{"id":"https://openalex.org/W4402649999","doi":"https://doi.org/10.21037/gpm-22-29","title":"Uterine fibroids & infertility: which fibroids should be removed?\u2014a narrative review","display_name":"Uterine fibroids & infertility: which fibroids should be removed?\u2014a narrative review","publication_year":2024,"publication_date":"2024-09-01","ids":{"openalex":"https://openalex.org/W4402649999","doi":"https://doi.org/10.21037/gpm-22-29","pmid":"https://pubmed.ncbi.nlm.nih.gov/42211951"},"language":"en","primary_location":{"id":"doi:10.21037/gpm-22-29","doi":"https://doi.org/10.21037/gpm-22-29","is_oa":true,"landing_page_url":"https://doi.org/10.21037/gpm-22-29","pdf_url":null,"source":{"id":"https://openalex.org/S4210209553","display_name":"Gynecology and Pelvic Medicine","issn_l":"2617-4499","issn":["2617-4499"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gynecology and Pelvic Medicine","raw_type":"journal-article"},"volume":null,"type":"review","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.21037/gpm-22-29","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5013148264","display_name":"Engin T\u00fcrkgeldi","orcid":"https://orcid.org/0000-0002-5008-3292","observed_orcids":["https://orcid.org/0000-0002-5008-3292"]},"institutions":[{"id":"https://openalex.org/I1351752","display_name":"Ko\u00e7 University","ror":"https://ror.org/00jzwgz36","country_code":"TR","type":"education","lineage":["https://openalex.org/I1351752"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Engin Turkgeldi","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Ko\u00e7 University School of Medicine, Istanbul, Turkey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Ko\u00e7 University School of Medicine, Istanbul, Turkey","institution_ids":["https://openalex.org/I1351752"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089405919","display_name":"\u00dczeyir Kalkan","orcid":"https://orcid.org/0000-0001-5223-6697","observed_orcids":["https://orcid.org/0000-0001-5223-6697"]},"institutions":[{"id":"https://openalex.org/I1351752","display_name":"Ko\u00e7 University","ror":"https://ror.org/00jzwgz36","country_code":"TR","type":"education","lineage":["https://openalex.org/I1351752"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"Uzeyir Kalkan","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Ko\u00e7 University School of Medicine, Istanbul, Turkey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Ko\u00e7 University School of Medicine, Istanbul, Turkey","institution_ids":["https://openalex.org/I1351752"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044987213","display_name":"Bar\u0131\u015f Ata","orcid":"https://orcid.org/0000-0003-1106-3747","observed_orcids":["https://orcid.org/0000-0003-1106-3747"]},"institutions":[{"id":"https://openalex.org/I1351752","display_name":"Ko\u00e7 University","ror":"https://ror.org/00jzwgz36","country_code":"TR","type":"education","lineage":["https://openalex.org/I1351752"]}],"countries":["TR"],"is_corresponding":true,"raw_author_name":"Baris Ata","raw_affiliation_strings":["ART Fertility Clinics, Dubai, United Arab Emirates","Department of Obstetrics and Gynecology, Ko\u00e7 University School of Medicine, Istanbul, Turkey"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"ART Fertility Clinics, Dubai, United Arab Emirates","institution_ids":[]},{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Ko\u00e7 University School of Medicine, Istanbul, Turkey","institution_ids":["https://openalex.org/I1351752"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5044987213"],"corresponding_institution_ids":["https://openalex.org/I1351752"],"apc_list":null,"apc_paid":null,"fwci":0.2928,"has_fulltext":false,"cited_by_count":2,"citation_normalized_percentile":{"value":0.41321389,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":94,"max":96},"biblio":{"volume":"7","issue":null,"first_page":"26","last_page":"26"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10989","display_name":"Uterine Myomas and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11589","display_name":"Gynecological conditions and treatments","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/uterine-fibroids","display_name":"uterine fibroids","score":0.9990000128746033},{"id":"https://openalex.org/keywords/infertility","display_name":"infertility","score":0.9390000104904175},{"id":"https://openalex.org/keywords/myomectomy","display_name":"myomectomy","score":0.9559999704360962},{"id":"https://openalex.org/keywords/submucosal-fibroids","display_name":"submucous myoma","score":0.9520000219345093},{"id":"https://openalex.org/keywords/subserosal-fibroids","display_name":"subserosal fibroids","score":0.9980000257492065},{"id":"https://openalex.org/keywords/hysteroscopic-myomectomy","display_name":"hysteroscopic myomectomy","score":0.859000027179718},{"id":"https://openalex.org/keywords/laparoscopic-myomectomy","display_name":"laparoscopic myomectomy","score":0.9399999976158142},{"id":"https://openalex.org/keywords/laparotomy","display_name":"laparotomy","score":0.7829999923706055},{"id":"https://openalex.org/keywords/live-birth","display_name":"live birth","score":0.6629999876022339},{"id":"https://openalex.org/keywords/miscarriage","display_name":"miscarriage","score":0.75}],"concepts":[{"id":"https://openalex.org/C2780566971","wikidata":"https://www.wikidata.org/wiki/Q556281","display_name":"Uterine