FREQUENCY OF FIBROID UTERUS IN MULTIPARA WOMEN IN A TERTIARY CARE CENTRE IN RAWALPINDI

Authors

  • Faiza Ibrar
  • Shazia Riaz
  • Nasira S Dawood
  • Alia Jabeen

Abstract

Background: At least 20% of all women and 40% of women over the age of 40 years have uterineleiomyomas. They distort the overlying endometrium and can become extruded or pedunculated(fibroid polyp) in the endometrial canal. The diagnosis of myomas is usually based upon the finding ofan enlarged, mobile uterus with an irregular contour on bimanual examination or an incidental findingon transabdominal sonography. The objective of this study was to study the frequency of fibroid uterusin multipara women as observed by physical examination and ultrasonography. Methods: During thisdescriptive study period all the patients reporting Fauji Foundation Hospital with menstrual irregularitypartly and fulfilling the inclusion criteria were included. Results: Out of 140 patients with fibroiduterus presenting to gynaecology department 108 (77.14%) were multiparous while 32 (22.86%) wereprimiparous. The mean parity was 5. The mean maternal age came to be 46 years. Most commonpresenting complaint of patients with uterine leiomyoma in this study was menstrual irregularity withmenorrhagia in 42 (38.9%), metrorrhagia in 28 (25.9%), polymenorrhagia in 8 (7.4%) patients. Theother presenting complaint was abdominal mass which was seen in 25 (23.1%). Conclusion:Multiparous patients were found to have fibroids more frequently than nulliparous in their perimenopausal years, which shows their characteristic slow growth rate. The most common manifestationwas menorrhagia.Keywords: Multiparity, Frequency, Fibroid

References

Lefebure G, Vilos G, Allaire C, Jeffery J, Arneja J, Birsh C, et al.

The management of uterine leiomyoma. Clinical practice

gynaecological committee. Obstet Gynecol Can 2003;25:396–418.

Ashraf T. Management of uterine leiomyomas. J Coll Physicians

Surg Pak 1997;7:160–2.

Rashid H,Ali M, Ahmed M. Fibroid as a causative factor in

mennorhagia and its management.DHQ Hospital Rajan Pur,

Nishtar Hospital Multan. J Med Res 2003;42(3):90–6.

Begum S, Khan S. Audit of leiomyoma uterus at Khyber Teaching

Hospital, Peshawar. J Ayub Med Coll 2004;16(2):46–9.

Derek LJ. Benign enlargement of uterus. In: Fundamentals of

Obstetrics and Gynaecology. 5th Ed. London: Mosby; 1990. p. 193.

Marom D, Pitlik S, Sagie A, Ovadia Y, Bishara J. Uterine

Leiomyoma and pregnancy. Am J Obstet Gynecol

;178:620–1.

O’Connell MP, Jenkins Dm, Curtain AW, Hughes PA, Doyle J.

Benign cervical leiomyoma leading to fetal malignancy. Gynecol

Oncol 1996;62:119–22.

Ludwig M, Baumann P, waolter-Kolbert F, Bauer O, Felberbaum

R, Gembruch U, et al. Pregnancy and extreme Myomatous

uterus, conservative management. Zentralb Gynakol

;118:523–9.

Cramer SF, Patel A. The frequency of uterine leiomyomas. Am J

Pathol 1990;99:435–8.

West CP, Lumsden MA. Fibroids and menorrhagia. Baillieres

Clin Obstet Gynaecol 1989;3:357–74.

Hillard PA. Uterine leiomymomas. In: Novak’s. Gynaecology

th ed. 1996;359-61.

Haynes PJ, Hodgson H, Anderson AB, Turnbull AC.

Measurement of menstrual blood loss in patients complaining of

menorrhagia. Br J Obstet Gynaecol 1977;84:763–8.

Rybo G, Leman J, Tibblin R. Epidemiology of menstrual blood

loss. In: Baird DT, Michie EA (Eds). Mechanism of menstrual

bleeding. New York: Raven Press; 1985.p.81–93.

Sir Jusingn W, Patrick S, Stuart LS. Textbook of gynaecology 2nd

ed. 1997. 426–8.

Gambone JC, Reifer RC. Nonsurgical management of chronic

pelvic pain: a multidisciplinary approach. Clin Obstet Gynaecol

;33:205–11.

Abraham R. Uterine fibroids. In: Manual of clinical problems in

Obstet Gynaecol 4th (ed). 1994.p. 227–9.

Published

2010-09-01

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