Shue S, et al. - The purpose of this study is to find out if the number of fibroids removed amid myomectomy effects long-term fertility outcomes in reproductive aged women. This information suggests that the number of fibroids removed during myomectomy significantly affects fertility. Women with > 6 fibroids removed were less likely to become pregnant, more likely to require fertility treatment, and less likely to have a term birth when compared to women with </=6 fibroids removed. The current literature recommends that myomectomy improves fertility, but they believe that this is not necessarily true for women with >6 fibroids. Given that increasing the number of fibroids removed is related to increased intraoperative blood loss, the risk of surgical complications from myomectomy may outweigh the fertility benefit for these women.