An Observational Study Assessing Clinical Profile and Factors Associated with Uterine Fibroids at Tertiary Care Hospital

AbstractAim: The aim of the present study to assess the clinical profile and factors associated with uterine fibroids attertiary health care center.Material & Methods: This was a prospective study carried out in department of obstetrics and Gynaecology forthe period of nine months . Study population were patients presenting with uterine fibroid. Total 200 patients werestudied during study period.Results: Majority of the patients were in the age group of 31 -40 years followed by 41-50 years. Fibroid was notseen below 20 years. Majority of the patients with fibroid were with parity 1-2. 22 patients were having parityabove 4. Majority (48%) patients were with size of uterus corresponding to 13-20 weeks followed by 21-24 weeks(32%). Uterine size >24 weeks was observed in 20% patients. 75% patients were having menstrual disturbances.80% patients showed anaemia according to hemoglobin estimation. It can be due to excessive bleeding duringmenstruation.44% patients complained of abdominal lump. Other symptoms and signs observed were pain inlower abdomen (16%), Dysmenorrhoea (30%), urinary frequency (14%), dyspareunia (13%), infertility (20%)and mass protruding out of vagina (11%). Single intramural fibroid was observed most commonly (62%) followedby multiple submucosal fibroids (18%). Subserous fibroids were seen in 14 patients, cervical fibroids were seenin 11% patients and only four patients had broad ligament fibroid.Conclusion: It was concluded that uterine fibroids are commonly seen in females of reproductive age group andpresent with menorrhagia and abdominal pain. Uterine fibroids are more commonly seen in 30-40 age group.Menstrual disturbances are the most common symptom.