Study on Menorrhagia: Correlation with Fibroids

Rokshana Parvin Nupur, Masuda Begum, Farhana Shabnam, Fahmida Sultana, Touhid Uddin Rupom
In: Journal of Enam Medical College · 2021 · vol. 10(2) , pp. 99–103 · doi:10.3329/jemc.v10i2.53535 · W3173758317
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This study found a highly significant association between uterine fibroids and menorrhagia, while also identifying adenomyosis in 30.2% of patients presenting with excessive menstrual bleeding.

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This cross-sectional study evaluated the association between uterine fibroids and menorrhagia in 96 female patients undergoing surgical management at a hospital in Dhaka. The researchers found that uterine fibroids were diagnosed in nearly half of the participants, with a statistically significant correlation between fibroid presence and excessive vaginal bleeding. Additionally, adenomyosis was identified as a finding in 30.2% of the cases, highlighting its co-occurrence with other structural abnormalities causing heavy menstrual flow. Relevance to endometriosis: adenomyosis is listed as a diagnostic finding in this study on menorrhagia, which shares clinical similarities with endometriosis regarding abnormal uterine bleeding.

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Abstract

Background: Excessive menstrual bleeding called menorrhagia is a common presentation of females seeking medical attention. Normally there is considerable variation in menstrual cycle length, duration and flow. Objective: To find out the assocation of fibroids in patients presenting with menorrhagia. Materials and Methods: This cross-sectional prospective study was done from January to June 2013 among the female patients admitted in the department of Gynaecology & Obstetrics in Dhaka Medical College & Hospital. Patients presented with the complaints of menorrhagia and treated by surgical management were included. Results: Total 96 patients were included. The age range was 28–49 years with mean age 41.08 ± 5.174 years. In 92 (46.5%) patients excessive per vaginal bleeding was noted. Pain during menstruation was another major complaint (45, 46.5%). Lower abdominal heaviness was reported in 32 patients (16.2%). In about half of the patients (49%) uterine fibroid was diagnosed. In 29 patients (30.2%) adenomyosis was the finding. Out of 47 fibroid cases 39 (83%) had per vaginal bleeding history. Only 10 patients without fibroid experienced pervaginal bleeding. Chi-squared test was done to see whether there was any association between these two variables and the result was highly significant (p<0.001). Conclusion: As medical treatment is disappointing and surgery is the mainstay of treatment of menorrhagia caused by fibroids, diagnosis should be confirmed by different imaging techniques. Advancement in the field of imaging like saline infusion sonohysterography and hysteroscopy helps greatly to diagnose submucous fibroids and save patients from undue prolongation of medical treatment. J Enam Med Col 2020; 10(2): 99-103
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Keywords

Fibroid; Menorrhagia; MyomectomyAbstract

Background

Excessive menstrual bleeding called menorrhagia is a common presentation of females seeking medical attention. Normally there is considerable variation in menstrual cycle length, duration and flow.

Objective

To find out the assocation of fibroids in patients presenting with menorrhagia.

Materials and methods

This cross-sectional prospective study was done from January to June 2013 among the female patients admitted in the department of Gynaecology & Obstetrics in Dhaka Medical College & Hospital. Patients presented with the complaints of menorrhagia and treated by surgical management were included.

Results

Total 96 patients were included. The age range was 28–49 years with mean age 41.08 ± 5.174 years. In 92 (46.5%) patients excessive per vaginal bleeding was noted. Pain during menstruation was another major complaint (45, 46.5%). Lower abdominal heaviness was reported in 32 patients (16.2%). In about half of the patients (49%) uterine fibroid was diagnosed. In 29 patients (30.2%) adenomyosis was the finding. Out of 47 fibroid cases 39 (83%) had per vaginal bleeding history. Only 10 patients without fibroid experienced pervaginal bleeding. Chi-squared test was done to see whether there was any association between these two variables and the result was highly significant (p<0.001).

Conclusion

As medical treatment is disappointing and surgery is the mainstay of treatment of menorrhagia caused by fibroids, diagnosis should be confirmed by different imaging techniques. Advancement in the field of imaging like saline infusion sonohysterography and hysteroscopy helps greatly to diagnose submucous fibroids and save patients from undue prolongation of medical treatment. J Enam Med Col 2020; 10(2): 99-103 261 412 Downloads Published How to Cite Issue Section License - Copyright on any research article is transferred in full to Journal of Enam Medical College upon publication in the journal. The copyright transfer includes the right to reproduce and distribute the article in any form of reproduction (printing, electronic media or any other form). - Articles in the Journal of Enam Medical College are Open Access articles published under the Creative Commons CC BY License (https://creativecommons.org/licenses/by/4.0/) - This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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