Submucosal myomas and fertility in a Tunisian population

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.