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Do submucous myoma characteristics affect fertility and menstrual outcomes in patients underwent hysteroscopic myomectomy?

Namazov A, Karakus R, Gencer E, Sozen H, Acar L - Iran J Reprod Med (2015)

Bottom Line: After a mean postoperative period of 23±10 months in 51 patients with excessive bleeding, 13 had recurrent menorrhagia (25%).In Other 38 patients excessive bleeding was improved (75%).The myoma characetesitics do not affect improvement rates after hysteroscopic myomectomy in patients with unexplained infertility or excessive uterine bleeding.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, Istanbul, Turkey.

ABSTRACT

Background: Submucous myomas may be associated with menorrhagia, infertility and dysmenorrhea.

Objective: The aim of this study was to determine the long term effects of submucousal myoma resection on menorrhagia and infertility; also to detect whether the type, size, and location of myoma affect the surgical success.

Materials and methods: Totally 98 women referred to hysteroscopy for symptomatic submucousal fibroids (menorrhagia (n=51) and infertility (n=47)) between 2005- 2010 were enrolled in this historical cohort study Pregnancy rates and menstrual improvement rates were compared according to myoma characteristics (size, type and location).

Results: After a mean postoperative period of 23±10 months in 51 patients with excessive bleeding, 13 had recurrent menorrhagia (25%). In Other 38 patients excessive bleeding was improved (75%). The improvement rates by location and myoma type: lower segment 100%, fundus 92%, and corpus 63%; type 0) 70%, type 1) 78%, type 2) 80%. The mean sizes of myoma in recurred and improved patients were 23.33 mm and 29.88 mm respectively. 28 of 47 infertile women spontaneously experienced thirty pregnancies (60%). Pregnancy rates according to myoma location and type: lower segment 50%, fundus 57%, and corpus 80%; type 0) 75%, type 1) 62%, type 2) 50%. The mean myoma size in patients who became pregnant was 30.38 mm; in patients who did not conceive was 29.95 mm.

Conclusion: The myoma characetesitics do not affect improvement rates after hysteroscopic myomectomy in patients with unexplained infertility or excessive uterine bleeding.

No MeSH data available.


Related in: MedlinePlus

Improvement rates of patients in menorrhagia group according to myoma characteristics (Chi-Square test).
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Figure 1: Improvement rates of patients in menorrhagia group according to myoma characteristics (Chi-Square test).

Mentions: Those variations were not statistically significant (Chi-Square test) (Figure 1). The mean size of myoma in recurred and improved women were 23.33 mm and 29.88 mm respectively (p=0.141, Mann Whitney U test). There was no statistical difference according to the myoma size (Table I). 28 of 47 infertile women spontaneously experienced thirty pregnancies, with an overall 23±10 months postoperatively period (60%). The mean period between myomectomy and conception was 5±1.5 months.


Do submucous myoma characteristics affect fertility and menstrual outcomes in patients underwent hysteroscopic myomectomy?

Namazov A, Karakus R, Gencer E, Sozen H, Acar L - Iran J Reprod Med (2015)

Improvement rates of patients in menorrhagia group according to myoma characteristics (Chi-Square test).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555057&req=5

Figure 1: Improvement rates of patients in menorrhagia group according to myoma characteristics (Chi-Square test).
Mentions: Those variations were not statistically significant (Chi-Square test) (Figure 1). The mean size of myoma in recurred and improved women were 23.33 mm and 29.88 mm respectively (p=0.141, Mann Whitney U test). There was no statistical difference according to the myoma size (Table I). 28 of 47 infertile women spontaneously experienced thirty pregnancies, with an overall 23±10 months postoperatively period (60%). The mean period between myomectomy and conception was 5±1.5 months.

Bottom Line: After a mean postoperative period of 23±10 months in 51 patients with excessive bleeding, 13 had recurrent menorrhagia (25%).In Other 38 patients excessive bleeding was improved (75%).The myoma characetesitics do not affect improvement rates after hysteroscopic myomectomy in patients with unexplained infertility or excessive uterine bleeding.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Zeynep Kamil Hospital, Istanbul, Turkey.

ABSTRACT

Background: Submucous myomas may be associated with menorrhagia, infertility and dysmenorrhea.

Objective: The aim of this study was to determine the long term effects of submucousal myoma resection on menorrhagia and infertility; also to detect whether the type, size, and location of myoma affect the surgical success.

Materials and methods: Totally 98 women referred to hysteroscopy for symptomatic submucousal fibroids (menorrhagia (n=51) and infertility (n=47)) between 2005- 2010 were enrolled in this historical cohort study Pregnancy rates and menstrual improvement rates were compared according to myoma characteristics (size, type and location).

Results: After a mean postoperative period of 23±10 months in 51 patients with excessive bleeding, 13 had recurrent menorrhagia (25%). In Other 38 patients excessive bleeding was improved (75%). The improvement rates by location and myoma type: lower segment 100%, fundus 92%, and corpus 63%; type 0) 70%, type 1) 78%, type 2) 80%. The mean sizes of myoma in recurred and improved patients were 23.33 mm and 29.88 mm respectively. 28 of 47 infertile women spontaneously experienced thirty pregnancies (60%). Pregnancy rates according to myoma location and type: lower segment 50%, fundus 57%, and corpus 80%; type 0) 75%, type 1) 62%, type 2) 50%. The mean myoma size in patients who became pregnant was 30.38 mm; in patients who did not conceive was 29.95 mm.

Conclusion: The myoma characetesitics do not affect improvement rates after hysteroscopic myomectomy in patients with unexplained infertility or excessive uterine bleeding.

No MeSH data available.


Related in: MedlinePlus