Submucosal myomas and fertility in a Tunisian population

• Main Authors: Ferjaoui Mohamed Aymen, Hannachi Mohamed Amine, Marzougui Ali, Abdessamia Kais, Azri Raja, Khedheri Slim, Malek Monia, Neji Khaled
• Format: Article
• Language: English
• Published: PAMJ 2020-08-01
• Series: PAMJ Clinical Medicine
• Subjects: submucosal myoma; infertility; hysteroscopic resection
• Online Access: https://www.clinical-medicine.panafrican-med-journal.com/content/article/3/185/pdf/185.pdf

INTRODUCTION: Infertility associated with submucosal myomas may be treated by hysteroscopic resection. Aim: this retrospective study is aimed to analyze 50 subfertile patients who underwent hysteroscopic myomectomy with particular regard to their post procedure pregnancy outcome. METHODS: the patient group (n=50) underwent the procedure between January 2012 and January 2017. The submucosal were G0 (n=37), G1 (n=12) and G2 (n=4). The mean size was 3.2 cm, while the mean duration of the procedure was 26 minutes and the mean follow-up was 18 months (9 months to 5 years). Eight cases had one or more associated infertility factors. RESULTS: eighteen patients (36%) conceived after procedure, at 12 months ±2.6 months after procedure. The pregnancy rate was better when myomas was the exclusive etiology of infertility (42.85%). The complication rate was 7%. CONCLUSION: hysteroscopic myomectomy is a safe procedure to enhance infertility essentially in case of unexplained infertility.