ABSTRACT
A study of 200 women with fibroids was conducted in southern most part of India, Kerala, in order to analyse the prevalence, clinical features and impact on life style.METHODSA group of 200 women in Karuna Medical College and Hospital, Kerala, were studied from the case sheet records during the period April 2019 - Feb 2020. Women included in the study were in the age group of 20 - 60 yrs. Different aspects like age, diet, BMI, family history, socio economic status, comorbidities, lifestyle, smoking history, surgical history, obstetric and menstrual history, pain and intra operative and post-operative findings were analysed.RESULTSPrevalence of uterine fibroids in the age group of 41-50 yrs. is 52.5%. Women with fibroids reported mostly with profuse menstrual bleeding like menorrhagia (44.5%) and metrorrhagia (9%). Pain was noted in 12.5% of women. Dysmenorrhoea was noted in 9% of women. Some women (10%) had no impact on the lifestyle; they were not aware of the presence fibroids. Some 9 % of women had dyspareunia, and infertility was noted in 15 % of women. In some patients, even large fibroids (as big as 24 weeks size) produced no complaints.CONCLUSIONSUterine fibroids sometimes even if they are humongous caused no pressure symptoms and pain. site of the fibroid causes problems and it is not the size of fibroid. Sometimes even huge fibroids can be asymptomatic as seen in few cases.