DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20172338

A study of menstrual disturbance in cases of fibroid uterus

Rajeshwari Laxman Khyade

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.


Keywords


Dysmenorrhea, Fibriods, Leiomyomas, Menorrhagia, Uterus

Full Text:

PDF

References


Baird DD, Dunson DB, Hill MC, Cousins D, Schectman JM. High cumulative incidence of uterine leiomyomas in black and white women. Ultrasound evidence. Am J Obstet Gynecol. 2003, 188 (1): 100-107

Payson M, Leppert P, Segars J. Epidemiology of Myomas. Obstet Gynecol clin North America. 2006;33(1):1-11.

Kistner RW. Gynecology Principles and practice, Chicago, yearbook medical publishers Inc. 1964:261.

4. Achari K, Khanam W Study of endometrium and ovaries in fibromyomas. J Obstet Gynecol India. 1965;15:356-62.

Uimari O, Auvinen J, Jokelainen J, Puukka K, Ruokonen A, Järvelin MR et al. Uterine fibroids and cardiovascular risk. Hum Reprod. 2016;31(12):2689-703.

Parker WH. Etiology, symptomatology, and diagnosis of uterine myomas. Fertil Steril. 2007;87(4):725-36.

Zimmermann A, Bernuit D, Gerlinger C, Schaefers M, Geppert K. Prevalence, symptoms and management of uterine fibroids. BMC Women Health. 2012;12(1):6.

Novak E. Gyneac and Obst. Pathology, 5th ed, Philadelphia London, Butterworth; 1964:242.

Gogoi MP, Gogoi P, Kar D. Fibroids in parous women. J Obstet Gyneacol India. 1978;28:1053-5.

Kawaguchi K, Fujii S, Konishi I, Nanbu Y, Nonogaki H, Mori T. Mitotic activity in uterine leiomyoma’s during menstrual cycle. Am J Obstet Gyneacol. 1989;160:637-41.

Ross RK, Pike MC, Vessey MP, Bull D, Yeates D, Casagrande JT. Risk factors for uterine fibroids reduced risk associated with oral contraception. Br Med J. 1986;293:359-62.

Society of Interventional Radiology. Non-surgical fibroids treatment: research shows improved sexual desire function. Science daily 2016. Available from: http://www.prnewswire.com/news-releases/nonsurgical-fibroid-treatment-research-shows-improved-sexual-desire-function-300250123.html

Fedele Z, Bianchi S, Dorta M, Brioschi D, Zanotti F, and Vercellini P. Transvaginal ultrasonography versus hysteroscopy in the diagnosis of uterine sub mucous myomas. Obstet Gyneacol. 1991;77:745-8.

Stewart EA. Uterine fibroids. Lancet. 2001;357(9252):293-8.

Gautaum A, Vijay A, Pratiba V. Myomectomy:A study of 50 cases. J Obstet Gyneacol India. 1991;41:540-2.

Bhat RA, Kumar NP. Experience with uterine leiomyomas at a teaching referral hospital in India. J Gyneacol Surg. 2006;22(4):143-50.

Chhabra S, Meenaskahi J. Vaginal management of uterocervical myomas. J Obstet Gyneacol. 1996;46:260-3.

Madhu U, Bhargava H, Luhadia, Prabha. A study of menstrual disturbance in cases of fibroid uterus. J Obstet Gyneacol. 1988;38:770-2.