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Dealing with uterine fibroids in reproductive medicine
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Obstetrics and Gynaecology.
2012 (English)In: Journal of Obstetrics and Gynaecology, ISSN 0144-3615, E-ISSN 1364-6893, Vol. 32, no 3, 210-216 p.Article, review/survey (Refereed) Published
Abstract [en]

Women who wish to conceive are nowadays more likely to present with uterine fibroids, mainly because of the delay in childbearing in our society. The relationship between uterine fibroids and human reproduction is still controversial and counselling patients might sometimes be challenging. This paper is to assist those involved in the management of patients of reproductive age presenting with uterine fibroids. The interference of fibroids on fertility largely depends on their location. Submucous fibroids interfere with fertility and should be removed in infertile patients, regardless of the size or the presence of symptoms. Intramural fibroids distorting the cavity reduce the chances of conception, while investigations on intramural fibroids not distorting the cavity have so far given controversial results. No evidence supports the systematic removal of subserosal fibroids in asymptomatic, infertile patients. Myomectomy is still the 'gold standard' in fibroid treatment for fertility-wishing patients. In experienced hands, hysteroscopic myomectomy is minimally invasive, safe, and effective. Abdominal and laparoscopic myomectomy might be challenging, but potential risks could be reduced by new strategies and techniques.

Place, publisher, year, edition, pages
2012. Vol. 32, no 3, 210-216 p.
Keyword [en]
Conservative treatment, hysteroscopy, infertility, laparoscopy, leiomyoma, reproduction, uterine fibroids
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-171833DOI: 10.3109/01443615.2011.644357ISI: 000300843200003OAI: oai:DiVA.org:uu-171833DiVA: diva2:512527
Available from: 2012-03-28 Created: 2012-03-28 Last updated: 2017-12-07Bibliographically approved

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