An Observational Study Assessing Clinical Profile and Factors Associated with Uterine Fibroids at Tertiary Care Hospital
Authors/Creators
- 1. Senior Resident, Department of Obstetrics and Gynaecology, Rama Medical College Hospital and Research centre, Kanpur, Uttar Pradesh, India
Description
Abstract
Aim: The aim of the present study to assess the clinical profile and factors associated with uterine fibroids at
tertiary health care center.
Material & Methods: This was a prospective study carried out in department of obstetrics and Gynaecology for
the period of nine months . Study population were patients presenting with uterine fibroid. Total 200 patients were
studied during study period.
Results: Majority of the patients were in the age group of 31 -40 years followed by 41-50 years. Fibroid was not
seen below 20 years. Majority of the patients with fibroid were with parity 1-2. 22 patients were having parity
above 4. Majority (48%) patients were with size of uterus corresponding to 13-20 weeks followed by 21-24 weeks
(32%). Uterine size >24 weeks was observed in 20% patients. 75% patients were having menstrual disturbances.
80% patients showed anaemia according to hemoglobin estimation. It can be due to excessive bleeding during
menstruation.44% patients complained of abdominal lump. Other symptoms and signs observed were pain in
lower abdomen (16%), Dysmenorrhoea (30%), urinary frequency (14%), dyspareunia (13%), infertility (20%)
and mass protruding out of vagina (11%). Single intramural fibroid was observed most commonly (62%) followed
by multiple submucosal fibroids (18%). Subserous fibroids were seen in 14 patients, cervical fibroids were seen
in 11% patients and only four patients had broad ligament fibroid.
Conclusion: It was concluded that uterine fibroids are commonly seen in females of reproductive age group and
present with menorrhagia and abdominal pain. Uterine fibroids are more commonly seen in 30-40 age group.
Menstrual disturbances are the most common symptom.
Abstract (English)
Abstract
Aim: The aim of the present study to assess the clinical profile and factors associated with uterine fibroids at
tertiary health care center.
Material & Methods: This was a prospective study carried out in department of obstetrics and Gynaecology for
the period of nine months . Study population were patients presenting with uterine fibroid. Total 200 patients were
studied during study period.
Results: Majority of the patients were in the age group of 31 -40 years followed by 41-50 years. Fibroid was not
seen below 20 years. Majority of the patients with fibroid were with parity 1-2. 22 patients were having parity
above 4. Majority (48%) patients were with size of uterus corresponding to 13-20 weeks followed by 21-24 weeks
(32%). Uterine size >24 weeks was observed in 20% patients. 75% patients were having menstrual disturbances.
80% patients showed anaemia according to hemoglobin estimation. It can be due to excessive bleeding during
menstruation.44% patients complained of abdominal lump. Other symptoms and signs observed were pain in
lower abdomen (16%), Dysmenorrhoea (30%), urinary frequency (14%), dyspareunia (13%), infertility (20%)
and mass protruding out of vagina (11%). Single intramural fibroid was observed most commonly (62%) followed
by multiple submucosal fibroids (18%). Subserous fibroids were seen in 14 patients, cervical fibroids were seen
in 11% patients and only four patients had broad ligament fibroid.
Conclusion: It was concluded that uterine fibroids are commonly seen in females of reproductive age group and
present with menorrhagia and abdominal pain. Uterine fibroids are more commonly seen in 30-40 age group.
Menstrual disturbances are the most common symptom.
Files
IJCPR,Vol15,Issue10,Article101.pdf
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Additional details
Dates
- Accepted
-
2023-08-27