Intramural uterine leyomima and fertility (literature review)

Abstract

Uterine leiomyoma is a common benign tumor of the female genital organs. Very often cases of ne­ces­sary invasive treatment in women planning pregnancy appear. At the same time, clear criteria for assessing po­tential impact of intramural leyomioma nodes, in contrast to submucous, do not exist. It is believed, that the most likely mechanism of leiomyoma effect on fertility non-deforming uterine cavity is disorder of uterine contractility. A promising method of investigation is ultrasonic evaluation of uterine peristalsis with its further computer-based analysis. The information obtained would help to predict possible negative impact of intramural fibroids on fertility, in future, thus avoiding unnecessary surgical interventions with high risk of postoperative complications and recurrences or, vice versa; would allow to normalize the motility of the uterus with the help of timely surgical removal of uterine leiomyoma.

Keywords

• ntramural uterine leiomyoma
• myomectomy
• uterine peristalsis
• fertility
• ultrasonography