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Chapter-06 Myomectomy in Asymptomatic Fibroid and its Outcome in Infertility Management

BOOK TITLE: Practical Guide in Reproductive Surgery

Author
1. Pal Bhaskar
2. Sebanti Goswami Sebanti Goswami
ISBN
9789352704842
DOI
10.5005/jp/books/18067_7
Edition
1/e
Publishing Year
2018
Pages
4
Author Affiliations
1. Apollo Gleneagles Hospital, Kolkata, West Bengal, Apollo Gleneagles Hospital, Kolkata, West Bengal, India, Apollo Gleneagles Hospital, Kolkata, Apollo Gleneagles Hospital, Kolkata, India, Apollo Gleneagles Hospitals, Kolkata, West Bengal, India, Medstar Clinic, Kolkata, West Bengal, India, Indian Association of Gynaecological Endoscopists; FOGSI 2017; Apollo Gleneagles Hospital, Kolkata, West Bengal, India
2. Kolkata, West Bengal, India
Chapter keywords
Myomectomy, asymptomatic fibroid, infertility management, uterine fibroids, leiomyoma, benign tumor, fallopian tube, pregnancy

Abstract

This chapter discusses myomectomy in asymptomatic fibroid and its outcome in infertility management. Uterine fibroids, or leiomyoma, are benign tumors of the uterus that affect approximately 35–77% of women of the reproductive age although the real prevalence is much higher since many fibroids may be asymptomatic. Fibroids affect a woman’s quality of life by causing pain and bleeding problems, and jeopardize her fertility and obstetrical outcomes as well. Fibroids may cause infertility by obstructing the fallopian tubes and impairing gamete transport. The successful use of myomectomy for symptom relief and improvement of health related quality of life has been proved. In contrast, there has been significant controversy regarding the impact of uterine myomas on fertility and pregnancy outcomes and whether removal of myomas in asymptomatic women improves fertility or pregnancy outcomes.

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