Uterine fibroids (UF) are a common benign tumor of the female genital tract, diagnosed in almost a quarter of women of reproductive age. In case of infertility, UF is detected in 23.5% of cases. Submucosal localization of UF is the most common cause of infertility or pregnancy loss during reproductive age. There is also convincing evidence of the negative impact of UF with a submucosal node on the outcomes of in vitro fertilization (IVF). Currently, hysteroscopic myomectomy is considered the most effective treatment for submucosal UFs. Traditionally, monopolar and bipolar resectoscopes are used for this surgery. However, an increase in the frequency of postoperative complications after hysteroresectoscopy leading to a decrease in reproductive potential has also been noted: the formation of intrauterine synechiae up to total obliteration of the uterine cavity. In view of the fact, the relevance of various methods of preoperative preparation and postoperative management of patients with submucosal UF, aimed at reducing the incidence of complications, is increasing.

Keywords: synechiae in the uterine cavity, submucous uterine fibroids, uterine fibroids, myomectomy, hysteroresectoscopy, miscarriage