Fertility after hysteroscopic resection of submucous myomas

Study Objective. To analyze fertility outcomes after resection of submucous myomas by operative hysteroscopy in infertile women. Design. Retrospective analysis (Canadian Task Force classification II-2). Setting; Academic tertiary referral center. Patients. Forty-one women (age 28-42 yrs) old with primary and secondary in fertility, and histologically proved submucous myomas. Intervention. Hysteroscopic myomectomy performed with a rigid resectoscope. Measurements and Main Results. Of the 41 patients, 25 (60.9%) became pregna nt overall and 20 (48.7%) delivered at term. Seventeen patients delivered a single fetus. Five delivered twins, three at term and two at 33 and 35 wee ks. One woman delivered triplets at 31 weeks. The total delivery rate was 5 6.0%. Two women miscarried, at 6 and 8 weeks. One patient developed postope rative Asherman's syndrome. Conclusion. Our results indicate that hysteroscopic myomectomy improves fer tility in previously infertile women. Resection is a viable alternative to abdominal myomectomy for submucous myomas.