When Myoma Causes Infertility

Abstract

Myoma is a benign neoplasm originated from connective tissues of the uterine smooth muscle. Based on an autopsy, Novak revealed that 27% of 25 aged year women had myoma nests, with a higher prevalence in dark skinned subjects. Uterine myomas have never been reported before menarche, whereas only 10% cases of myomas still develop after menopause. Uterine myomas occur approximately in 20% - 30% of women. In Indonesia, uterine myomas constitute 2,39% - 11,7% of all hospitalized gynecology patients. This tumor is frequently found in subjects aged 35-45 years old (less than 25%) and is less frequently experianced by 20 year aged women and post menopausal women..

A widely excepted opinion indicated that 50% of women with fibroids are completely asymptomatic, where as 30% may present with menorrhagia, with the remaining 20% presented with symptoms caused by supressions, that complicate reproductive assesments. Whether a fibroid is symptomatic or not possibly depends on the size, amount and anatomical site. Sub mucosal myomas may cause menstrual disorders, such as menorrhagia and intermenstrual bleeding. Due to its nature that distorts the uterine cavity, myomas may cause infertility and/or misscariages.

Based on these statistics, the author further ellaborated the association between Myoma and infertility, specifically myoma as a causative factor. This paper emphasizes on the causative relationship myoma has with infertility, not on the various approaches availabe to treat such cases.

Keywords: Myoma, Infertility