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Common questions related to the causes of infertility:
Human species has one of the lowest reproductive indexes in the planet compared to other animal species. Possibilities of a couple looking forward for kids, between one menstrual cycle and other, without any contraception and no fertility problems, having sexual active life twice a week, is about 12% monthly, with a total cumulate of 84% in a year; from where the left 16% will have considerable fertility problems. Causes may involve male origin alterations up to a 40%; while women alterations sum up to 30% ovarian, 15-20% in the uterus tubes and 5% uterine. When the combined alteration exists, there can be up to 60% infertility. There is a small percentage, approximately 10% of the cases, in which there seems not to be an apparent reason to achieve it, which is commonly referred to as infertility of unknown origin.
There is a number of conservative treatments with the aim of reducing bleeding and inflammation, as well as decreasing the volume of the fibroid, and avoid greater blood lost and anemia during surgery preparation (in case it is required). Nevertheless, these treatments are not definitive and should be evaluated for each particular case, given the situation that when dropped, size and symptoms of the fibroids come back as strong as before.
In cases in which surgery is required and the preservation of the uterus is wished-for, fibroid(s) can be removed. The myoma is removed, but the inherited disposition to produce them is not extirpated (so they might appear again). Fibroids can be removed by laparoscopic or conventional abdominal laparotomy. As mentioned before up to 70% of fibroids won’t develop any symptoms, reason why the finding does not necessarily mean that they should be treated, in most cases they should only be kept in observation.