Leiomyomas, also called myomas or fibroids; are benign monoclonal uterine myometrial tumors that affect 25% to 45% of reproductive-age women. The mechanisms by which fibroids cause infertility are unknown, but may involve altered uterine contractility, impaired gamete transport or endometrial dysfunction. Fibroids are a fairly frequent occurrence in the reproductive age group and are exclusively responsible for both infertility and pregnancy wastage in a small (5%) but significant proportion of patients. Fibroids may be classified as submucous, intramural or subserous. It is often assumed that fibroids cause infertility since pregnancies do occur after myomectomy and other treatments where the fibroids are removed. We are presenting here a case of primary infertility which on infertility workup showed heterogeneous mass in uterus on ultrasonography and conceived after abdominal myomectomy.
Last date updated on September, 2014