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 After 8 years, in another meta‐ analysis, the same authors reported that women with IM fibroids produced significantly lower clinical pregnancy rates, implantation rates, and ongoing pregnancy/live birth rates and significantly higher spontaneous abortion rates (Pritts et al., 2009).
 Effect of myomectomy (old Studies)
• Buttram and Reiter (1981) reported a 40% pregnancy rate following abdominal myomectomy (480 out of 1202 cases).
• A review on the success rate after abdominal myomectomy was confirmed.
• The post‐surgical pregnancy rate across prospective studies was 57% (95% CI 48–65)
(Sunkara et al 2010).
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