Determinants of reproductive outcome after abdominal myomectomy for infertility

Silvia Maddalena, Olga De Giorgi, Antonella Pesole, Pier Giorgio Crosignani

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

Objective: To determine the effect of myomectomy as a therapy for infertility and to define the factors that influence reproductive outcome. Design: Retrospective study of a case series. Setting: An academic department specializing in conservative surgery. Patient(s): A total of 138 infertile women who underwent first-line conservative surgical treatment at laparotomy for uterine leiomyomas over an 8-year period. Intervention(s): Data were collected on baseline clinical characteristics, surgical details, and subsequent reproductive history. Main Outcome Measure(s): Cumulative pregnancy rates at 24 months according to selected clinical and fibroid characteristics. Result(s): Pregnancy occurred in 76 women. The 24-month cumulative probability of conception according to the Kaplan-Meier method was 87% in patients 35 years of age. The pregnancy rates in women with and without minor infertility factors in addition to myomas were 56% and 71%, respectively, and those in women with

Original languageEnglish
Pages (from-to)109-114
Number of pages6
JournalFertility and Sterility
Volume72
Issue number1
DOIs
Publication statusPublished - Jul 1999

Fingerprint

Uterine Myomectomy
Infertility
Leiomyoma
Pregnancy Rate
Myoma
Reproductive History
Laparotomy
Retrospective Studies
Outcome Assessment (Health Care)
Pregnancy

Keywords

  • Abortion
  • Conservative surgery
  • Infertility
  • Leiomyomas
  • Uterus

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Determinants of reproductive outcome after abdominal myomectomy for infertility. / Maddalena, Silvia; De Giorgi, Olga; Pesole, Antonella; Crosignani, Pier Giorgio.

In: Fertility and Sterility, Vol. 72, No. 1, 07.1999, p. 109-114.

Research output: Contribution to journalArticle

Maddalena, Silvia ; De Giorgi, Olga ; Pesole, Antonella ; Crosignani, Pier Giorgio. / Determinants of reproductive outcome after abdominal myomectomy for infertility. In: Fertility and Sterility. 1999 ; Vol. 72, No. 1. pp. 109-114.
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