Clinical Pattern and Management of Patients Presented with Uterine Fibroids

Abstract

Objective: To determine the clinical presentation and management in patients with uterine fibroids.

Methodology: This prospective observational study was conducted in gynae department of LUMHS from 2016 up to 2017. All patients of 18 to 60 years of age and having a diagnosis of uterine fibroids were included in the study after taking verbal informed consent. All the patients were evaluated for clinical presentation and management. All the information was recorded on self-designed proforma. Data was analyzed by SPSS version 20.

Results: In this study, the majority of patients i.e. 60% with fibroid belonged to age group of > 40 years followed by 30% patients found in the age group of 30-40years. The most common presenting complaint was menorrhagia, which was observed in 60% of patients having submucosal fibroid followed by feeling of abdominal mass in 30% of patients. Out of all 20% of patients got conservative treatment and 30% underwent myomectomy while 50% underwent a hysterectomy.

Conclusion: In the observation of this study most common clinical feature was menorrhagia and the majority underwent hysterectomy, which remains the only proven permanent solution for uterine fibroids.