The role of leiomyomas in infertility

Details

Serval ID
serval:BIB_CCDFF9B6CD30
Type
Article: article from journal or magazin.
Collection
Publications
Title
The role of leiomyomas in infertility
Journal
Journal of the American Association of Gynecologic Laparoscopists
Author(s)
Bulletti  C., De Ziegler  D., Polli  V., Flamigni  C.
ISSN
1074-3804
Publication state
Published
Issued date
11/1999
Peer-reviewed
Oui
Volume
6
Number
4
Pages
441-5
Notes
Journal Article --- Old month value: Nov
Abstract
STUDY OBJECTIVE: To assess the role of leiomyomas and their surgical removal on pregnancy rates. DESIGN: (Canadian Task Force classification II-1). Setting. Academic center. PATIENTS: Two hundred twelve women who were investigated for infertility. INTERVENTION: Laparoscopic myomectomy. MEASUREMENTS and MAIN RESULTS: Patients were divided according to case control criteria as those who underwent laparoscopic removal of myomas (106) and those who did not (106); both groups were compared with 106 women with unexplained infertility without myomas. Of the 318 women, 83 (26%) became pregnant and delivered live infants. The 44 (42%) who underwent surgical removal of leiomyomas had higher delivery rates than 12 (11%) who did not undergo surgery (p <0.001) and 27 (25%) who did not have myomas (p <0.001). Patients whose myomas were not surgically treated had fewer deliveries than women who did not have myomas (12 vs 27, p <0.002). Fifteen women had spontaneous abortions before week 12: 3 (3%) who had surgery, 10 (9%) who did not have surgery, and 2 (2%) who did not have myomas. CONCLUSION: Laparoscopic myomectomy improved pregnancy rates over nonsurgical management of myomas.
Keywords
Adult Female Humans Infertility, Female/*etiology Laparoscopy Leiomyoma/*complications/pathology/surgery Pregnancy Uterine Neoplasms/*complications/pathology/surgery
Pubmed
Web of science
Create date
28/02/2008 12:37
Last modification date
20/08/2019 16:47
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