Co-Existence of Uterine Myomas and Endometriosis in Women Undergoing Myomectomy/Hysterectomy

Objective: To determine the frequency of coexistence of myomas and endometriosis in patients undergoing myomectomy or hysterectomy. Study Design: Cross-sectional study. Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, Pakistan from Sep 2022 to Sep 2023. Methodology: Seventy (70) patients undergoing above mentioned myomectomy/hysterectomy were visually examined for the presence of endometriosis. The Chi-square test and Fisher's exact test were used in SPSS-20 to determine the significance of the relationship between the two conditions. Categorical data were expressed as descriptive statistics through frequency percentile. Analysis of continuous variables was carried out through the one-way ANOVA. Results were considered significant at p≤0.05. Results: In this study, 13 out of 70(18.57%) of the patients operated for myomectomy/ hysterectomy were found to have coexisting uterine myomas and endometriosis. Statistically non-significant (p=0.08) association between these two ailments was noted. Age, parity and body weight were not found to influence the existence or coexistence of these ailments. Pain was a significant finding 13(18.57%) in cases of endometriosis and coexisting uterine myomas (p=0.00). Abnormal uterine bleeding was found significantly (p=0.02) associated with uterine myomas 54(77.14%). Subfertility though a predominant feature was not found to have a significant association with both the conditions and their coexistence (p=0.35, p=0.34 & p=0.44). Conclusion: A non-significant association between uterine myomas and endometriosis. Pain was a significant finding where the two diseases coexisted.