P-188: Pregnancy Rates after Abdominal Myomectomy in Infertile Women

Background: Uterine myoma is the most common benign pathology during reproductive age. It has been suggested that the presence of uterine myoma may cause infertility and recurrent pregnancy loss. The purpose of this study was to determine the effect of abdominal myomectomy as a therapy on pregnancy rate in infertile women. Materials and Methods: We considered eligible for this study only the 82 infertile patients that have at least one intramural myoma > 5cm diameter and wishing to conceive after surgery. They did not present any plausible infertility factor, apart from the removed myoma. We have evaluated the pregnancy outcome following abdominal myomectomy. Results: Pregnancy occurred in 44 women (53.7%). The pregnancy rates in women with <2 years versus ≥2 years of infertility were 67.1 and 47.7%, respectively. The localization of the myoma and the total number of tumors removed did not influence the outcome. Conclusion: Our results suggest a benefit of myomectomy in infertile patients.The main determinant of pregnancy rate after surgery is the diameter of myoma and not its localization and number.