FREQUENCY OF FIBROID UTERUS IN MULTIPARA WOMEN IN A TERTIARY CARE CENTRE IN RAWALPINDI
AbstractBackground: 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
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
O’Connell MP, Jenkins Dm, Curtain AW, Hughes PA, Doyle J.
Benign cervical leiomyoma leading to fetal malignancy. Gynecol
Ludwig M, Baumann P, waolter-Kolbert F, Bauer O, Felberbaum
R, Gembruch U, et al. Pregnancy and extreme Myomatous
uterus, conservative management. Zentralb Gynakol
Cramer SF, Patel A. The frequency of uterine leiomyomas. Am J
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
Abraham R. Uterine fibroids. In: Manual of clinical problems in
Obstet Gynaecol 4th (ed). 1994.p. 227–9.
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.