fibroids","level":2,"score":0.7750296592712402},{"id":"https://openalex.org/C2777688143","wikidata":"https://www.wikidata.org/wiki/Q179399","display_name":"Infertility","level":3,"score":0.7343560457229614},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.5966442823410034},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.566609263420105},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5348027944564819},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.33076730370521545},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.1777149736881256},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.15770822763442993},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.06668978929519653},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.0}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.21037/gpm-22-29","doi":"https://doi.org/10.21037/gpm-22-29","is_oa":true,"landing_page_url":"https://doi.org/10.21037/gpm-22-29","pdf_url":null,"source":{"id":"https://openalex.org/S4210209553","display_name":"Gynecology and Pelvic Medicine","issn_l":"2617-4499","issn":["2617-4499"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gynecology and Pelvic Medicine","raw_type":"journal-article"},{"id":"pmid:42211951","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42211951","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gynecology and pelvic medicine","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13215010","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13215010/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Gynecol Pelvic Med","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.21037/gpm-22-29","doi":"https://doi.org/10.21037/gpm-22-29","is_oa":true,"landing_page_url":"https://doi.org/10.21037/gpm-22-29","pdf_url":null,"source":{"id":"https://openalex.org/S4210209553","display_name":"Gynecology and Pelvic Medicine","issn_l":"2617-4499","issn":["2617-4499"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310321814","host_organization_name":"AME Publishing Company","host_organization_lineage":["https://openalex.org/P4310321814"],"host_organization_lineage_names":["AME Publishing Company"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gynecology and Pelvic Medicine","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9074000120162964,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.5299999713897705,"display_name":"Gender equality","id":"https://metadata.un.org/sdg/5"},{"score":0.4099999964237213,"display_name":"Zero hunger","id":"https://metadata.un.org/sdg/2"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W617089209","https://openalex.org/W4253797410","https://openalex.org/W2096534791","https://openalex.org/W4360992475","https://openalex.org/W2783694371","https://openalex.org/W4224923641","https://openalex.org/W2276819901","https://openalex.org/W2347383886","https://openalex.org/W3174499032","https://openalex.org/W2084684365"],"abstract_inverted_index":{"Background":[0],"and":[1,14,27,50,75,84,88,103,181,216,237,253,274,287],"Objective:":[2],"Although":[3],"fibroids":[4,91,115,142,218,273],"are":[5,97,116,223,278],"frequent":[6],"in":[7,30,37,202],"the":[8,94,111,149,264,269],"infertile":[9],"population,":[10],"their":[11,24,156,170,275],"high":[12],"heterogeneity":[13],"methodological":[15],"problems":[16],"hinder":[17],"efforts":[18],"to":[19,77,99,119,153,240],"reach":[20],"high-quality":[21],"evidence":[22,150],"on":[23,26,123,143,268,280],"impact":[25,122],"surgery's":[28],"role":[29],"infertility.":[31],"Methods:":[32],",":[33],"2022":[34],"for":[35,130,191,250],"publications":[36,69],"English,":[38],"using":[39],"various":[40],"combinations":[41],"of":[42,80,106,127,138,163,198,208,266],"keywords":[43],"\"fertility\",":[44],"\"infertility\",":[45],"\"fibroid\",":[46],"\"myoma":[47],"uteri\",":[48],"\"myomectomy\",":[49],"\"surgery\".":[51],"There":[52],"were":[53,73],"no":[54],"limitations":[55],"regarding":[56],"study":[57],"type.":[58],"Since":[59],"this":[60,176],"is":[61,108,133,145,151,177,210],"a":[62,160,165,178,196],"narrative":[63],"review,":[64],"we":[65,71],"have":[66,120],"only":[67],"included":[68],"that":[70,92,155,219,263],"believed":[72],"solid":[74],"relevant":[76],"our":[78],"questions":[79],"interest.":[81],"Key":[82],"Content":[83],"Findings:":[85],"Submucous":[86],"(SM)":[87],"intramuscular":[89],"(IM)":[90],"distort":[93,220],"uterine":[95],"cavity":[96,222],"likely":[98],"affect":[100],"fertility":[101,131,144],"adversely":[102],"surgical":[104,171,276],"removal":[105,126,172],"these":[107,128],"recommended.":[109,135,184],"On":[110],"contrary,":[112],"subserosal":[113],"(SS)":[114],"not":[117,134,183,228],"thought":[118],"an":[121,189,212],"fertility,":[124,272],"therefore":[125],"solely":[129],"purposes":[132],"The":[136],"effect":[137],"non-cavity":[139],"distorting":[140],"IM":[141,217],"still":[146],"debated,":[147],"however,":[148],"inclined":[152],"suggest":[154],"presence":[157],"may":[158,247],"lower":[159],"woman's":[161],"chance":[162],"achieving":[164],"live":[166],"birth.":[167],"However,":[168,185],"whether":[169],"restores":[173],"or":[174,200],"improves":[175],"gray":[179],"area":[180],"usually":[182],"it":[186,259],"can":[187],"be":[188,248,261,289],"option":[190],"women":[192],"with":[193,291],"large":[194],"fibroids,":[195,235],"history":[197],"miscarriages,":[199],"failed":[201],"vitro":[203],"fertilization":[204],"(IVF)":[205],"attempts.The":[206],"route":[207],"myomectomy":[209],"also":[211],"underinvestigated":[213],"area.":[214],"SM":[215],"endometrial":[221],"best":[224],"managed":[225],"hysteroscopically,":[226],"if":[227],"larger":[229],"than":[230],"5":[231],"cm.":[232],"For":[233],"other":[234],"laparoscopy":[236,246],"laparotomy":[238],"seem":[239],"yield":[241],"similar":[242],"reproductive":[243],"results,":[244],"but":[245],"preferred":[249],"quicker":[251],"recovery":[252],"reduced":[254],"postoperative":[255],"pain.":[256],"Conclusions:":[257],"Finally,":[258],"should":[260,288],"remembered":[262],"majority":[265],"data":[267],"relationship":[270],"between":[271],"correction":[277],"based":[279],"heterogenous,":[281],"observational":[282],"studies,":[283],"providing":[284],"low-quality":[285],"evidence,":[286],"treated":[290],"caution.":[292]},"counts_by_year":[{"year":2025,"cited_by_count":2}],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2025-10-10T00:00:00"}
