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, n (%) | No, n (%) | |||
| 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) |
∗ p value < 0.05.