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Infertility patients: when to treat subserous or intramural fibroids.(Gynecology)
MONTREAL -- Asymptomatic subserous or intramural uterine fibroids should be left untreated, even if a patient desires pregnancy, two experts said at the 18th World Congress on Fertility and Sterility.
"Most studies show that these fibroids have no effect on fertility or pregnancy; we only treat them if there are symptoms," said Dr. Togas Tulandi, who is professor of obstetrics and gynecology and the Milton Leong Chair in Reproductive Medicine at McGill University in Montreal.
"We generally remove only submucous fibroids and large fibroids that are symptomatic in patients who want to become pregnant," added Dr. Cynthia Farquhar of the University of Auckland, New Zealand.
These kinds of fibroids can distort the uterus, interfering with fertility and pregnancy, she said. She acknowledged that when treating infertility patients who are at least 35 years old, physicians at her center "would be more aggressive" and would consider removing intramural fibroids greater than 8 cm, especially if the patient had more than a 2-year history of infertility.
"There is certainly biologic plausibility to the notion that fibroids reduce fertility and removing them will improve fertility, but we also know that many women with even large fibroids conceive and deliver. Only 1%-2.4% of infertile ...
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- National Networks Try to Attract Infertility Patients.
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- Finances cloud physicians' perceptions about their infertility patients.
- Newspaper article from: Health & Medicine Week September 8, 2003 700+ words
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