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Uterine fibroid: a review.
B O Akinyemi1, B R Adewoye, T A Fakoya
1Department of Obstetrics and Gynaecology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Sagamu, Nigeria.
Summary
Uterine fibroids are common benign tumors affecting women, particularly in Africa. Early diagnosis and treatment are crucial for managing symptoms and improving reproductive health.
Area of Science:
- Gynecology
- Reproductive Health
- Oncology
Background:
- Uterine fibroids are the most common benign tumors of the female reproductive tract.
- They significantly contribute to morbidity in women of reproductive age, with potential mortality when complicated.
- Fibroids are a major cause of menstrual and fertility disturbances, especially in African women.
Purpose of the Study:
- To review the current presentation and management of uterine fibroids in African women.
- To address the trivialization of fibroid etiology and treatment by alternative medicine claims.
- To document current knowledge and identify areas for improved management strategies.
Main Methods:
- Comprehensive literature review utilizing manual library searches.
- Inclusion of electronic resources like CD-ROMs and journals.
- Extensive internet searches on relevant aspects of uterine fibroids.
Main Results:
- Fibroids account for 70-80% of all female genital tract growths.
- Common presentations include menstrual disturbances, reduced fertility, and pressure/obstructive symptoms.
- Effective conservative and definitive therapies exist for early-diagnosed fibroids, improving quality of life.
Conclusions:
- The pathogenesis of uterine fibroids requires further research.
- There is a need for improved treatment alternatives to reduce morbidity.
- Future research should focus on enhancing reproductive potential post-treatment.