Details
Category: Volume 08 Issue 07 July 2020
Hits: 1013

Title: Study of Prevalence and Clinical Profile of Uterine Fibroids in Patients Attending Gynea OPD in Skims: A Hospital Based Study

Authors: Dr Shazia Nisar, Dr Shahzada Shahid Bashir

 DOI: https://dx.doi.org/10.18535/jmscr/v8i7.27

Abstract

Fibroids are most common benign tumors, these are oestrogen dependent, they are rare before menarche after menopause. Fibroids are found incidentally on clinical examination or imaging studies. Presenting symptoms of patients are pelvic pain, dsymennoria, AUB, dysparenia, pressure symptoms. Fibroids may be uterine or extra uterine.

Material and Methods: This was a prospective study done over a period of 1 and 1/2 year in skims soura hospital.

Results: Prevalence of fibroids in our study was 36%.Fibroids was more associated with AUB, it was more in age group of 30-50 years, more in multiparas. Fibroids were managed by conservative methods, medical management, surgical management, uterine artery embolisation, MRI guided focussed ultrasound.

References

  1. Gloria A,Bachmann MD, Linda A, Bahouth BA, Amalraj P, Mhamunkar v, etal. correlation of anemia and pain to fibroid, Location and uterine weight.j Reprod Med.2011;56:463-6
  2. Gang R. Two uncommon presentation of cervical fibroids. People's J SCI Res. 2012;5(2)
  3. Parazzini F. Risk factors for clinically diagnosed uterine fibroids in women around menopause. Maturitas 2006;55: 174-9
  4. okolo S. Incidence aetiology and epidemiology of uterine fibroids. Pract Res clin obstet Gynaecol 2008:22:571-88
  5. Fields KR, Neinstein LS: uterine myomas in adolescent :case reports and a review of literature .J pediatr Adolesc Gynaecol 1996;9(4):195-198
  6. Cramer SF,Patel A:The frequency of uterine leiomyoma .Am J clin Pathol 1990;94(4):435-438
  7. Mavrelos D, Be -Nagi J,Holland T,Whoo W, Naftalin J, jurkovic D.The natural history of fibroids. ultrasound obstet Gynaecol .2010;35:238-42
  8. Ryan GL, Syrop CH, van voorhis BJ: Role epidemiology and natural history of benign uterine mass lesions .clin obstet Gynaecol 2005,48(2):312-324 Review.
  9. Lippman SA, Warner M, Samuels S,Olive D, vercellini p, Eskenazi B: uterine fibroids and gynaecologic pain symptoms in a population based study. Fertil steril 2003,80(6):1488-1494
  10. Zimmermann A, Bernuit D, Gerlinger c, Schaefers M, Geppert K. Prevelance , symptoms and management of uterine fibroids .An international internet based survey of 21,746 women -BMC women Health 2012;12:6
  11. Laughlin Sk, Baird DD,savitz DA, Herring AH, Hartmann KE: Prevalence of uterine leiomyoma in the first trimester of pregnancy :an ultrasound Screening study .obstet Gynaecol 2009,113(3)630-635
  12. Chen -CR, Buck GM, Courey NG, Perez KM, Wartawski -wender J: Risk factors for uterine fibroids among women undergoing Tubal sterilisation .AmJ Epidemol 2011,153(1):20-26.
  13. Borgfeldt C, Andolf E: transvaginal ultrasonographic finding in the uterus and the endometrium :low prevalence of leiomyoma in a random sample of women age 25-40 years Acta obstet Gynaecol Scand 2090,79(3):202-207
  14. Maino JL, Eskenazi B, Warner M, Samuels S, Vercellini P, Gavoni N, oilive D: uterine leiomyoma and menstrual  cycle characteristics in a population based cohort  study .Hum Reprod 2004,19(10): 2350-5,EPub 2004 jul 8
  15. Day Baird D,Dunson DB, Hill MC, Cousins D, Schetman JM: High cumulative incidence of uterine leiomyoma in black and white women : ultrasound evidence AmJ obstet Gynaecol 2003 ,188(1):100-107
  16. Downes E, Sikirica V,Gilabert -Estelles J, Bolge SC,Dodd SL,Maroulis C, Subramanian D:The burden of uterine fibroids in five European countries .Eur J obstet Gynaecol Reprod Biol 2010,152(1):96-102,EPub 2010 jul 3.
  17. Ibrar F, Raiza S, Dawood NS, Jabeen A. Frequency of fibroid uterus in multipara women in a tertiary care centre in Rawalpindi .J Ayub Med Coll Abottabad 2010;22(3):155-7
  18. Lefebure G, Vilos G, Allaire C, Jeffrey J, Arneja J, Birsh c, etal .The management of uterine leiomyoma . clinical practice gynaecological committee . obstet Gynaecol can 2003;25:396-418
  19. Ashraf T. Managment of uterine leiomyoma .J Coll physicians Surg Pak 1997;7:160-2
  20. Rashid H,Ali M, Ahmed M.Fibriod as a causative factor in menorrhagia and it's management .DHQ Hospital Rajab Pur, Nishtar hospital Multan.J Med Res 2003,42(3):90-6
  21. Begum S, Khan S. Audit of leiomyoma uterus at Khyber Teaching Hospital, Peshawar.j Med Coll (2004):16(2):46-9
  22. Mohanambal M.Munusamy, Wills G. Sheelaa, vijaya P. Lakshmi . clinical presentation of uterine fibroids: a 3 year study in a 3 decade rural south Indian women. International journal of Reproduction , contraception , obstetrics and Gynaecology 2017.Dec;6(12):5596-5601
  23. Khyade RL.A study of menstrual disturbance in cases of fibroid uterus .Int J Reprod Contracep, obstet Gynaecol 2017;6(6):2494-7
  24. Shaheen S, Naheed T, Sadaf F, Rahim R; Menorrhagia due to fibroids and it's management .JSOGP.2013;3(4):231-5.

Corresponding Author

Dr Shazia Nisar

Senior Resident Department of Obstetrics and Gynaecology Skims Soura, India