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Fibroids and Infertility
The precise impact of fibroids, which are the most common benign gynaecological tumours in women, on reproductive function and infertility is unknown. The need to treat submucosal fibroids is widely accepted, but fibroids in other locations and sizes continue to present a clinical conundrum. This ar...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859843/ https://www.ncbi.nlm.nih.gov/pubmed/27217980 http://dx.doi.org/10.1007/s13669-016-0162-2 |
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author | Purohit, P. Vigneswaran, K. |
author_facet | Purohit, P. Vigneswaran, K. |
author_sort | Purohit, P. |
collection | PubMed |
description | The precise impact of fibroids, which are the most common benign gynaecological tumours in women, on reproductive function and infertility is unknown. The need to treat submucosal fibroids is widely accepted, but fibroids in other locations and sizes continue to present a clinical conundrum. This article examines the mechanisms by which fibroids affect implantation and fertility, and stratifies their impact on basis of size, location and nature. It also explores the evidence base of the available treatment modalities in specific relation to improving fertility outcomes. Traditionally, a myomectomy has been advocated to treat fibroids for the reproductive population; however, as well as evaluating the benefits of surgery including endoscopic, this article explores alternative therapies including medical and radiological interventions. |
format | Online Article Text |
id | pubmed-4859843 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-48598432016-05-21 Fibroids and Infertility Purohit, P. Vigneswaran, K. Curr Obstet Gynecol Rep Uterine Fibroids (N Narvekar, Section Editor) The precise impact of fibroids, which are the most common benign gynaecological tumours in women, on reproductive function and infertility is unknown. The need to treat submucosal fibroids is widely accepted, but fibroids in other locations and sizes continue to present a clinical conundrum. This article examines the mechanisms by which fibroids affect implantation and fertility, and stratifies their impact on basis of size, location and nature. It also explores the evidence base of the available treatment modalities in specific relation to improving fertility outcomes. Traditionally, a myomectomy has been advocated to treat fibroids for the reproductive population; however, as well as evaluating the benefits of surgery including endoscopic, this article explores alternative therapies including medical and radiological interventions. Springer US 2016-04-25 2016 /pmc/articles/PMC4859843/ /pubmed/27217980 http://dx.doi.org/10.1007/s13669-016-0162-2 Text en © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Uterine Fibroids (N Narvekar, Section Editor) Purohit, P. Vigneswaran, K. Fibroids and Infertility |
title | Fibroids and Infertility |
title_full | Fibroids and Infertility |
title_fullStr | Fibroids and Infertility |
title_full_unstemmed | Fibroids and Infertility |
title_short | Fibroids and Infertility |
title_sort | fibroids and infertility |
topic | Uterine Fibroids (N Narvekar, Section Editor) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859843/ https://www.ncbi.nlm.nih.gov/pubmed/27217980 http://dx.doi.org/10.1007/s13669-016-0162-2 |
work_keys_str_mv | AT purohitp fibroidsandinfertility AT vigneswarank fibroidsandinfertility |