Leiomyoma: Genetics, assisted reproduction, pregnancy and therapeutic advances

Gary Levy, Micah J. Hill, Stephanie Beall, Shvetha M. Zarek, James H. Segars, William H. Catherino

Research output: Contribution to journalReview article

Abstract

Purpose: Uterine leiomyomas are common, benign, reproductive tract tumors affecting a majority of reproductive aged women. They are associated with gynecologic morbidity and detrimentally affect reproductive potential. The etiology of leiomyomas is poorly understood and their diagnosis prior to treatment with Assisted Reproductive Technologies (ART) represents a management dilemma. The purpose of this paper is to review known genetic and molecular contributions to the etiologies of leiomyomas, describe their impact on ART outcomes and reproductive potential, and review alternative therapies and future directions in management. Methods: A critical review of the literature pertaining to genetic component of uterine leiomyomas, their impact on ART and pregnancy and leiomyoma therapeutics was performed. Results: Uterine leiomyomas are characterized by complex molecular mechanisms. Their location and size determines their potential detriment to ART and reproductive function and novel therapeutic modalities are being developed. Conclusion: The high prevalence of uterine leiomyomas and their potential detrimental influence on ART and reproductive function warrants continued well-designed studies to ascertain their etiology, optimal treatment and novel less morbid therapies.

Original languageEnglish (US)
Pages (from-to)703-712
Number of pages10
JournalJournal of Assisted Reproduction and Genetics
Volume29
Issue number8
DOIs
StatePublished - Aug 1 2012
Externally publishedYes

Keywords

  • Assisted reproductive technologies
  • Leiomyoma
  • Leiomyoma genetics

ASJC Scopus subject areas

  • Reproductive Medicine
  • Genetics
  • Obstetrics and Gynecology
  • Developmental Biology
  • Genetics(clinical)

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