Fertility after hysteroscopic resection of submucous myomas.
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)
Giatras
K
K
Center for Reproductive Medicine and Infertility, New York University Medical Center, 317 East 34th Street, 4th floor, New York, NY 10016, USA.
Berkeley
A S
AS
Noyes
N
N
Licciardi
F
F
Lolis
D
D
Grifo
J A
JA
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*