Myomas and fertility
Suvitie, P.; Perheentupa, A.
Duodecim; Laaketieteellinen Aikakauskirja 127(17): 1848-1856
2011
ISSN/ISBN: 0012-7183 PMID: 21995121 Document Number: 653270
The frequency of myomas increases with age. They are mostly symptomless, and their impact on fertility and course of the pregnancy is dependent on their location. Submucosal myomas protruding into the uterine cavity are most significant. Their removal reduces the risk of miscarriage and increases the probability of spontaneous pregnancy. Intramural myomas of the uterus also reduce fertility, but there is insufficient evidence of the benefits of their removal. Subserous myomas are generally insignificant.