Reproductive Outcomes Following Laparoscopic Myomectomy for Uterine Fibroids

• Ahmed Muftah Hamed Elzargha

  Department of Obstetrics and Gynaecology, Faculty of Medicine, Sirte University, Sirte, Libya

  Author

Uterine fibroids are a common cause of infertility, and laparoscopic myomectomy is widely used as a fertility-preserving intervention. Despite its increasing adoption, variability in reproductive outcomes persists depending on patient characteristics and surgical technique. This descriptive–analytical study evaluated reproductive outcomes in women aged 20–40 years who underwent laparoscopic myomectomy within the past five years. Data were collected using standardized questionnaires and hospital records, documenting demographic variables, infertility history, surgical details, and postoperative reproductive outcomes. Statistical analysis included descriptive measures, chi-square tests, and logistic regression to identify predictors of pregnancy and delivery. Among 100 participants, 62% achieved pregnancy after surgery, and 65% continued to delivery. Miscarriage occurred in 58% of cases, while 61% required ovulation induction or assisted reproduction. Weight and type of laparoscopic intervention were perceived as influential factors. Follow-up care improved pregnancy continuation in 61% of cases. Correlation analysis revealed moderate to strong associations between surgical intervention and reproductive outcomes (ρ = 0.57–0.65, p = 0.01). Laparoscopic myomectomy significantly improves reproductive outcomes in women with infertility, particularly when combined with structured follow-up and weight management. Despite encouraging results, miscarriage remains a concern, highlighting the need for individualized postoperative care. Larger prospective studies are warranted to refine patient selection and optimize surgical techniques.

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