SONOGRAPHIC IDENTIFICATION OF UTERINE LEIOMYOMAS AND THEIR IMPACT ON FERTILITY

ABSTRACT Context: Fibroids are the most common tumors of the female genital tract.fibroids are of benign growth develop in the muscular wall of the uterus composed primarily of smooth muscles. Fibroids are known by different other names like leiomyoma, leiomyomata, myoma and fibromyoma. It can be located in different part of uterus so named them according to their location in uterus. Fibroids vary in size from such small like a pea to as large to 10 inches. The relationship of fibroids with infertility is controversial to find an impact of uterine fibroids on infertility. Ultrasonography is a Gold Standard modality for identification of uterine fibroids. The purpose of this Retrospective study is to review fibroids and their different types and their impact on fertility. Fibroids effect females of every age group and their management are necessary for increase fertility outcomes. Objective: A systematic review is made with help of different retrospective studies published from time duration 2005 to 2020 on sonographic identification of uterine leiomyomas and their impact on fertility. Evidence acquisition: Relevant databases on uterine fibroid relation and impact on infertility was collected from MEDLINE, PubMed, Cochrane Library from 2005 to 2020. Randomised control trials, prospective observational studies, retrospective matched studies from well-defined registries are taken. Conclusion: Uterine fibroids having an impact on fertility its incidence increased with age.submucosal fibroids cause infertility, intramural fibroids impact on fertility is controversial while subserosal fibroids don’t have an impact on fertility. Key words: Leiomyomas, Infertility, Abdominal Ultrasound, Transvaginal Ultrasound, Myomectomy, Fertility