Leimyomata (Fibroids)

Question 1

What are leiomyomas ?

Answer 1

Fibroids / benign tumours of the uterus

Question 2

What are the three sites of the uterine fibroids ?

Answer 2

Subserosal
Submural
Submucosal

Question 3

Risk factors for uterine fibroids

Answer 3

• woman of reproductive age
  -Black woman
  -obesity
  -hereditary
  -low parity/ nulliparity

Question 4

What are the clinical presentations of uterine fibroids ?

Answer 4

-majority are asymptomatic
-Pain
-abnormal uterine bleeding
-infertility
-abdominal mass
-secondary dysmenorrhea
-vaginal discharge
-pressure effects

Question 5

Complications of fibroids

Answer 5

-Anemia
-generation (hyalin, cystic, red degeneration
-torsion

Question 6

Investigations to do for uterine fibroids ?

Answer 6

-pregnancy test
-full blood count
-ultrasonography
-heteroscopy

Question 7

Reasons to manage a patient with medical/ conservative treatment?

Answer 7

-asymptomatic
-pregnancy (tho better left alone)
-uterus is less than 12 weeks
-small fibroids perimenopausal