Myomectomy over the age of forty

Abstract

Purpose of Investigation: The aim of this study is to evaluate the fertility results of women who had myomectomy surgery in their forties for fertility preservation. Materials and Methods: All women who had myomectomy surgery in her forties were included in the study. Phone interviews were conducted and the patients were asked whether they had any pregnancy after myomectomy. Results: During the study period, 82 women had myomectomy surgery in this hospital. Sixty-nine patients had abdominal surgery for myomectomy and they were considered as women wishing to preserve childbearing capacity. Three of them achieved three pregnancies which all ended in miscarriage. Conclusion: The treatment of fibroids in women who desire future fertility is myomectomy, but once a woman reaches the age of 35. her fertility begins to decline and the success rates of IVF treatment for women over 40 using their own oocytes are low. All the data should be discussed with the patient who will have an abdominal surgery for uterine myoma.