An Observational Study on Uterine Myoma in Search of Factors Contributing to its Symptoms

ABSTRACT

Introduction: Uterine fibroid, the most common benign tumor,contributes significantly on quality of life if symptomatic.The study evaluates the factors which possibly contribute tothe symptoms. Objective: To identify the parameters whichpossibly play a role in symptoms of myoma.Material and Methods: An observational study on 48 subjectsafter taking written informed consent selected randomly fromwomen of reproductive age group attending at GynaecologyOut Patient Department.Results: Different age groups had comparable incidencesof fibroids. Most of the patients complained of Menorrhagia(54.2%). Metrorrhagia was complained in 6.2%, dysmenorrheain 10.4% patients, infertility and pain abdomen each wascomplained in 14.6% subjects. Most of the study subjectshad myoma of 14-week of gestation (39.6%) and 31.2% had16-week size myoma. The commonest location is found tobe fundo-anterior (33.3%), type is intramural (54.2%). Mostfibroids had volume of 95.1-125 cc (54.2%). One or twomyomas are more common than three or more myomas.Conclusion: Myoma is common in reproductive ages andthroughout the reproductive period incidences in differentage groups are comparable. Commonest symptom of myomais menorrhagia. Most myomas had volume of 95.1-125 cc,situated in fundo-anterior position, are of intramural type.Most myomas, if present as an abdominal lump, are of 14-week gravid uterus size. One or two myomas in uterus aremore common than number of myomas more than that