Influences of Health-related Factors on Uterine Myoma

Choi, Jeon Ha; Kim, Jeongkoo

doi:10.5392/jkca.2010.10.1.325

Cited by 4 publications

(1 citation statement)

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“…14 However, a correlation of the marital status and the incidence of fibroids were observed in a study by Choi et al 15 However, the incidence of fibroids was found to be higher among the single women in a study by Novak et al 16 A higher BMI, in present study showed a higher prevalence of the condition, which was in concordance to a study by Shikor et al 17 However, no significance between the wo conditionswas reported by Samadi et al and Parazzini et al 18,19 Post menopausal women in current study have shown a higher incidence of fibroids as compared to the premenopausal women, which was statistically significant. However, no significance was found in a study by Cramer et al, who has also reported smaller sized fibroids compared to the present study.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of fibroids: a study in a semiurban area in Telangana, India

Srilatha

Verabelly

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Uterine fibroids, also known as Leiomyoma, are the most common benign neoplasm in the female genital tract and originate from the myometrium´s smooth muscle. Although the uterine fibroids are diagnosed frequently, the prevalence of it in the local populations is unknown. Therefore, this study was done to observe the prevalence of the fibroids in our geographic area. Methods: 4487 women aged between 18-50 years who came to our gynec OPD out of which 522 were positive for the presence of fibroids, were included into the study. Ultrasound examination was done for all the patients. During this examination, the uterine dimensions and the structure were assessed. The number of the fibroids were counted and noted. Biopsy sample was taken from the fibroids and sent to pathology lab for further histological examination. Results: Out of the 4487 patients included into the study, 11.6% had fibroids. The predominant age group which was positive the presence of fiberoids was 40-59 years. 59.8% of them were married while 40.2% were either unmarried or divorced or widowed. The body mass index for most of them was within the normal range (60.3%), while some were slightly overweight. The most common cause of the patients to seek medical advice was menstrual disorder (37.7%) which included heavy, irregular or no periods. Conclusions: Fibroids was significantly associated with age, married marital status, overweight, pregnancy, menopause, childbirth and the presence of menorrhagia. Early detection would help in early management and thereby reduce the morbidity.

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Section: Discussionmentioning

confidence: 99%

Prevalence of fibroids: a study in a semiurban area in Telangana, India

Srilatha

Verabelly

2017

Int J Reprod Contracept Obstet Gynecol

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Psychiatric outcomes after hysterectomy in women with uterine myoma: a population-based retrospective cohort study

Lee

Kim

Park

2017

Arch Womens Ment Health

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Controversy regarding psychological or psychiatric outcomes following hysterectomy still exists. The purpose of this study was to investigate the risk of postoperative psychiatric disorders in women with hysterectomy compared to that in women with uterus-conserving surgery for myomas by using population-based data from South Korea. This study was designed as a retrospective cohort study. We analyzed the National Health Insurance Service National Sample Cohort data including all administrative medical claims from 2002 to 2013. The study population, consisting of 9581 women, was defined as those diagnosed with uterine myoma who underwent medical procedures. The association between psychiatric and mood disorders and hysterectomy was assessed using Cox proportional hazard regression. During the study period, 1381 (14.4%) women experienced psychiatric disorders and 374 (3.9%) experienced mood disorders. The hazard ratio (HR) for psychiatric disorder was higher in women after hysterectomy than in women after uterus-conserving procedures (adjusted HR = 1.44; 95% CI = 1.27-1.64, p < 0.0001). In addition, the HR for mood disorders in women after hysterectomy was significantly higher than in women after uterus-conserving procedures (adjusted HR = 1.62; 95% CI = 1.26-2.08, p = 0.0002). Our study suggests that hysterectomy increased the risk of psychiatric disorders compared to uterus-conserving procedures in women with uterine myoma. Considering these findings, more focus on psychological responses in women following hysterectomy is needed, and appropriate psychosocial support or provisioning of information before or after procedures could reduce psychological distress.

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