Sonographic association of uterine fibroids with infertility among women of childbearing age.

Abstract

Objectives: To determine sonographic association of uterine fibroids with infertility among women of childbearing age. Study Design: Cross-sectional study. Setting: Gilani Ultrasound Clinic opposite Lahore General Hospital, University of Lahore. Ahsan Diagnostic Centre, Sialkot. Period: From 10th July to 10th October 2018. Materials & Methods: The study was started after the approval of ethical committee of the University of Lahore. All the patients were enrolled in this study after signing the informed consent form. Toshiba Xario and Medison Accuvix V20 with convex transducer frequency ranging from 2 to 6 MHz were used. Fibroids were evaluated through trans-abdominal scan and sonographic data was stored in the ultrasound machine. A convenient sampling technique was used and data was further analyzed with the help of Statistical Package for the Social Sciences version 24 (SPSS 24, IBM, Armonk, NY, United States of America). Results: Among 113 subjects, the incidence of uterine fibroid was 32.7%. A significant association (p-value=0.010) was seen between existence of fibroid and the type of Infertility. The mean size of the fibroids was found to be 32.3568mm, 26(23.0%) of participants had single while 11(9.7%) of them had multiple fibroids. The location was most commonly seen in anterior and posterior wall, whereas the most common type was found to Sub-Mucosal and Sub-Serosal. Conclusion: Uterine Fibroids were commonly associated with Secondary infertility as compared to primary infertility.

Uterine Leiomyoma and Pregnancy Outcome: An Experience at Tertiary Care Setup

“…Clinical examination during pregnancy can detect 42% of fibroids only when they are >5 cm. Ultrasound is the gold standard for mapping the precise size and location of fibroids, while MRI is still more diagnostic, but its use is limited due to higher cost 6 . The number, size, location, and relation of fibroids to placental implantation are significant factors to determine the effect of fibroid in pregnancy.…”

Sonographic Evaluation of Various Causes of Female Infertility: A Literature Review

“…Infertility is considered a psychological and social condition, which affects an enormous range of individuals, all around the world. 1 Female infertility may be a commonly encountered problem that accounts for a large percentage of women searching for gynecologic services. 2 An evaluation of publications describes that there were higher rates of psychiatric disorders and endometrial cancer in women with infertility, compared with the overall population.…”