Effect of intramural, subserosal, and submucosal uterine fibroids on the outcome of assisted reproductive technology treatment

Eldar‐Geva, Talia; Meagher, Simon; Healy, David; MacLachlan, Vivien; Breheny, Sue; Wood, Carl

doi:10.1016/s0015-0282(98)00265-9

Cited by 282 publications

(136 citation statements)

References 18 publications

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“…There was also no need for the conversion by laparotomy in any case. In our study, vaginal birth is possible, however in most cases it is preferred caesarean section for the prophylaxis of uterine ruptures [6][7][8].…”

Section: Resultsmentioning

confidence: 79%

Laparoscopic Myomectomy in Infertility Treatment

Calin¹,

Haradja²,

Pacu³

et al. 2015

ARS Medica Tomitana

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Leiomyomas (fibroids or myomas) are benign uterine tumors of unknown etiology. Fibroids are most common in women aged between 30 and 40 years, but they can occur at any age. At present, laparoscopic myomectomy is the most appropriate surgical technique for patients with fertility disturbances. We conducted a prospective study, in which a number of 72 patients diagnosed with uterine fibromatosis and infertility were investigated for the impact of laparoscopic myomectomy (i.e. intramural and subserosal fibroids), the fertility rate and the average time for the appearance of pregnancy. The patients were randomly divided into 2 groups: Group 1, consisted of 36 patients with infertility and uterine fibroids associated in which laparoscopic myomectomy it was practiced, and Group 2, consisted of 36 patients, having the same diagnosis who refused surgical ablation. From the 36 patients which were operated, 11 had intramural fibroids and 25 had presented one or more subserosal fibroids (Group 1). The fertility rate was 25% for patients with no surgery (Group 2) comparing with 86.5% for patients with laparoscopic myomectomy (Group 1, 54.5% for patients with intramural fibroids and 32% for

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Section: Resultsmentioning

confidence: 79%

Laparoscopic Myomectomy in Infertility Treatment

Calin¹,

Haradja²,

Pacu³

et al. 2015

ARS Medica Tomitana

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“…Eldar-Geva and colleagues performed a retrospective review of the treatment in patients with uterine myomata and concluded that both pregnancy (16.4%) and implantation (6.4%) rates were significantly lower in women with intramural myomas. 4 A meta-analysis of the effect of fibroids on the effect of myomectomy on fertility found that submucous fibroids that distort the uterine cavity appear to decrease fertility, with ongoing pregnancy/ live birth rates decreased by about 70%. 5 Cumulative pregnancy rates appeared slightly lower in patients with intramural fibroids.…”

Section: Discussionmentioning

confidence: 99%

Reproductive Performance of Women with Fibroids

Babu¹

2017

jmscr

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“…Indeed, submucosal fibroids can adversely affect implantation and pregnancy rates in assisted reproduction cycles [17,18]. Intramural fibroid of 5 cm or less in diameter halves the chances of an ongoing pregnancy after assisted reproduction [15].…”

Section: Discussionmentioning

confidence: 99%