Myomectomy as a reproductive procedure

Factors affecting reproductive outcome following abdominal myomectomy

“…Data about the postoperative pregnancy rates in the literature vary between 9 and 76% depending on different types of fibroids [23]. A 49-60% average postoperative pregnancy rate is reported in women with myomas as a sole factor of infertility [14,16,[19][20][21][22][24][25][26][27]. Our patients beside the fibroids might have had other infertility factors and in their cases we could reach just with the removal of their fibroid 40-54% pregnancy rate.…”

Abdominal Myomectomy Increases Fertility Outcome

“…The argument against surgical treatment of fibroids is the lack of definite evidence of a causal association between uterine fibroids and infertility [1,[3][4][5]. Concerns remain about potential adverse consequences, such as morbidity, complications, adhesion formation, and increased risk for uterine scar dehiscence, as well as postoperative need for cesarean delivery.…”

“…Concerns remain about potential adverse consequences, such as morbidity, complications, adhesion formation, and increased risk for uterine scar dehiscence, as well as postoperative need for cesarean delivery. Indirect evidence suggests that more than 50% of patients with unexplained infertility become pregnant after fibroid removal [4,5,[11][12][13].…”

“…They are three to nine times more common in Black women than in Caucasians [2]. The relationship of uterine fibroids to fertility is controversial [3][4][5][6]. Indirect evidence suggests a negative effect, including lengthy infertility before surgery (unexplained by other factors), and rapid return of fertility after fibroid removal [7].…”

Successful pregnancy following myomectomy of a giant uterine myoma: role of a combined surgical approach

“…Although myomectomy has priority among surgical approaches in patients who wish to retain their fertility, in several cases hysterectomy is necessary because of the diYculties related to the size, localization, and number of myomas [5]. Moreover in the presence of the fertility desire, the myomectomy should be performed with a correct reconstruction of the uterus, in order to preserve its anatomical integrity and function for the reproductive process [6]. As early as 1845, the American Journal of Medical Sciences reported a successful abdominal myomectomy by Washington and John Atlee [7].…”