Journal of Human Reproductive Science
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ORIGINAL ARTICLE Table of Contents   
Year : 2013  |  Volume : 6  |  Issue : 1  |  Page : 35-39
Submucous fibroids and infertility: Effect of hysteroscopic myomectomy and factors influencing outcome


1 KJK Hospital, Nalanchira, Chackai, Trivandrum, Kerala, India
2 Ananthapuri Hospitals and Research Institute, Chackai, Trivandrum, Kerala, India

Correspondence Address:
K Jayakrishnan
MS, DNB, KJK Hospital, Nalanchira, Trivandrum, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1208.112379

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Background: Submucosal myomas are associated with infertility and may be treated by hysteroscopic resection. Objective: The aim of this retrospective study was to analyze 37 subfertile patients who unnderwent hysteroscopic myomectomy in a tertiary care center with particular regard to their postprocedure reproductive outcome. Materials and Methods: The entire patient group (n = 37) underwent the procedure between March 2004 and March 2010. The submucosal myomas were type 0 (n = 27), type 1 (n = 8), and type 2 (n = 2). The mean myoma size was 2.1 cm; mean duration of the procedure was 54 mins and mean follow-up was 26 ΁ 10 months. 22 patients had one or more associated infertility factors. Results: The complication rate was 5.4%. 11 patients (29.7%) conceived after the procedure. The pregnancy rate was better when myoma was the exclusive etiology of infertility (40%), when the myoma was completely intracavitary (33.3%), when the lesion was ≥ 30 mm in size (50%), and there were no associated intramural fibroids. Conclusion: Hysteroscopic myomectomy is a safe procedure to enhance fertility especially in cases with unexplained infertility.


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