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vani s
Century Club
Joined: 20 Jan 2007
Posts: 141
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 Posted: Fri Jan 26, 2007 7:49 pm Post subject: fibroid |
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concerning fibroids, myomectomy in women with otherwise unexplained infertility results in a pregnacy rate of around 50%?  shouldnt it be false? |
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EMAK
Century Club
Joined: 26 Nov 2006
Posts: 572
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| Posted: Fri Jan 26, 2007 8:45 pm Post subject: |
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| It is acceptable line of management but I am not sure about the percentage.... |
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rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 966
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| Posted: Fri Jan 26, 2007 10:01 pm Post subject: |
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TRUE
Surprise , Surprise  ...
ref -- Clinical review. 723 BMJ Vol 327 27 Sept 2003
Vercellini P, Maddalena S, De Giotgi O, Aimi G, Crosignani PG. Abdominal myomectomy for infertility: a comprehensive review. Hum Reprod, 1998;13:873
The success rate of a subsequent spontaneous conception after a hysteroscopic, abdominal, or a laparoscopic myomectomy is about 60% if infertility was the sole reason for the surgery.
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Dr Miss. Raj Walavalkar MBBS MRCOG
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SR O&G Wessex Region |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1852
Location: Nottingham
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| Posted: Sat Jan 27, 2007 5:44 pm Post subject: |
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Nice work Raj - I thought the figures made sense and was going to say true anyway.
Think about the question.
There is a lot of recent evidence that has confirmed even intramural (not just sub-mucosal) fibroids reduce fertility. We know less about the effect of treatment but myomectomy is an acceptable and effective treatment for women with unexplained subfertility with sub-mucosal and intra-mural fibroids.
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"Teale Fenning Medical Education" delivering evidence-based, exam-orientated learning since 1997 |
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