Fibroid removal may decrease risk of recurrent miscarriage

REMOVAL of fibroids distorting the uterine cavity may increase the chance of live births in women with recurrent miscarriages, researchers say. 

Of 966 women referred to a recurrent miscarriage clinic in the UK, 79 (8.2%) had fibroids. Submucosal fibroids distorting the uterine cavity were removed by hysteroscopy in 25 women, while intramural and subserosal fibroids were left in 54 patients, who were matched with 285 controls with unexplained recurrent miscarriage.

Surgical resection eliminated mid-trimester losses in the women with distorting fibroids and doubled their live birth rate in subsequent pregnancies. 

The other women also experienced a rise in live birth rates, which researchers attributed to the psychological support they received. 

Human Reprod 2011, online 28 Sept