The presence of small uterine fibroids not distorting the endometrial cavity does not adversely affect conception outcome following embryo transfer in older recipients.

OBJECTIVE

To determine if uterine fibroids have a negative impact in older patients having embryo transfer (ET).

METHODS

Comparison of clinical and viable pregnancy rates, implantation rates, and spontaneous abortion rates in older (>35) oocyte or embryo recipients with uterine leiomyomata compared to comparable patients without fibroids.

RESULTS

The clinical pregnancy rate per transfer was 56% in the fibroid group vs 64% for the controls. Implantation rates were also very similar (33 vs 32%7). There were no spontaneous abortion or preterm deliveries <32 weeks in the fibroid group and the average term of pregnancies was also similar.

CONCLUSIONS

Small fibroids not distorting the uterine cavity do not seem to negatively affect conception outcome even in older women.