Fertility outcomes following myomectomy in infertile patients at our centre: a retrospective analysis

Nidhi Goyal; K. Jayakrishnan

doi:10.18203/2320-1770.ijrcog20202083

Authors

Nidhi Goyal Department of Infertility and Reproductive Medicine, KJK Hospital and Fertility Research Centre, Thiruvananthapuram, Kerala, India
K. Jayakrishnan Department of Infertility and Reproductive Medicine, KJK Hospital and Fertility Research Centre, Thiruvananthapuram, Kerala, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20202083

Keywords:

Fibroid, Infertility, Myomectomy, Pregnancy

Abstract

Background: Fibroids have been known to cause infertility due to multiple factors. However, the role of myomectomy in patients with intramural and subserosal fibroids has been a topic of debate. This study evaluates outcomes following myomectomy in patients seeking treatment for infertility at study centre.

Methods: This was hospital based retrospective study which evaluated 92 infertile patients who took treatment for infertility.

Results: A total 41.3% patients conceived within one year of myomectomy. Pregnancy rates were better in patients with intramural combined with submucous fibroids, age between 30 and 35 years, size of largest fibroid between 3 and 6 cm and when number of fibroids were between 3 and 6 and conception was maximum after ovulation induction.

Conclusions: Pregnancy rates after myomectomy are better in young patients with large fibroids. Active management for infertility needs to be done after myomectomy.

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