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

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.