Page 62 - PCC15
P. 62

 Effect of Myomectomy
       Simple Guide
 1. Submucosal fibroids cause sub-fertility & miscarriage:
- warrant hysteroscopic removal
2. Fibroids distorting the uterine cavity are likely to impair reproduction: - warrant removal
3. Intramural non-cavity distorting fibroids could impair fertility, but evidence of benefit after removal is inconclusive (if over 5cm, may warrant removal)
4. Subserosal fibroids: - probably don’t warrant removal
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