TITLE:
Fertility after Abdominal Myomectomy: A Retrospective Study of 64 Cases
AUTHORS:
Stephane Adjoussou, Raoul Kasse, Souleymane Soumahoro, Kouamé Tano, Ibrahim Kanté, Fulgence Kouamé, Marcel Ettien, Rosemonde Kouakou, Mamourou Koné
KEYWORDS:
Myomectomy, Laparotomy, Infertility, Pregnancy
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.16 No.8,
August
24,
2026
ABSTRACT: Objective: To evaluate fertility after abdominal myomectomy. Patients and Methods: This was a retrospective descriptive and analytical cohort study conducted at the Fatima Clinic over a 7-year period, involving 64 infertile patients under 40 years of age who underwent abdominal myomectomy. We analyzed the operative data from the myomectomy and fertility after this procedure. Results: The mean age of our patients was 34.5 years, with a range of 28 to 39 years. The majority of our patients were nulliparous (90.6%), with a mean parity of 0.09. Infertility was secondary in 76.5% of cases. The mean uterine size was 13.2 weeks of gestational age in our study. Interstitial fibroids were the most frequent (90.6%). The average number of fibroids removed was 9.1, and the average size of the dominant fibroid was 7.7 cm. The most frequent surgical procedure associated with myomectomy was adhesiolysis (23.4%), followed by adenomyomectomy (17.2%). In our study, the average operative time was 107.4 minutes. The incidence of operative complications observed in our study was 3.2%. Postoperative complications consisted of bowel obstruction and hemorrhage. The spontaneous pregnancy rate in our patients was 20.3%. The average time to pregnancy after myomectomy was 11 months. We obtained 9 live births out of the 13 pregnancies observed, representing a 69.2% success rate. The only prognostic factor identified that favored the occurrence of a spontaneous pregnancy was the patients’ significantly lower age (p = 0.04). Conclusion: Abdominal myomectomy is a reliable, safe, and effective technique that has enabled infertile women with fibroids to achieve pregnancy.