Study on Menorrhagia: Correlation with Fibroids

Authors

  • Rokshana Parvin Nupur Registrar, Department of Obstetrics and Gynaecology, Enam Medical College & Hospital, Savar, Dhaka
  • Masuda Begum Professor, Department of Obstetrics and Gynaecology, Dhaka Medical College & Hospital, Dhaka
  • Farhana Shabnam Medical Officer, 250-Bedded General Hospital, Jashore
  • Fahmida Sultana Assistant Professor, Department of Obstetrics and Gynaecology, Enam Medical College & Hospital, Savar, Dhaka
  • Touhid Uddin Rupom Assistant Professor, Department of Pathology, Shaheed Taj Uddin Ahmed Medical College, Gazipur, Dhaka

DOI:

https://doi.org/10.3329/jemc.v10i2.53535

Keywords:

Fibroid; Menorrhagia; Myomectomy

Abstract

Background: Excessive menstrual bleeding called menorrhagia is a common presentation of females seeking medical attention. Normally there is considerable variation in menstrual cycle length, duration and flow.

Objective: To find out the assocation of fibroids in patients presenting with menorrhagia.

Materials and Methods: This cross-sectional prospective study was done from January to June 2013 among the female patients admitted in the department of Gynaecology & Obstetrics in Dhaka Medical College & Hospital. Patients presented with the complaints of menorrhagia and treated by surgical management were included.

Results: Total 96 patients were included. The age range was 28–49 years with mean age 41.08 ± 5.174 years. In 92 (46.5%) patients excessive per vaginal bleeding was noted. Pain during menstruation was another major complaint (45, 46.5%). Lower abdominal heaviness was reported in 32 patients (16.2%). In about half of the patients (49%) uterine fibroid was diagnosed. In 29 patients (30.2%) adenomyosis was the finding. Out of 47 fibroid cases 39 (83%) had per vaginal bleeding history. Only 10 patients without fibroid experienced pervaginal bleeding. Chi-squared test was done to see whether there was any association between these two variables and the result was highly significant (p<0.001).

Conclusion: As medical treatment is disappointing and surgery is the mainstay of treatment of menorrhagia caused by fibroids, diagnosis should be confirmed by different imaging techniques. Advancement in the field of imaging like saline infusion sonohysterography and hysteroscopy helps greatly to diagnose submucous fibroids and save patients from undue prolongation of medical treatment.

J Enam Med Col 2020; 10(2): 99-103

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Published

2021-05-22

How to Cite

Nupur, R. P., Begum, M., Shabnam, F., Sultana, F., & Rupom, T. U. (2021). Study on Menorrhagia: Correlation with Fibroids. Journal of Enam Medical College, 10(2), 99–103. https://doi.org/10.3329/jemc.v10i2.53535

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Original Articles