ArticleJournal of the Turkish German Gynecological Association2019
Management of fibroids prior to in vitro fertilization/intracytoplasmic sperm injection: A pragmatic approach
Article in Journal of the Turkish German Gynecological Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
7 citing papers in PubMed, 15 citations in OpenAlex.
- A Proposed Model of a Pragmatic Surgical Approach in Women Affected by Uterine Fibroids Undergoing IVF: A "Real Practice" Experience.Journal of clinical medicine · 2026Article
- Myomectomy During Pregnancy: Decision-Making and Outcomes-A Report of 2 Cases.Clinical medicine insights. Case reports · 2025Article
- Effects of Non-Cavity-Distorting Intramural Fibroids on IVF Outcomes in Patients with Recurrent IVF Failure: Does Myomectomy Change IVF Outcomes ?Journal of obstetrics and gynaecology of India · 2023Article
- Endometrial preservation during resection of type II and type III submucosal fibroids.Facts, views & vision in ObGyn · 2022Article
- Prognostic value of the location of submucosal uterine leiomyomas in infertility.Experimental and therapeutic medicine · 2021Article
- Multiple myomectomy to aid fertility treatment - surgical and fertility outcomes: a retrospective cohort study.Facts, views & vision in ObGyn · 2021Article
- Term Delivery in an Infertile Patient after Transcervical Radiofrequency Fibroid Ablation and Assisted Reproductive Technology.Journal of gynecologic surgery · 2019Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Fibroids are relatively common in women undergoing in vitro fertilization (IVF) treatment due to their high prevalence in women. It is generally accepted that submucosal fibroids are deleterious to IVF outcomes and their removal is beneficial. Evidence from relatively low quality studies on the impact of intramural fibroids on IVF outcome is also suggestive of a detrimental impact. The majority of published studies included women with relatively small intramural fibroids and women with cavity-distorting fibroids were usually excluded, hence it is quite likely that the detected impact in the systematic reviews is an underestimation. Evidence of benefit is scarce for the removal of noncavity-distorting intramural fibroids. It is quite likely that numbers needed to treat for this purpose would be very high for small fibroids but lower for larger fibroids. This would need to be taken into account when decisions are made on myomectomy and potential benefits should be weighed against the associated morbidity, cost, and delay in fertility treatment. Whilst there is a need to perform prospective randomised studies in this field, a pragmatic approach that takes prognostic factors into account to estimate the magnitude of the possible impact of the fibroid(s) and potential benefit of removal is likely to lead to better reproductive outcomes.
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Registered trials
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