A prospective study on association of primary infertility and fibroid uterus

Authors

  • Shikha Aggarwal Department of Obstetrics and Gynaecology, Altnagelvin Hospital, Northern Ireland, UK
  • Maryam Rahim Department of Obstetrics and Gynaecology, Altnagelvin Hospital, Northern Ireland, UK
  • Tarini Singh Department of Obstetrics and Gynaecology, SMGS Govt. Medical College, Jammu, Jammu and Kashmir, India
  • Debkalyan Maji Department of Obstetrics and Gynaecology, Military Hospital, Gwalior, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20212155

Keywords:

Fibroid uterus, Primary infertility, Leiomyoma uterus

Abstract

Background: Implication of fibroid uterus on infertility is still debateable. Co-existence of infertility and fibroid uterus has been observed many times in clinical practice. This study is conducted to ascertain the frequency of primary infertility in women suffering from fibroid.

Methods: A prospective observational study was conducted at AL Qassmi Women's and Children's Hospital, Sharjah - UAE over a period of six months from January 2018 to June 2018. Total 100 patients were participated in the study. All data were collected and analysed using SPPS ver 20 software.

Results: During the study period, a total of one hundred women presented with fibroid uterus were observed. All the cases were within the reproductive age group ranging from 20-43 years of age. 40% for cases were between 20-27 years, 49% cases were between 28-35 years and 11% belonged to 36-43 years of age. Considering the symptoms, infertility was 14%. According to the number of fibroids, in 22% of cases, there were multiple fibroids. The single uterine fibroid was seen in 78% of cases.

Conclusions: Fibroid is relatively common in patients of reproductive age and was associated with infertility in 14% of cases.

References

Sutton CJ. Treatment of large uterine fibroids. Bri J obstetr gynaecol. 1996;103(6):494-6.

Lowe GD. Benign tumor of uterus. In: Edmond KD. Dew Hurst text book of gynecology for postgraduates. 6th ed. London: Blackwell Science. 2007;552-4.

Lethaby A, Vollenhoven B. Fibroids (uterine myomatosis, leiomyomas). BMJ Clin Evid. 2015;2015.

Christopher P. Female genital tract. In: Ramzi S, Kumar V, Robbins S. Robbins Pathologic basis of disease, 7th ed. New York, W.B Saunders. 2004;1059.

Bhatia N. Tumours of the corpus uteri. In: Bhatla N, Jeff Coates R. Jeff Coate's principles of gynecology 5th ed. London: Arnold. 2001;471-80.

Miller NF, Ludovici PP. On the origin and development of uterine fibroids. Am J Obstetr Gynecol. 1955;70(4):720-40.

Adrian M. Surgical Anatomy. In: Shaw WR, Soutter L. Shaw's Churchill Livingstone. 2003;23-35.

Buttram VC Jr, Reiter RC. Uterine leiomyomata: etiology, symptomatology, and management. Fertility Sterility. 1981;36(4):433-45.

Donnez J, Jadoul P. What are the implications of myomas on fertility?: A need for a debate? Human Reprod. 2002;17(6):1424-30.

Akhter S, Alam H, Khanam NN, Zabin F. Characteristics of infertile couples. Mymensingh Med J. 2011;20(1):121-7.

Carranza-Mamane B, Havelock J, Hemmings R. The management of uterine fibroids in women with otherwise unexplained infertility. J Obstetr Gynaecol Canada. 2015;37(3):277-85.

Verkauf BS. Myomectomy for fertility enhancement and preservation. Fertility sterility. 1992;58(1):1-15.

Davis JL, Ray-Mazumder S, Hobel CJ, Baley K, Sassoon D. Uterine leiomyomas in pregnancy: a prospective study. Obstetr Gynecol. 1990;75(1):41-4.

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Published

2021-05-27

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Original Research Articles