Pregnancy Rate after Myomectomy and Associated Factors among Reproductive Age Women Who Had Myomectomy at Saint Paul’s Hospital Millennium Medical College, Addis Ababa: Retrospective Cross-Sectional Study

Table 4

Bivariate and multivariate logistic regression analysis of factors associated with fertility after myomectomy, SPHMMC, Addis Ababa, 2019.

Variable	Fertility after myomectomy		COR (95% CI)	AOR (95% CI)
	Yes, (%)	No, (%)
Age
20-25	13 (39.4)	20 (60.6)	1
26-30	40 (57.9)	29 (42.0)	0.47 (0.20-1.09)	0.81 (0.27-2.46)
31-35	27 (55.1)	22 (44.9)	0.52 (0.21-1.29)	1.29 (0.35-4.69)
>35	14 (48.3)	15 (51.7)	0.69 (0.25-1.91)	0.31 (0.29-0.54)
Primary indication for myomectomy
AUB	42 (52.5)	38 (47.5)	1
Recurrent abortion	4 (80.0)	1 (20.0)	0.28 (0.03-2.58)	0.21 (0.01-4.23)
Unexplained infertility	20 (55.6)	16 (44.4)	0.88 (0.40-1.94)	1.67 (0.50-5.48)
Pelvic pain	22 (52.4)	20 (47.6)	1.01 (0.47-2.12)	1.25 (0.45-3.46)
Other	6 (35.3)	11 (64.7)	2.02 (0.68-6.01)	1.65 (0.35-7.69)
Infertility before surgery
Yes	51 (56.7)	39 (43.3)	0.41 (0.19-0.86)	0.30 (0.10-0.89)
No	28 (59.6)	19 (40.4)	1.36 (0.15-0.85)	1.19 (1.06-1.57)
Unknown	15 (34.9)	28 (65.1)	1
Uterine size before surgery
<12	13 (68.4)	6 (31.6)	1
≥12	81 (50.3)	80 (49.7)	2.13 (0.77-5.91)	1.51 (0.48-4.27)
No. of myomas removed
1-3	36 (48.0)	39 (52.0)	1
4-5	24 (61.5)	15 (38.5)	0.57 (0.26-1.27)	0.92 (0.33-2.57)
>5	33 (55.0)	27 (45.0)	0.75 (0.38-1.49)	1.34 (0.47-3.79)
Unspecified	—	4 (100.0)	—	—
No. of incision
1	37 (42.5)	50 (57.5)	1
2	33 (62.3)	20 (37.7)	0.45 (0.22-0.90)	0.06 (0.05-0.51)
≥3	11 (68.8)	5 (31.3)	0.33 (0.10-1.05)	0.02 (0.002-0.22)
Unspecified	13 (54.2)	11 (45.8)	0.62 (0.25-1.55)	0.08 (0.01-0.62)
Location of incision on the uterus
Anterior wall	33 (49.3)	34 (50.7)	1
Posterior wall	8 (38.1)	13 (61.9)	1.58 (0.58-4.29)	2.70 (0.73-9.95)
Both anterior and posterior wall	48 (60.0)	32 (40.0)	1.64 (0.33-1.94)	3.09 (0.98-51.04)
Unspecified	5 (41.7)	7 (58.3)	1.35 (0.39-4.71)	5.69 (0.57-11.64)

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