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Risk Association, Clinical Presentation and Management of Uterine Leiomyoma
1Dr Sharmin Akhter, Junior Consultant (Gynae), Model Family Planning Clinic, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh;
Mymensingh Medical Journal : MMJ
|October 4, 2021
Summary
Uterine leiomyoma (fibroids) are a common cause of hysterectomies, particularly in women aged 36-45. Common symptoms include heavy bleeding and palpable masses, with surgical management often involving hysterectomy.
Area of Science:
- Gynecology
- Public Health
- Reproductive Medicine
Background:
- Uterine leiomyoma (fibroids) represent a significant global health concern, contributing to a substantial percentage of hysterectomies worldwide.
- The economic burden of fibroids is considerable, encompassing outpatient care and surgical costs, impacting community health resources.
Purpose of the Study:
- To investigate the risk factors associated with uterine leiomyoma.
- To identify the common clinical presentations of uterine leiomyoma.
- To evaluate the optimal management strategies for uterine leiomyoma.
Main Methods:
- A descriptive, cross-sectional study was conducted.
- Data was collected from 50 patients diagnosed with uterine leiomyoma.
- The study took place in the Obstetrics and Gynecology department of BSMMU hospital between March 2011 and August 2011.
Main Results:
- The majority of patients (62%) were between 36-45 years old, with 48% having para 1-2.
- Progressive menorrhagia (60%) and palpable masses (62%) were the most frequent presenting symptoms.
- Associated medical conditions like hypertension, diabetes, and obesity were present in 46% of patients.
Conclusions:
- Uterine leiomyoma management requires individualized treatment plans.
- Total abdominal hysterectomy (TAH) was performed in 32% of cases, with TAH and salpingoophorectomy in 40%.
- Further large-scale research into risk factors and diverse treatment modalities is warranted for improved patient outcomes.
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