Hysteroscopic Myomectomy is a safe and reliable method in patients with FIGO type 0,1 and 2 myomas

Background We aimed to demonstrate feasibility and safety of hysteroscopic myomectomy in infertile patients with International Federation of Gynecology and Obstetrics (FİGO) classification type 0, type 1 and type 2 uterine fibroids. Methods Infertile patients who have FIGO type 0, 1, 2 myomas underwent hysteroscopic myomectomy before embryo transfer. Intrauterine device (IUD) was placed into the uterine cavity and adhesion barrier gel was applied after surgery. Two months later, IUD was removed and control hysterosalpingography (HSG) was performed. Embryo transfer was performed in patients who were not considered to have intrauterine adhesions (IUA) after evaluation with HSG. Results Fifty patients were enrolled the study. Thirtynine (78%) patients conceived and 21 (42%) had live birth. Second look hysteroscopy was performed in 4 (8%) patients due to intrauterine adhesions and removed by cutting cold knife via office hysteroscopy. Pregnancy was achieved in all of these patients; one had live birth, two patients had biochemical pregnancy and one patient had an abortion in the 8th week of pregnancy. No complication was occurred in any case. Conclusion Hysteroscopic myomectomy is a safe and reliable method in the treatment of FIGO type 0, 1, 2 myomas and may enhance pregnancy rate when performed before embryo transfer.