Study of clinical presentation and socio-demographic profile of patient with fibroid presenting in a tertiary care hospital of Saurashtra region

Dr.Nalini Anand; Dr. Dhara Patel

Volume : IX, Issue : I, January - 2020

Study of clinical presentation and socio-demographic profile of patient with fibroid presenting in a tertiary care hospital of Saurashtra region

Dr. Nalini Anand, Dr. Dhara Patel

Abstract :

Background: Uterine fioids or simply myomas are benign monoclonal tumors of smooth muscle cells of myometrium. This study was conducted in women belonging to poor socio–economic class to find out clinical presentation, prevalence of uterine fioids, their knowledge about health services and to develop modalities to improve awareness and early reporting to prevent morbidity and improve quality of life. Methods: This prospective study was done in Guru Gobind Singh General Government hospital attached to Shri M P Shah Medical college, Jamnagar, Gujarat from July 2017 to June 2018 for the period of 1 year.Socio–demographic profile, detailed menstrual history, reason for attending hospital and previous treatment taken prior to the hospital visit were recorded. Women with pregnancy with fioids were excluded from the study. Clinical, local and ultra–sonographic examination was done for the morphology of the fioids. Comparison was done with histological picture for accuracy in clinical and sonographic diagnosis. Results: Out of 346 women who presented with uterine fioids, menorrhagia or with abdomino pelvic mass, 248 patients were registered for this study. Rest of 98 patients were excluded due to refusal for surgery, coexisting fioid with Adenomyosis. Of 76 patients who had uterine fioids: 66% had menorrhagia with severe anemia, 23% needed blood transfusion, 2 were nulliparous women. Menorrhagia was the commonest menstrual pattern seen in 58.8% women. Asymptomatic fioids with huge abdomino pelvic mass was seen in 26 women (34.2%). The size was 12–28 weeks. The mean age was 46 years. Abdominal hysterectomy was done in 68 women (89.47%), polypectomy in 4 and myomectomy in 4 nulliparous women. Conclusions: Further research is needed to find out biological factors causing fioids including diet, stress, environmental and racial influences. Routine screening, early detection, increase awareness by early reporting to the hospital will reduces morbidity and improves quality of life socioeconomically.