Factors Influencing Clinical Pregnancy Rates After Myomectomy Among Infertile Women: A Single Center Retrospective Study
Journal Title: HASEKİ TIP BÜLTENİ - Year 2018, Vol 56, Issue 3
Abstract
Aim: To determine the clinical pregnancy rates after myomectomy in infertile women who underwent surgery due to myoma uteri and to investigate the clinical factors affecting outcomes. Methods: This retrospective single-centered study included infertile patients who underwent intramural and/or subserousal uterine myomectomy in the infertility clinic at our hospital between February 2012 and October 2014. Data were obtained from the hospital records and patients’ files. Age, body mass index, physical features of myomas (diameter, number, structure, and location), surgical treatment methods used and postoperative pregnancy status were recorded for each patient separately. Results: A total of 211 infertile women who met the inclusion criteria for this study and who underwent myomectomy due to myoma uteri were included. The mean myoma diameter was 7.3±4.4 cm and intramural tumors (49.8%) were the most commonly observed type. Laparoscopic myomectomy was performed in 186 patients (88.1%) and laparoscopic in 25 patients (11.9%). The clinical pregnancy rate was calculated as 19.9% (42/211), while 28.6% (12/42) of pregnancies resulted in live birth and 71.4% (30/42) in spontaneous abortion. The mean age of the pregnant and non-pregnant patients was 33.2±5.6 and 36.8±5.8 years, respectively. The mean body mass index was 25.9±3.5 and 28.8±4.8 kg/m2, respectively (p<0.001). There was no statistically significant difference between the groups in terms of myoma diameter, number, myometrial location, uterine location, and operation method (p>0.05). Conclusion: The most important factors for predicting pregnancy in patients who undergo surgery due to myoma and infertility are female age and body mass index. It seems that myoma diameter, number, myometrial location, uterine location and method of surgery are not significant factors in predicting pregnancy.
Authors and Affiliations
Meryem Kuru Pekcan, Esra İşçi Bostancı, Aytekin Tokmak, Dilek Şahin Uygur, Yasemin Taşçı
Keywords
Related Articles
- EP ID EP392686
- DOI 10.4274/haseki.4165
- Views 87
- Downloads 0
Infrapopliteal Percutan Transluminal Angioplasty of Patients with TASC D Group Diabetic Foot Lesions According to the Transatlantic Inter-Society Consensus II
Aim: We aimed to evaluate the effectiveness of percutaneous transluminal angioplasty (PTA) in limb salvage in patients with diabetic foot disease and critical limb ischemia according to the Trans-Atlantic Inter-Society C...
Role of Peritoneal Ultrafiltration in Heart Failure Treatment
Cardiorenal syndrome (CRS) is a general term that can reflect different clinical conditions in which cardiac and renal dysfunctions coexist. The main pathogenetic mechanisms playing a role in heart failure (HF) and CRS a...
Evaluation of Excessive Daytime Sleepiness with Sleep Apnea and Determining the Relationship Between Life Quality
Aim: Obstructive Sleep Apnea syndrome (OSAS) is an important health issue characterized by repetitive episodes of upper airway obstruction affecting many different systems in the human body. In this study, we aimed to ex...
Co-existance of Juvenil Ankylosing Spondylitis with Familial Mediterranean Fever and Takayasu’s Arteritis: A Case Report
Juvenile ankylosing spondylitis (JAS) coexisting with Familial Mediterranean Fever (FMF) or Takayusu’s arteritis (TA) together with JAS have been reported in the literature. However, co-existance of these three diseases...
Evaluation of Top-selling Biotechnological Medicine from 2003 to 2016 in Turkey
Aim: The top 100 medicines having the highest annual average sales between the years 2006 and 2015, had exceeded one-fourth of the total pharmaceutical market’s value in these years. We aimed to study the status of biote...