RESTORATION OF FERTILITY AFTER SURGERY TO REMOVE UTERINE FIBROIDS IN PATIENTS OF THE OLDER REPRODUCTIVE GROUP.

Myomectomy is a method of choice in women of reproductive age. Despite significant research, this literature data is contradictory regarding the indications and contraindications for this operation, as well as the operative approach and technique of the operation [2, 8, 7]. At the same time, the effectiveness of infertility treatment largely depends on the condition of the ovarian reserve in each specific case. In the last decade, the concept of "ovarian reserve" and its significance in choosing infertility treatment methods have been widely discussed [3, 6, 15]. It is one of the most common diseases in women, reaching 12-25% of all gynecological diseases. The highest incidence of uterine fibroids occurs during the late reproductive period and before menopause. There is an opinion that the true prevalence of myoma is significantly higher and exceeds 70% both in Russia and abroad.