Office gynecology
The location, and not size, of a fibroid, is the principal factor impacting fertility. A meta-analysis found that women with fibroids that distort the uterine cavity were at increased risk for infertility and spontaneous abortion . Myomectomy increased the conception rate but did not decrease the risk of miscarriage.The World Health Organization revised several tables regarding criteria for contraceptive use. There are no longer restrictions on placement of the levonorgestrel-releasing intrauterine device in the first 48 hours after delivery in nonbreastfeeding women.
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