Updates on The Management of Uterine Myoma in InfertilityTreatment

Uterine myoma or fibroid is the mos t common benign gynecologicaltumors in women of reproductive age.Fibroids are hormone dependent smooth-muscle tumors with awide heterogeneity in composition, size and number.Mos t women with fibroids are fertile; however fibroids may affectfertility by dis torting the pelvic anatomy and the intrauterineenvironment. The way by which myoma result in infertilityremain to clearly unders tood.Beside anatomical dis tortion, the possible mechanism impairingfertility are; endometrial function alteration increased uterinecontractility and impairment of the endometrial and myometrialvasculatization and blood supply, alters the local hormone balancethat could affect gamete transport and/or reduce embryoimplantation.Submucosal and intramural myomas with pressure effect onuterine cavity are associated with decreased pregnancy and implantationrates after ART cycles.The management method is highly depends on the size, numberand location.