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2015, Number 2

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Acta Med 2015; 13 (2)

Uterine fibroids in infertile patients: description of a population group and a six-year experience

Ramos-Ramos JA, Flores AJD, Hernández-Álvarez C, Granados MJC, Martínez-Enríquez MÁ

Language: Spanish
References: 23
Page: 92-96
PDF size: 126.59 Kb.


ABSTRACT

Uterine leiomyomas are the most prevalent tumors in women; they are very common in patients in reproductive age and their presentation increases with age. Most of them are asymptomatic. Only 20 to 50% of women with myomas experience symptoms. Their relationship with infertility is about 5 to 10%. In 50% of the cases, these women became pregnant after myomectomy. The American Society for Reproductive Medicine (ASRM) proposed that these tumors are directly responsible for infertility in 2 to 3% of patients. We made a retrospective, descriptive and lineal study where we reviewed the medical records of 41 people with infertility and fibroids who were treated with myomectomy in the period from 2005 to 2011. We obtained different percentages of presentation of fibroids and the incidence of variables such as the number of previous pregnancies, symptomatology, type of infertility and achievement of pregnancy. A careful and comprehensive patient assessment will help to determine her best treatment option. The risks and benefits of these procedures should be carefully evaluated to avoid overtreatment


REFERENCES

  1. Wallach EE, Vlahos NF. Uterine myomas: an overview of development, clinical features, and management. Obstet Gynecol. 2004; 104: 393-406.

  2. Heertum KV, Barmat L. Uterine fibroids associated with infertility. Womens Health (Lond Engl). 2014; 10 (6): 645-653.

  3. Fernandez H. Uterine fibroids. Rev Prat. 2014; 64 (4): 540-544.

  4. Ciavattini A, Di Giuseppe J, Stortoni P, Montik N, Giannubilo SR, Litta P et al. Uterine fibroids: pathogenesis and interactions with endometrium and endomyometrial junction. Obstet Gynecol Int. 2013; 2013: ID 173184.

  5. Khan AT, Shehmar M, Gupta JK. Uterine fibroids: current perspectives. Int J Womens Health. 2014; 6: 95-114.

  6. Stovall DW. Clinical symptomatology of uterine leiomyomas. Clin Obstet Gynecol. 2001; 44: 364-371.

  7. Bulun SE. Uterine fibroids. N Engl J Med. 2013; 369 (14): 1344-1355.

  8. Petraglia F, Serour GI, Chapron C. The changing prevalence of infertility. Int J Gynaecol Obstet. 2013; 123 Suppl. 2: S4-S8.

  9. Surrey ES. Impact of intramural leiomyomata on in-vitro fertilization-embryo transfer cycle outcome. Curr Opin Obstet Gynecol. 2003; 15: 239-242.

  10. Guo XC, Segars JH. The impact and management of fibroids for fertility: an evidence-based approach. Obstet Gynecol Clin North Am. 2012; 39 (4): 521-533.

  11. Kolankaya A, Arici A. Myomas and assisted reproductive technologies: when and how to act? Obstet Gynecol Clin North Am. 2006; 33 (1): 145-152.

  12. Doherty L, Mutlu L, Sinclair D, Taylor H. Uterine fibroids: clinical manifestations and contemporary management. Reprod Sci. 2014; 21 (9): 1067-1092.

  13. Practice Committee of the American Society for Reproductive Medicine. Myomas and reproductive function. Fertil Steril. 2004; 82 (Suppl. 1): S111-6.

  14. Brady PC, Stanic AK, Styer AK. Uterine fibroids and subfertility: an update on the role of myomectomy. Curr Opin Obstet Gynecol. 2013; 25 (3): 255-259.

  15. Metwally M, Cheong YC, Horne AW. Surgical treatment of fibroids for subfertility. Cochrane Database Syst Rev. 2012; 11: CD003857.

  16. Samejima T, Koga K, Nakae H, Wada-Hiraike O, Fujimoto A, Fujii T et al. Identifying patients who can improve fertility with myomectomy. Eur J Obstet Gynecol Reprod Biol. 2014; 185C: 28-32.

  17. Berkeley AS, DeCherney AH, Polan ML. Abdominal myomectomy and subsequent fertility. Surg Gynaecol Obstet. 1983; 156: 319-322.

  18. Cañete-Palomo ML, Martín NR. Management of fibroids. Med Clin (Barc). 2013; 141 Suppl. 1: 55-61.

  19. Dubuisson JB, Chapron C, Chavet X, Gregorakis SS. Fertility after laparoscopic myomectomy of large intramural myomas: preliminary results. Hum Reprod. 1996; 11: 518-522.

  20. Fagherazzi S, Borgato S, Bertin M, Vitagliano A, Tommasi L, Conte L. Pregnancy outcome after laparoscopic myomectomy. Clin Exp Obstet Gynecol. 2014; 41 (4): 375-379.

  21. Kim MS, Uhm YK, Kim JY, Jee BC, Kim YB. Obstetric outcomes after uterine myomectomy: laparoscopic versus laparotomic approach. Obstet Gynecol Sci. 2013; 56 (6): 375-381.

  22. Barakat EE, Bedaiwy MA, Zimberg S, Nutter B. Robotic-assisted, laparoscopic, and abdominal myomectomy: a comparison of surgical outcomes. Obstet Gynecol. 2011; 117 (2 Pt 1): 256-265.

  23. Falcone T, Parker WH. Surgical management of leiomyomas for fertility or uterine preservation. Obstet Gynecol. 2013; 121 (4): 856-868.




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