title: Fertility after hysteroscopic resection of submucous myomas.
abstract: OBJECTIVE
  To analyze fertility outcomes after resection of submucous myomas by operative hysteroscopy in infertile women.
  
  
  METHODS
  Retrospective analysis (Canadian Task Force classification II-2).
  
  
  METHODS
  Academic tertiary referral center.
  
  
  METHODS
  Forty-one women (age 28-42 yrs) old with primary and secondary infertility, and histologically proved submucous myomas. Intervention. Hysteroscopic myomectomy performed with a rigid resectoscope.
  
  
  RESULTS
  Of the 41 patients, 25 (60.9%) became pregnant overall and 20 (48.7%) delivered at term. Seventeen patients delivered a single fetus. Five delivered twins, three at term and two at 33 and 35 weeks. One woman delivered triplets at 31 weeks. The total delivery rate was 56.0%. Two women miscarried, at 6 and 8 weeks. One patient developed postoperative Asherman's syndrome.
  
  
  CONCLUSIONS
  Our results indicate that hysteroscopic myomectomy improves fertility in previously infertile women. Resection is a viable alternative to abdominal myomectomy for submucous myomas. (J Am Assoc Gynecol Laparosc 6(2):155-158, 1999)
authors.affiliation: Center for Reproductive Medicine and Infertility, New York University Medical Center, 317 East 34th Street, 4th floor, New York, NY 10016, USA.
authors.forename: K
authors.initials: K
authors.lastname: Giatras
authors.forename: A S
authors.initials: AS
authors.lastname: Berkeley
authors.forename: N
authors.initials: N
authors.lastname: Noyes
authors.forename: F
authors.initials: F
authors.lastname: Licciardi
authors.forename: D
authors.initials: D
authors.lastname: Lolis
authors.forename: J A
authors.initials: JA
authors.lastname: Grifo
mesh_terms: D000328:Adult; D005260:Female; D005298:Fertility; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D007889:Leiomyoma / Q000473:pathology / Q000601:surgery*; D009092:Mucous Membrane / Q000473:pathology / Q000601:surgery; D011247:Pregnancy / Q000706:statistics & numerical data*; D011379:Prognosis; D012189:Retrospective Studies; D014594:Uterine Neoplasms / Q000473:pathology / Q000601:surgery*