title: Fertility after abdominal myomectomy.
abstract: This study aimed to evaluate the morbidity and pregnancy outcome of myomectomy in infertile women with uterine fibroids. This was a cross-sectional study. Records were reviewed for 100 consecutive women in the Rotunda Hospital who underwent myomectomy in the years 1995-1996. A questionnaire regarding subsequent fertility was sent. The study was carried out in the infertility unit at the Rotunda Hospital, Dublin, Ireland. Seventy-five women responded. Multiple myomectomy was performed in 52 (70%). Mean fibroid size was 6.8 cm (range 2-14.5 cm). Nine women (12%) developed complications; five had menstrual problems, two had wound discomfort and two had abdominal discomfort. Twenty-five women (33%) became pregnant. Seven (28%) were IVF pregnancies. Overall six (24%) miscarried. In 19 of 25, pregnancy occurred where fibroids were the only identifiable cause of infertility. We conclude that abdominal myomectomy is associated with a favourable outcome in infertile women particularly if no other confounding variable is present.
authors.affiliation: Department of Obstetrics and Gynaecology, Royal College of Surgeons in Ireland, Rotunda Hospital, Dublin, Ireland.
authors.forename: G
authors.initials: G
authors.lastname: Connolly
authors.forename: M
authors.initials: M
authors.lastname: Doyle
authors.forename: T
authors.initials: T
authors.lastname: Barrett
authors.forename: P
authors.initials: P
authors.lastname: Byrne
authors.forename: M
authors.initials: M
authors.lastname: De Mello
authors.forename: R F
authors.initials: RF
authors.lastname: Harrison