The Value of Myomectomy in Women With Intramural Myoma Before IVF.
Status:
Unknown status
Trial end date:
2020-12-01
Target enrollment:
Participant gender:
Summary
Women with intramural myoma not reaching the endometrial cavity will be randomized to either
open myomectomy or no intervention . The participants will be assessed through full
history-taking with special consideration to age and the duration, type, and cause of
infertility. The medical examination included general, abdominal, and vaginal examinations.
Finally, an ultrasonography examination was performed to check for the presence of three or
more preantral follicles and to exclude ovarian cysts. On day 3 of a natural cycle, a
baseline levels of FSH, luteinizing hormone (LH),
, estradiol and anti-Müllerian hormone (AMH).Ovarian stimulation was performed using a long,
antagonist, or short protocol. They were assigned to one of the 2 groups according to having
an intramural myoma not indenting the cavity or not. All will be followed up by transvaginal
ultrasonography . When two or more follicles had reached a mean diameter of 18 mm, oocyte
maturation was triggered by intramuscular administration of hCG. Embryo transfer will be done
at day 2, 3 or 5 according to the circumstances.