Fertility Outcomes after Myomectomy in Infertile Patients with Myoma Uteri.

Kim, Seok Hyun; Choi, Young Min; Moon, Shin Yong; Lee, Jin Yong; Park, Noh Hyun; Jee, Byung Chul; Kang, Soon Beom; Kim, Jae Weon; Song, Yong Sang; Lee, Hyo Pyo; Kim, Eun Kyung; Suh, Chang Suk; Kim, Jung Gu

Obstet Gynecol Sci > Volume 43(1); 2000 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2000;43(1):65-70.
Published online: January 1, 2001

Fertility Outcomes after Myomectomy in Infertile Patients with Myoma Uteri.

Seok Hyun Kim, Young Min Choi, Shin Yong Moon, Jin Yong Lee, Noh Hyun Park, Byung Chul Jee, Soon Beom Kang, Jae Weon Kim, Yong Sang Song, Hyo Pyo Lee, Eun Kyung Kim, Chang Suk Suh, Jung Gu Kim

Abstract

OBJECTIVE
To investigate the fertility outcomes after abdominal or laparoscopic myomectomy in infertile patients with no other infertility factors except uterine myoma. METHODS: From January, 1992 to December, 1998, abdominal or laparoscopic myomectomy was performed in 76 patients with desire for children and no other recognizable infertility factors. The medical records were reviewed retrospectively. The mean duration of postoperative follow-up was 23.4+/-21.2 months(1~82 months). RESULTS: After myomectomy, 35 patients(46.1%) became pregnant during the follow-up period, especially with 24(68.6%) within 12 months. Excluding 7 cases of spontaneous abortion and 2 cases of intrauterine fetal death, 26 patients(74.3%) had a viable birth. Parity, duration of infertility, number, type and location of myoma, and the proportion of opening the intrauterine cavity during operation were not significantly different between the pregnant and nonpregnant groups. However, the size of uterine myoma was significantly larger in the pregnant group(p<0.05). CONCLUSION: We obtained a reasonable pregnancy rate in infertile patients with uterine myoma as a sole infertility factor. The size of myoma may influence the postmyomectomy pregnancy rate, and this may indicate a more beneficial effect of myomectomy in infertile patients with a relatively larger myoma.

Keywords: Infertility; Myoma uteri; Myomectomy; Fertility outcomes