Reproductive Outcome Following Hysteroscopic Myomectomy in Patients with Infertility

Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Mansura University, Mansoura, Egypt.

2 Department of Obstetrics and Gynecology, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

Abstract

Background: The uterine myoma is the most frequent benign tumor in women of childbearing age. It has been linked to infertility and recurrent pregnancy loss. Many studies have examined the reproductive outcomes of myomectomy based on the size, location, and number of fibroids removed. When it comes to intrauterine lesions, hysteroscopy is the diagnostic procedure of choice.
Aim of the study: This study aims to evaluate the reproductive outcome following hysteroscopic myomectomy in patient with infertility.
Patients and Methods: This retrospective case control study included 39 women with infertility who underwent hysteroscopic myomectomy to evaluate the reproductive outcome. According to the pregnancy outcomes, the patients were divided into two groups, Group 1 which included patients with successful results who continue pregnancy and had a live birth [n=30], Group 2 which included patients with unsuccessful results who got pregnant and aborted or not got pregnant [n=9].
Results: As regards the pregnancy outcomes, the pregnancy was occurred successfully in 30 [76.92%] women however was not occur in 9 [23.08%] women. For those who became pregnant, the pregnancy has occurred spontaneously in 24 [80%] women, and on ICSI in 6 [20%] women. The time between hysteroscopic myomectomy and pregnancy was 9 ± 4.6 months with a range of 3 – 24 months. The full-term pregnancy represents 28[71.7%] however, 2[5.1%] were considered as preterm. A comparison between the pregnant and non-pregnant women revealed that, no statistically significant difference between the two groups in terms of their Age and infertility period [P =0.6 for both].
Conclusion: When submucous fibroids are the cause of a woman's infertility, hysteroscopic myomectomy is a safe and effective way to improve the obstetric result.

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