A study of menstrual disturbance in cases of fibroid uterus

Abstract

Background: Leiomyoma’s also called fibroids due to their abundant fibrotic tissue have a 70-80% cumulative incidence in childbearing years. Fibroids are the most common occurring benign tumors. Fibroids represent a tremendous public health burden on women and economic cost on society.Methods: It is prospective study done over a period of one year, 50 cases presenting to the obstetrics and gynecology department. Women included were in their reproductive age between 30-55 yrs. of age and had experienced menstrual bleeding complaints.Results: The prevalence of uterine fibroids ranged from 46% in age group 41-45yrs, 24% in 46-50yrs, and 11% in 36-40yrs. Women with uterine fibroids complained of menorrhagia in 78%, dysmenorrhea in 30%, metrorrhagia in 10%, polymenorrhea 22%, pain in abdomen 22%, urinary problem 8%, SCOPV 6%, primary infertile 4%, leucorrhea 12% and lump in abdomen 4%.Conclusions: Uterine fibroid is a common problem in women of reproductive age causing various bleeding and pain symptoms that can have negative impact on various aspects of women’s life.

Clinical presentation and prevalence of uterine fibroids: a 3-year study in 3-decade rural South Indian women

“…Dysmenorrhea was seen in women similar to authors. 5,6 Laparotomy was done in 7 women for torsion of pedunculated subserous fibroids in the present study. Table 3 shows hemoglobin status at the time of admission.…”

“…In a study conducted in Bombay, Rajeshwari reported 30% of her study subjects, had symptomatic fibroids who presented with metrorrhagia. 5 Shagufta's study in Pakistani women from Peshawar, the incidence was 78.99% where 75% women presented with menorrhagia and anemia. 6 Her observation was, fibroids increase in size as women grow older and often present with pressure symptoms.…”

“…Women attending Gynecology OPD with heavy gushing type of bleeding, long menses and number of hospital visits were careseekers with symptomatic fibroids were 14-16 weeks fibroids who needed medical/surgical intervention. 5 These women presented with severe anemia, pain from degenerative changes. 5 Fibroids increase in size as women grow older and cause pressure symptoms and majority needed surgical interventions like hysterectomy or myomectomy.…”

“…5 These women presented with severe anemia, pain from degenerative changes. 5 Fibroids increase in size as women grow older and cause pressure symptoms and majority needed surgical interventions like hysterectomy or myomectomy. 1,2,6 These factors cause negative impact on health care seekers (33%) with severe dysmenorrhoeal and bleeding PV had co existing adenomyosis.…”

“…5,6,8 There is huge disparity in the sociodemographic profile for uterine fibroids with respect to geographic and racial profile. 9 Prevalence was 37.65% in rural setup, 24% in urban Bombay, 78% in Peshawar and 29.3% in Nigeria.…”