Reproductive performance before and after abdominal myomectomy: a retrospective analysis

Fertility and Sterility
Mauro MarchionniTommaso Susini

Abstract

To evaluate the results of abdominal myomectomy for intramural and subserosal fibroids and to identify factors that influence the reproductive outcome after surgery. Retrospective analysis of a case series. An academic department specializing in gynecologic surgery. A total of 72 women with intramural and subserosal fibroids submitted to abdominal myomectomy who wished to conceive after surgery. Data were collected on clinical characteristics, surgical features, and obstetric history before and after surgery. Conception rate, pregnancy loss, and live birth rate before and after surgery, as well as postoperative probability of conception according to selected clinical and fibroid characteristics. Conception rate was 28% before myomectomy and 70% after surgery. The corresponding figures were 69% and 25% for pregnancy loss and 30% and 75% for live birth rate, respectively. Age <30 years and number of fibroids removed were the only significant and independent predictors of obstetric outcome by multivariate analysis. Our results suggest that abdominal myomectomy might improve reproductive outcome in patients with intramural and subserosal fibroids. The reproductive performance was particularly good when the patients were younger tha...Continue Reading

References

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Citations

May 16, 2012·Journal of Assisted Reproduction and Genetics·Gary LevyWilliam H Catherino
May 5, 2005·Current Opinion in Obstetrics & Gynecology·Beth W Rackow, Aydin Arici
Jul 29, 2008·Current Opinion in Obstetrics & Gynecology·Edgardo SomiglianaLuigi Fedele
Oct 26, 2005·Gynecologic and Obstetric Investigation·Shunichiro TsujiYoichi Noda
Feb 9, 2008·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·B A KellyI Z Mackenzie
Nov 6, 2010·Journal de gynécologie, obstétrique et biologie de la reproduction·I RouxX Deffieux
Sep 25, 2010·Gynécologie, obstétrique & fertilité·I KellalH Marret
May 10, 2011·Reproductive Biomedicine Online·Mostafa MetwallyTin Chiu Li
Apr 9, 2008·Best Practice & Research. Clinical Obstetrics & Gynaecology·Neelanjana MukhopadhayaIsaac T Manyonda
Mar 1, 2006·Obstetrics and Gynecology Clinics of North America·Aytug Kolankaya, Aydin Arici
Dec 6, 2006·Techniques in Vascular and Interventional Radiology·Louis Domenico, Gary P Siskin
Oct 11, 2005·Journal of Minimally Invasive Gynecology·Gary N Frishman, Marcus W Jurema
Jan 21, 2011·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Andreas HackethalBernd Bojahr
Jul 13, 2011·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Kristyna KubinovaAlena Dohnalova
Jan 18, 2005·Fertility and Sterility·Bradley S HurstPaul B Marshburn
Jun 24, 2006·Current Opinion in Obstetrics & Gynecology

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