Evaluating the Epidemiological Insights, Etiology, and Clinical Manifestations, of Uterine Fibroids

Abstract

Objective: This is a cross-sectional study done to identify epidemiological perspectives, etiological factors, and clinical presentations of uterine fibroids. Methods: The study subjects were 50 patients diagnosed as a case of fibroid uterus, and admitted Department of Gynaecology and Obstetrics, Rangpur Medical College and Hospital from March 2011 to March 2012. A pre-selected data sheet was formed to collect relevant information about the women. All the information regarding age, parity, socioeconomic status, detailed menstrual history, obstetrics history, clinical exam, per speculum exam, and pelvic exam & investigations were done according to pre-selected data. Result: Total study population was 50 among them greater frequency was found in the fourth (60%) decades of life and the majority of them (56%) were of middle-class families 92% where 50% were Illiterate. Most (48%) of the patients were in para 3-5 and 72% of patients used contraception. We found that the majority (80%) of patients presented with menstrual abnormalities and out of 50 patients 41 patients had palpable uterus. Maximum (36%) patients suffered from obesity and 96% of patients had a haemoglobin percentage less than 60%. 98% of patients had conclusive USG findings in their clinical diagnosis. Conclusion: The majority of these patients were between 31 to 40 years of age. The common mode of presentation was menstrual disturbances 80% such as menorrhagia and dysmenorrhea. Diagnosis was based on clinical exam and some patients required USG.