Your patient on infeility treatment comes to you for consultation. She feels that the uterine myoma may be responsible for her decreased feility. Which of the following is NOT a mechanism for decreased feility in patients with uterine myoma?
Uterine myomas may cause poor vascularity and thinning of endometrium thus interfering with implantation. A submucous fibroid may also cause atrophy and even ulceration. Rest of the mechanisms mentioned in the question are responsible for subfeility in patients with uterine myoma. Ref: Essentials of Gynaecology by Lakshmi Seshadri, Edition 1, page - 145.
Impaired tubal motility
Distoed uterine cavity
Displacement of cervix from vaginal pool of semen
Increased vascularity