[Myomectomy as treatment of infertility in women with uterine fibromyoma].

During a period of ten years, 33 women were submitted to myomectomy with infertility as the only indication for operation. On an average, infertility had been present for five years. Primary infertility was found in 2/3 of the women. At operation, solitary fibromata were encountered in half of the women. After a period of observation of 5 1/2 years, a total of 15 pregnancies had occurred in nine of the women. These resulted in 13 normal deliveries at term, one spontaneous abortion and termination of pregnancy in one patient. The frequency of pregnancy was thus 27.2%. However, four women avoided pregnancy after operation, so the corrected frequency of pregnancy becomes 31%. No significant differences were observed between the group of women who became pregnant and the group who remained infertile when the following factors were taken into consideration: age, primary or secondary infertility, size of the uterus, opening into the uterine horn or cavity during operation or the situation of the fibromata.