Fibroid Uterus: Key Learnings for MBBS Gynaecology Exam
Uterine fibroids, or leiomyomas, are benign smooth muscle tumors of the uterus. They are the most
common pelvic
tumors in women, particularly during the reproductive years. Understanding their characteristics,
clinical
implications, and management is crucial for gynecological practice.
Key Points:
1. Epidemiology:
- Fibroids are prevalent, with studies indicating that by age 50, approximately 50% of women have
them.
2. Etiology and Risk Factors:
- The exact cause is unknown, but factors include:
- Genetics: Family history increases risk.
- Hormones: Estrogen and progesterone promote fibroid growth.
- Lifestyle: Obesity and a diet high in red meat are associated with higher risk.
3. Classification:
- Based on location:
- Intramural: Within the uterine wall; most common.
- Subserosal: On the outer surface of the uterus.
- Submucosal: Beneath the uterine lining; often linked to heavy bleeding.
- Cervical: Located in the cervix; rare.
