Factors affecting pregnancy rates in infertile women performed abdominal myomectomy

Abstract

Purpose:To evaluate pregnancy outcomes in infertile women performed abdominal myomectomy at our clinic. Patients and Methods:This retrospective study included 76 infertile women underwent abdominal myomectomy. The cases were divided into two groups according to postoperative pregnancy (Group 1, n=22), and cases with no postoperative pregnancy (Group 2, n=54). Risk factors recorded were; age, parity, size of the fibroids, body mass index (BMI), tumor markers and serum blood values. Results:A total of 76 infertile women underwent abdominal myomectomy during the study period. Of all cases 22 (28.94 %) became pregnant. There was statically significant difference between the groups in terms of age, BMI, diameter of the fibroids (p<0.05) (Table 2). The receiver operator curve (ROC) analyses showed that diameter of the fibroid may be a prognostic factor in order to assess the probability of pregnancy following abdominal myomectomy in infertile women. Conclusion:We think that in infertile women with intramural fibroids >5 cm the treatment modality should be abdominal myomectomy to increase the chance of postoperative pregnancy. [Cukurova Med J 2014; 39(4.000): 801-806