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Year : 2014  |  Volume : 9  |  Issue : 4  |  Page : 136-139

Fertility following myomectomy at Aba, Southeastern Nigeria

Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria

Correspondence Address:
Dr. B Chigbu
Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, PMB 7004, Aba
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/9783-1230.157045

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Background: While hysterectomy remains the gold standard treatment for fibroids, it is an unacceptable treatment option for women who wish to conserve their fertility. The actual effects of myomectomy on fertility remain uncertain though. Objective: The objective was to ascertain pregnancy and live birth rates among a small group of women undergoing abdominal myomectomy. Methods: The study population consisted of women of reproductive age intending to conceive soon after undergoing abdominal myomectomy. A total of 40 women who met the inclusion criteria were recruited for the study and followed-up for 4 years. Women who achieved pregnancy within the study period were analyzed in terms of their demographics and intra-operative findings. Results: The mean age of the women was 28 years (range 24-35) married for about 3 years. Majority of the women (50%) had more than 11 fibroid nodules, and the largest nodule was bigger than 5 cm in 35 women (87.5%). Cumulative pregnancy rate was 60% (24/40) while live birth rate was 22/40 (55%) following myomectomy and majority 19/22 achieved this within 2 years of myomectomy. Conclusion: Myomectomy for fibroid-associated infertility increase pregnancy rates such that approximately 60% of women undergoing the procedure subsequently conceive.

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