Uterine fibroids associated with infertility.

Womens Health (Lond)

Department of Obstetrics & Gynecology, Abington Memorial Hospital, 1200 Old York Road, Abington, PA 19001, USA.

Published: November 2014

AI Article Synopsis

  • Uterine fibroids are increasingly linked to infertility, particularly as more women delay childbirth and the prevalence of these tumors rises with age.
  • Treatment options depend on the fibroid's size and location, including methods like myomectomy (open, laparoscopic, or robotic), medical treatment, uterine artery embolization, and focused ultrasound surgery.
  • While there's clear guidance on treating submucosal fibroids, the best approach for intramural fibroids in infertile patients is still debated.

Article Abstract

In recent years, there has been an increasing focus on the contributory role of uterine fibroids to infertility. The prevalence of these tumors increases with age, which becomes significant as more women are delaying childbearing. Therefore, fibroids and infertility frequently occur together. Treatment varies with fibroid location and size. The various methods of treatment include open myomectomy, laparoscopic or robot-assisted myomectomy, medical treatment, uterine artery embolization and magnetic resonance guided focused ultrasound surgery. While there is a general consensus on the treatment of submucosal fibroids, the management of intramural fibroids in the infertility patient remains controversial. This paper aims to review and summarize the current literature in regards to the approach to uterine fibroids in the infertile patient.

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Source
http://dx.doi.org/10.2217/whe.14.27DOI Listing

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