Assessment of Uterine Fibroids in Pre and Post Menopausal Women by Transabdominal Ultrasound
DOI:
https://doi.org/10.61919/jhrr.v4i2.1026Keywords:
Uterine Fibroids, Pre-Menopausal Women, Post-Menopausal Women, Transabdominal Ultrasound, Pelvic PainAbstract
Background: Uterine fibroids are common benign tumors of the uterus, affecting a significant proportion of women, particularly during their reproductive years. These growths can lead to symptoms such as heavy menstrual bleeding, pelvic pain, and reproductive issues, thus impacting women's quality of life.
Objective: The objective of this study was to evaluate the prevalence of uterine fibroids in pre- and post-menopausal women and to assess the sensitivity of transabdominal ultrasound in diagnosing these fibroids.
Methods: This cross-sectional study was conducted over six months in the Radiology Department of District Headquarter Hospital, Swabi, KP, Pakistan. The study included pre- and post-menopausal women presenting with abnormal vaginal bleeding or diagnosed with symptomatic uterine fibroids, excluding those with known endometrial hyperplasia, adenomyosis, pelvic inflammatory disease, gynecologic malignancies, adnexal pathology, or pregnancy. Transabdominal ultrasound was performed with patients in a supine position and a filled urinary bladder, using both longitudinal and transverse sections. Data were collected on demographic information, clinical presentation, and ultrasound findings, and were analyzed using SPSS version 25.
Results: A total of 112 women participated in the study. Among these, 94 (83.9%) reported pelvic pain, while 18 (16.1%) did not. The locations of fibroids identified were anterior (44, 39.3%), fundal (25, 22.3%), and posterior (43, 38.4%). Intramural fibroids were present in 61 (54.5%) patients, submucosal fibroids in 32 (28.5%), and subserosal fibroids in 19 (17.0%). Premenopausal women had a higher prevalence of fibroids (80) compared to postmenopausal women (32).
Conclusion: Transabdominal ultrasound is a sensitive and reliable diagnostic tool for detecting uterine fibroids. It should be considered the primary imaging modality for evaluating abnormal uterine bleeding across different age groups, providing accurate and non-invasive diagnosis.
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References
Bano A, Wei CR, Memon AAQ, Osama M, Shaikh S, Shah Q, et al. A Comprehensive Review Of Uterine Fibroids: Pathogenesis, Diagnosis, Treatment, And Future Perspectives. 2023;30(18):1961-74.
Vitale SG, Riemma G, Ciebiera M, Cianci SJC. Hysteroscopic Treatment Of Submucosal Fibroids In Perimenopausal Women: When, Why, And How? 2020;23(4):355-9.
De La Cruz MSD, Buchanan EMJAfp. Uterine Fibroids: Diagnosis And Treatment. 2017;95(2):100-7.
Blake REJJotNMA. Leiomyomata Uteri: Hormonal And Molecular Determinants Of Growth. 2007;99(10):1170.
Whiteman MK, Hillis SD, Jamieson DJ, Morrow B, Podgornik MN, Brett KM, et al. Inpatient Hysterectomy Surveillance In The United States, 2000-2004. 2008;198(1):34. e1-. e7.
Ishikawa H, Ishi K, Serna VA, Kakazu R, Bulun SE, Kurita TJE. Progesterone Is Essential For Maintenance And Growth Of Uterine Leiomyoma. 2010;151(6):2433-42.
Stewart EA, Laughlin-Tommaso SK, Catherino WH, Lalitkumar S, Gupta D, Vollenhoven BJNRDP. Uterine Fibroids (Primer). 2016;2(1).
Vilos GA, Allaire C, Laberge P-Y, Leyland N, Vilos AG, Murji A, et al. The Management Of Uterine Leiomyomas. 2015;37(2):157-78.
Early HM, McGahan JP, Scoutt LM, Revzin M, Lamba R, Corwin M, et al. Pitfalls Of Sonographic Imaging Of Uterine Leiomyoma. 2016;32(2):164-74.
Khan AT, Shehmar M, Gupta JKJIjowsh. Uterine Fibroids: Current Perspectives. 2014:95-114.
Callen PW. Ultrasonography In Obstetrics And Gynecology E-Book. Elsevier Health Sciences; 2011.
Begum S, Khan S. Audit Of Leiomyoma Uterus At Khyber Teaching Hospital Peshawar. Journal Of Ayub Medical College Abbottabad. 2004;16(2).
Yildizhan B, Yildizhan R, Ozkesici B, Suer N. Transvaginal Ultrasonography And Saline Infusion Sonohysterography For The Detection Of Intra-Uterine Lesions In Pre-And Post-Menopausal Women With Abnormal Uterine Bleeding. Journal Of International Medical Research. 2008 Dec;36(6):1205-13.
Rashad H, Khadija S, Farooq MY. Sonographic Evaluation Of Pelvic Pain In Gravid And Non-Gravid Uterus. Pakistan Journal Of Medical & Health Sciences. 2022 Dec 17;16(11):125-.
Omran BA, Mehad AM, Matoi S, Qadir SM, Peluola A, O’Sullivan R, Dayoub N. A study on the diagnostic abilities of ultrasound scans in assessing uterine fibroids against magnetic resonance imaging findings in the same population.
Edzie EK, Dzefi-Tettey K, Brakohiapa EK, Abdulai AB, Kekessie KK, Aidoo E, Amoah S, Boadi E, Kpobi JM, Quarshie F, Edzie RA. Assessment of the clinical presentations and ultrasonographic features of uterine fibroids in adult Africans: A retrospective study. Oman Medical Journal. 2023 Jan;38(1):e459.
Alaya A. How useful is ultrasound in abnormal uterine bleeding. J Urgent Care Med. 2023;17(7):13-8.
Kanani MM, Parmar J, Chunila S, Baria M. Correlation of Ultrasonographical and histopathological diagnoses of female pelvic masses. European Journal of Cardiovascular Medicine. 2023 Jul 1;13(3).
Cappelli A, Mosconi C, Cocozza MA, Brandi N, Bartalena L, Modestino F, Galaverni MC, Vara G, Paccapelo A, Pizzoli G, Villa G. Uterine Artery Embolization for the Treatment of Symptomatic Uterine Fibroids of Different Sizes: A Single Center Experience. Journal of Personalized Medicine. 2023 May 28;13(6):906.
Hill S, Shetty MK. Abnormal Uterine Bleeding in Reproductive age women: Role of Imaging in the Diagnosis and Management. InSeminars in Ultrasound, CT and MRI 2023 Oct 11. WB Saunders.
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