SONOGRAPHIC IDENTIFICATION OF UTERINE LEIOMYOMAS (FIBROIDS) AND THEIR IMPACT ON FERTILITY – A SYSTEMATIC REVIEW

Fibroids are known to be most common tumors of the female genital tract. These are benign tumours developed in wall of the uterus primarily composed of smooth muscles. Fibroids are having different other names like leiomyoma, leiomyomata, myomas and fibro myomas. Located in different uterine parts and named them according to location in uterus. There is variation in their size from a pea to 10 inches large. The relationship of uterine fibroids with fertility outcomes and their impact on female fertility is still controversial.  For identification of uterine fibroids ultrasound can be used as a gold standard. This study is conducted to review different types of fibroids and their impact on fertility. Fibroids effect every age and race of females but its incidence increases with increasing age and according to their type its management is necessary. Aim: This review is assembled by different retrospective studies on sonographic identification of uterine leiomyomas and their impact on fertility. Methods: All archive Data appropriate to uterine fibroid identification and their impact on fertility from time duration 2005 to 2020 was collected from MEDLINE, PubMed and Cochrane Library.  Results: There are total 2451 abstracts and 480 full-text articles are studied and accessed. There was a high risk of bias and low-quality evidence but high-quality evidence support that the uterine leiomyomas impact on infertility is still controversial. A lot of studies conducted on it but all these studies provide controversial results. : Leiomyomas impact on fertility but it seems to be that all leiomyomas don’t cause infertility and different kind of interventions like myomectomy, uterine fibroids embolization. Conclusion: there is an absolute impact of uterine fibroid impact on fertility and its frequency increase with age. Sub mucosal fibroid causes infertility. The relation of intramural fibroid with fertility is controversial and sub serosal fibroid doesn’t cause infertility.