Abstract

F. Amqrane*, M. Krioul, H. Souradi, Z. Bennani, S. Bargach and M. Youssfi

ABSTRACT

Uterine fibroids are present in 20% to 50% of women of reproductive age. The management of a woman with a fibroid and a desire for pregnancy is controversial. The pathophysiology of uterine myoma genesis is poorly understood; it is described as the result of a multifactorial process.The presence of myomas and alteration of fertility parameters are debated issues. Recent data in the literature allow a better understanding of the causal relationship and the effects on fertility of the therapies used. The different therapeutic modalities are conservative surgical treatment, medical treatment and interventional radiology. The results on fertility are variable. The management of interstitial myomas is much more debated and must be the subject of a multidisciplinary discussion, especially in situations associating other infertility factors. Myomas are also a source of complications during pregnancy.