Contributions of uterine fibroids to infertility at Ile-Ife, South-Western Nigeria

Fasubaa, OB; Sowemimo, Oluwaseun; Ayegbusi, Oluwole E; Abdur-Rahim, Zainab Foyeke; Idowu, Bolutife S; Ayobami, Omilakin; Babalola, Olajide E; Akindojutimi, Akinyemi J

doi:10.4103/tjog.tjog_71_18

Cited by 10 publications

(10 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Clients using LARC were largely educated, up to secondary level or more, this may also buttress the reason for the high uptake rate in this facility. Religious belief probably played a significant role in client's acceptance of LARC [18][19][20] Majority of acceptors wanted more children which is in agreement to studies done elsewhere within the country in Sokoto and other northern parts of Nigeria. 10,21 But in contrast to the study done in Aba where most of the clients did not desire to have more children.…”

Section: Discussionsupporting

confidence: 81%

Uptake of long-acting reversible contraceptives in north central Nigeria: a five-year review

et al. 2021

View full text Add to dashboard Cite

Background: Long-acting reversible contraceptives (LARC) are methods used in the prevention of pregnancy that are long lasting. They are effective and efficacious methods of contraception and return to fertility after removal is prompt. Objectives was to determine the uptake of long-acting reversible contraception and assess the characteristics of acceptors of these methods in the area.Methods: This was a retrospective study of clients’ who visited the family planning unit of the University of Abuja teaching hospital over a 5-year period, from 01 January 2015 to 31 December 2019. Information on socio-demographic characteristics and specific methods selected were extracted from their records and represented on simple tables, graphs, and charts.Results: A total of one thousand eight hundred and ninety-one (1,891) clients accepted available methods of contraceptives during the five-year study period. One thousand seven hundred and twenty-four (1,724) accepted LARC (91.1%) while only one hundred and sixty-seven (167) accepted non-LARC (8.9%). Majority 946 (54.9%) of the clients that accepted LARC were aged between 30-39 years and clients less than 20 years were 22 (1.3%). Clients with parity 3 and above were 1162 (67.7%), and majority of LARC acceptors wanted more children 1145 (66.4%). Amongst the LARC acceptors, most of the clients opted for subdermal implant either Jadelle or Implanon 940(49.7%). Three hundred and ninety-eight (23.1%) discontinued a form of LARC during the study period while 1127 (65.4%) continued with one form of LARC or another.Conclusions: The uptake of LARC in this region is very high. Teenagers and low parity rarely attended the family planning clinic.

show abstract

Section: Discussionsupporting

confidence: 81%

Uptake of long-acting reversible contraceptives in north central Nigeria: a five-year review

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Infertility and uterine fibroids have a long-time cause and effect association and may be responsible for the increased prevalence of both conditions. This may be explained by the findings of Fasubaa et al [19] that about a quarter of women with infertility had symptomatic uterine fibroids and this represented about 35%-40% of the overall number of women presenting as uterine fibroid in their study. Infertility and nulliparity have long been associated with increased incidence of uterine fibroids [13].…”

Section: Discussionmentioning

confidence: 73%

“…It represents 6.4% of all gynaecological admissions in Abuja [14], 6.5% in Ile-Ife [15], 9.8% in Enugu [16], 10.7% in Nnewi [17] and 13.5% in Ilorin [18]. Fasubaa et al [19] found that about a quarter of women with infertility had symptomatic uterine fibroids and this represented about 35%-40% of the overall number of women presenting as uterine fibroid in their study. Treatment modalities of uterine fibroids include conservative, medical, surgical techniques that either preserve the uterus (myomectomy) or removes it (hysterectomy) [20].…”

