European Journal of Molecular & Clinical Medicine

INTRODUCTION-uterine fibroids are common tumor of uterus, seen in reproductive age group. Fibroids during pregnancy produce special challenges during labour. Small fibroids with minimal symptoms treated with medical management, while large, multiple fibroids with pressure symptoms require surgical management. Fibroids during pregnancy produces special challenges during labour.
AIMS & OBJECTIVES –To study and analyse the Risk factors associated withfibroids, Clinical features according to different type offibroid, Different types of management of fibroid.
METHODOLOGY- fibroid cases were diagnosed clinically and with ultrasonography. Details of clinical examination findings, investigations and treatment modalities used were noted. Difficulties during surgery and methods to overcome were studied.
Histopathology details of specimen and other associated findings were studied.
RESULTS- Fibroids are Commonly seen in reproductive age group showing 45.5% cases. Majority cases are multipara seen in 79.35% cases and 5.14% cases are pregnant patients with fibroid. Intramural fibroid was seen in 60% and presented with menorrhagia (73%) and dysmenorrhea (50.5%). Fibroids presented with menstrual symptoms were seen in 96.15% cases. 61.7% cases underwent surgical management in that Total Abdominal Hysterectomy alone constitute 76.19%. neglected fibroids were common in rural areas making surgical management more common.
CONCLUSIONS- Pre-operative adequate preparations with general build-up for anesthesia and surgery, imaging studies, ureteric stenting where-ever required, use of GNRH analogues and following the principles of Fibroid surgery, made successful surgeries with no surgical morbidity and mortality. Caesarean section is common mode of delivery in fibroids in pregnancy with no complications.

Background: Dysmenorrhea is a cyclical lower abdominal or pelvic pain which may also radiate to the back and thighs; it occurs before or during menstruation, or both. The present study was conducted to assess severity of pain among primary dysmenorrhea in medical and nursing students.
Materials & Methods: 176 medical and nursing students age ranged 18- 26 years were included. Menstrual pain, intensity of pain, pain characteristics, menstrual symptoms, impact of dysmenorrhea and symptoms, menstrual pain management methods and socio- economic status (SES) was recorded. The numerical pain scale was used for assessing pain intensity.
Results: Age group 18-20 years had 65, 21-23 years had 70 and 24-26 years had 41 patients. Pain length was 1-2 days seen in 82, 2-3 days in 64 and entire period in 30. Pain intensity was mild in 41, moderate in 75 and severe in 60. Menstrual symptoms was seen in 90. Frequency of dysmenorrhea occurrence was more frequently (every month) in 102 and less frequently (once in 3 month) in 74. The difference was significant (P< 0.05). Self- medication was seen in 50 and sickness absenteeism such as normal daily life in 86 and college absenteeism was seen in 90. The difference was significant (P< 0.05).
Conclusion: Most of students had moderate pain in dysmenorrhea.