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Sometimes, I'm asked if a myomectomy can improve somebody's fertility. First, let me explain
what a myomectomy is. A myomectomy is a procedure in which fibroid tumors, which are smooth
benign tumors of the uterus, can be removed. Myomectomies can be done by an open incision,
or they can be done using a laparoscope, or they can be done even vaginally, with a special
heated loop that goes through the *** into the uterus and removes the portion of fibroid
within the uterine cavity.
In order to know whether myomectomies actually can improve fertility, we have to first ask
if myomectomies actually can cause infertility. That data is a little sketchy. There are very
good data that suggest that myomas, or uterine fibroids can actually cause recurrent pregnancy
loss, but the data about them causing infertility is a lot less.
We're not really sure that they do cause infertility, but we do suppose or suggest that they cause
infertility when they either block the Fallopian tubes so that the *** and eggs can't meet,
or in cases in which the uterine cavity is so distorted that implantation can't occur.
In those cases, I believe that myomectomy can, in fact, improve fertility.