Section: Introductionmentioning

confidence: 97%

Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

Awoyesuku

MacPepple

Altraide

et al. 2020

JAMMR

View full text Add to dashboard Cite

Background: Gynaecological disorders are a particularly common cause of morbidity and mortality among women of reproductive age and a common cause of hospital presentation/admission and surgery. Objective: This study sought to review gynaecological diagnoses and surgeries performed in a tertiary health facility from 2012 to 2017 and its implication for healthcare planning and budgeting. Methodology: This was a retrospective review of all gynaecological diagnoses and surgeries seen in the Rivers State University Teaching Hospital (RSUTH) from 2012 to 2017. Data were retrieved using a proforma comprising of year, gynaecological diagnosis and gynaecological surgeries. Data obtained was entered into Microsoft Excel for descriptive analysis. Results: The proportion of clinic attendees declined from an average of 23% in the first three years (2012)(2013)(2014) to about 10% in the last three years (2015)(2016)(2017). The most common Awoyesuku et al.; JAMMR, 32(2): 1-10, 2020; Article no.JAMMR.54616 2 gynaecological diagnosis were uterine fibroid (33.3%), infertility 28.1% (primary 5.7%, secondary 22.4%), PID (5.9%), ovarian tumour (4.2%), secondary amenorrhea (3.4%) and pelvic malignancies (3.4%). The commonest major surgeries were myomectomy 441(33.7%), salpingectomy 345(26.4%), hysterectomy 168(12.8%) and cervical cerclage 122(9.3%). The commonest minor surgeries were manual vacuum aspiration 314(41.0%), examination under anaesthesia and biopsy 110(14.3%) and adhesiolysis for synechiae 97(12.6%). The duo of uterine fibroid and infertility made up 50%-70% of all gynaecological diagnoses. Conclusion: This study showed that there has been a steady decline in gynaecological consultations over the years. However, the duo of uterine fibroid and infertility made up half to three-quarter of all gynaecological diagnoses over the 6 years. Infertility and uterine fibroids have a long cause and effect association. Healthcare policies and budgeting should be increased towards tackling these conditions, especially the setting up of a fertility center to provide assisted reproductive technologies and laparoscopy to improve practice and patient outcome. Review Article

show abstract

“…In a similar study in Dhaka, Bangladesh, a pregnancy rate of 35% was reported, of which 42.9% occurred between 1-2 years following myomectomy [17]. Other studies in Nigeria reported pregnancy rates of 43.9% in Ile-Ife, [18] and 33% in Orlu [19]. A study on the impact of myomectomy on pregnancy outcome at Jessop Hospital for Women, Sheffield, UK, reported a pregnancy rate of 57%, with reduction in pregnancy loss from 60% prior to myomectomy to 24% after myomectomy [20].…”

Section: Introductionmentioning

confidence: 88%

Predictors of Spontaneous Conception Following Myomectomy among Women with Infertility at Federal Medical Centre Yenagoa, Nigeria

Howells

James

Abasi

2021

IJTDH

View full text Add to dashboard Cite

Background: Uterine fibroid or leiomyoma (myoma) is the commonest uterine neoplasm in women, and it has been associated with infertility. Though it’s not regarded as a direct cause, surgical removal (myomectomy) has been reported to increase the spontaneous conception rate in women with infertility. Objective: The objective of this study was to determine the factors associated with conception after myomectomy in women with infertility. It would determine the pregnancy rate, demographic, and surgical factors (pre and postoperative factors). Materials and Methods: This was a retrospective observational study of 107 women who had myomectomy during the study period, out of these, 68 were done for infertility. The case notes of these women were retrieved, and information related to demographic factors obtained was: maternal age, parity, address, tribe, educational level, and occupation. The preoperative surgical factors obtained were previous history of myomectomy, indication for myomectomy, the size, number and location of myomas, and the caliber of the surgeon. Postoperative surgical data collected include conception, interval between myomectomy and conception, pregnancy outcome, mode of delivery, and fetal sex and birth weight. Categorical variables were compared with chi square and odds ratio, and the degree of association for quantitative variables was determined using Pearson’s correlation coefficient. Predictor variables were determined using simple logistic regression, and multivariate analysis. Results: The infertility rate among the women who had myomectomy was 63.6%, the conception rate was 14.7%, and the mean myomectomy to pregnancy interval was 9.20 ± 1.24 months. The factors that favor conception were: younger women P = 0.003, uterine size ≤ 16 weeks odds ratio = 3.50(0.14, 84.20), high parity (p = 0.002), solitary fibroid odd ratio = 2.65(0.44, 16.04), tertiary education P = 0.0001 and surgery by consultants P = 0.004. Others were absence of submucous myomas, and pelvic pathology at laparotomy. Using multivariate analysis, the most significant predictors for conception were age and parity, accounting for 10.7%, and all the factors put together could only explain 36.5%. Conclusion: The conception rate following myomectomy in Yenagoa was relatively low, and the most important predictors were maternal age and parity. The bulk of the factors (65.5%) that determine conception are outside the scope of our study; these could be male factor infertility, factors within the tubal lumen, unidentified uterine synechia, and ovarian failure.

show abstract

Contributions of uterine fibroids to infertility at Ile-Ife, South-Western Nigeria

Cited by 10 publications

References 1 publication

Uptake of long-acting reversible contraceptives in north central Nigeria: a five-year review

Uptake of long-acting reversible contraceptives in north central Nigeria: a five-year review

Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

Predictors of Spontaneous Conception Following Myomectomy among Women with Infertility at Federal Medical Centre Yenagoa, Nigeria

Contact Info

Product

Resources

About