The role of leiomyomas in infertility
Details
Serval ID
serval:BIB_CCDFF9B6CD30
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The role of leiomyomas in infertility
Journal
Journal of the American Association of Gynecologic Laparoscopists
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