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?
Impaired tubal motility
Distoed uterine cavity
Displacement of cervix from vaginal pool of semen
Increased vascularity
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.