Removing Fibroids - Myomectomy for infertility
Fibroids become more common in the later years of reproductive life (15).
The relationship between fibroids and infertility has been the subject of debate. Implantation and pregnancy rates have been found to be reduced only when the fibroids are distorting the endometrial cavity (submucous fibroids).
Until recently, the only treatment was myomectomy at laparotomy. Developments with minimally invasive surgery and in particular transcervical hysteroscopy (Figure 24.2) allow resection of submucous fibroids. Controlled trials are required to establish the benefits.
Related Medical Abstracts - Click on the paper title:-
- Myomectomy: A retrospective study to examine reproductive performance before and after surgery. (1999)
- Abdominal myomectomy for infertility: A comprehensive review. (1998)
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This is the personal website of David A Viniker MD FRCOG, Consultant Obstetrician and Gynaecologist at Whipps Cross University Hospital, London - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.
