Exp. Obstet. Gynecol.

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To assess fertility and pregnancy outcomes in infertile patients after hysteroscopic myomectomy according characteristics of submucous fibroids. Materials and Methods: The authors included 56 infertile women, who were diagnosed with a submucous uterine fibroid, and assessed their fertility and pregnancy outcomes after hysteroscopic myomectomy, which was the exposure of interest. The control group consisted of 63 women who underwent a hysteroscopic polypectomy. The submucous fibroid and endometrial polyp were diagnosed preoperatively using 2D ultrasound, and the diagnosis was confirmed during hysteroscopy. All myomectomies and polypectomies were performed using a resectoscope with a bipolar loop electrode. In the first postoperative year, the authors analyzed the rates of pregnancy, spontaneous abortion, preterm and term deliveries, as well as mode of delivery according to type, size, location, and number of submucous fibroids or polyps in each group. Results: In the first postoperative year, pregnancy occurred in 30.4% of patients. The greatest proportion of pregnancies occurred after removal of type 1 submucous fibroids, fibroids < 3 cm, and those localized on the posterior wall of the uterine corpus. Spontaneous abortion occurred in 7.1% of pregnancies, while delivery occurred in 19.6%. Term delivery occurred in 16.1%, while preterm delivery occurred in 3.6%. Vaginal delivery occurred in 14.3% of women, while caesarean section was performed in 5.4% of women. There were not significant differences in rates of pregnancy and delivery according to type, size, and localization of the fibroid or endometrial polyp. Conclusion: For infertile patients, in whom infertility is caused by a submucous fibroid, hysteroscopic myomectomy increases the pregnancy rate, and leads to good reproductive outcomes.

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“…Delivery at term was achieved by 35.7% of patients with type 0 myoma, by 28.5% of patients with type I myoma, and by 25% of patients with type II myoma, after hysteroscopic myomectomy. 13 Other studies also concluded that hysteroscopic leiomyoma resection also improves fertility rates, especially when tumors are the sole cause of infertility. [14][15][16] Even uterine artery embolization is an angiographic interventional procedure that delivers particulate emboli into both uterine arteries.…”

Section: Discussionmentioning

confidence: 99%

Symptomatic submucous uterine fibroid: outcome of conservative surgery in a tertiary care hospital

Gupta

2016

Int J Reprod Contracept Obstet Gynecol

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Fertility rates after hysteroscopic treatment of submucous myomas depending on their type

Abstract: Patients' age and type of infertility (primary or secondary) are factors that do not affect fertility rates after hysteroscopic myomectomy.

Cited by 9 publications

References 26 publications

Submucous fibroids and infertility: Effect of hysteroscopic myomectomy and factors influencing outcome

Submucous fibroids and infertility: Effect of hysteroscopic myomectomy and factors influencing outcome

The impact of hysteroscopic myomectomy on fertility and pregnancy outcomes of infertile women according characteristics of submucous fibroids

Symptomatic submucous uterine fibroid: outcome of conservative surgery in a tertiary care hospital

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