Live birth following resection of multiple submucous myomas
Uterine leiomyomas are by far the most common benign uterine tumours present in almost 25 % women of reproductive age.

Though being an infrequent cause of infertility and pregnancy complications, it is still extremely rare to have a pregnancy, that too uneventful in patients with extreme distortion of uterine cavity due to multiple intramural and submucosal fibroids. One such a case has been reported in the Journal of Obstetrics & Gynaecology of India.

Patient first presented in 1998 at 28 years of age with secondary infertility and failure to conceive for 1 year. She was married for 4 years and had undergone medical termination of pregnancy 2 years earlier.

On investigations, she had regular ovulatory cycles; hysterosalpingogram confirmed bilateral tubal patency and the semen parameters were normal. Pelvic ultrasound showed a uterus with numerous intramural and submucous fibroids of variable size, the largest being 3 × 3 cm. There were no other factors contributing to infertility.

She was subjected to six-cycles of COH with IUI, using Clomiphene for 3 cycles urinary gonadotrophins for other 3 cycles. These were unsuccessful.

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