Prevalence of Asymptomatic Uterine Leiomyoma in Western Turkey and Factors Affecting Myoma Presence

Objective: To reveal the prevalence of asymptomatic uterine leiomyomas among gynecologic patients and to evaluate risk factors associated with the presence of leiomyomas.  Study Design:Two thousand five hundred eighty-three patients aged between 18 and 66 years who presented to the gynecology out...

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Main Authors: Fatma Nurgul Tasgoz, Nergis Kender Erturk
Format: Article
Language:English
Published: Medical Network 2022-12-01
Series:Gynecology Obstetrics & Reproductive Medicine
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Online Access:https://gorm.com.tr/index.php/GORM/article/view/1302
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author Fatma Nurgul Tasgoz
Nergis Kender Erturk
author_facet Fatma Nurgul Tasgoz
Nergis Kender Erturk
author_sort Fatma Nurgul Tasgoz
collection DOAJ
description Objective: To reveal the prevalence of asymptomatic uterine leiomyomas among gynecologic patients and to evaluate risk factors associated with the presence of leiomyomas.  Study Design:Two thousand five hundred eighty-three patients aged between 18 and 66 years who presented to the gynecology outpatient clinic of our hospital in January and February 2021 who had an intact uterus and underwent transvaginal ultrasound were included in the study. Patients withsymptoms due to fibroids were defined as symptomatic, and those without symptomswere defined as asymptomatic; then two groups were compared in terms of certain variables.The independent risk factors associated with the presence of fibroids were determined using univariate and multivariate logistic regression analysis. Results: Leiomyomas were detected in a total of 437 patients with an overall prevalence of 17.2%. Leiomyomas were detected in 12.2% of asymptomatic patients and 27.8% of symptomatic patients (p<0.001). The prevalence of fibroids tended to increase with advancing age and decreased after age 50 years. It was observed that myoma diameter was significantly large (29.5 (6-123) mm and 18 (7-74) mm; p<0.001) and the frequency of multiple myomas was significantly high in symptomatic patients (46.5% vs. 33.6%; p<0.001). In the multivariate logistic regression analysis, high body mass index, younger age at menarche, and not using oral contraceptives were associated with the presence of fibroids. Conclusion: Approximately half of all leiomyomas, one of the important gynecological health problems of women, are asymptomatic.
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spelling doaj-art-33ed5c8110f34c6b8833d5891a0654722025-02-11T21:16:14ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182022-12-0128310.21613/GORM.2022.1302Prevalence of Asymptomatic Uterine Leiomyoma in Western Turkey and Factors Affecting Myoma Presence Fatma Nurgul Tasgoz0Nergis Kender Erturk1Bursa Yuksek Ihtisas Education and Research Hospital Bursa Yuksek Ihtisas Educationa and Research Hospital Objective: To reveal the prevalence of asymptomatic uterine leiomyomas among gynecologic patients and to evaluate risk factors associated with the presence of leiomyomas.  Study Design:Two thousand five hundred eighty-three patients aged between 18 and 66 years who presented to the gynecology outpatient clinic of our hospital in January and February 2021 who had an intact uterus and underwent transvaginal ultrasound were included in the study. Patients withsymptoms due to fibroids were defined as symptomatic, and those without symptomswere defined as asymptomatic; then two groups were compared in terms of certain variables.The independent risk factors associated with the presence of fibroids were determined using univariate and multivariate logistic regression analysis. Results: Leiomyomas were detected in a total of 437 patients with an overall prevalence of 17.2%. Leiomyomas were detected in 12.2% of asymptomatic patients and 27.8% of symptomatic patients (p<0.001). The prevalence of fibroids tended to increase with advancing age and decreased after age 50 years. It was observed that myoma diameter was significantly large (29.5 (6-123) mm and 18 (7-74) mm; p<0.001) and the frequency of multiple myomas was significantly high in symptomatic patients (46.5% vs. 33.6%; p<0.001). In the multivariate logistic regression analysis, high body mass index, younger age at menarche, and not using oral contraceptives were associated with the presence of fibroids. Conclusion: Approximately half of all leiomyomas, one of the important gynecological health problems of women, are asymptomatic. https://gorm.com.tr/index.php/GORM/article/view/1302DiagnosisLeiomyomaPrevalence
spellingShingle Fatma Nurgul Tasgoz
Nergis Kender Erturk
Prevalence of Asymptomatic Uterine Leiomyoma in Western Turkey and Factors Affecting Myoma Presence
Gynecology Obstetrics & Reproductive Medicine
Diagnosis
Leiomyoma
Prevalence
title Prevalence of Asymptomatic Uterine Leiomyoma in Western Turkey and Factors Affecting Myoma Presence
title_full Prevalence of Asymptomatic Uterine Leiomyoma in Western Turkey and Factors Affecting Myoma Presence
title_fullStr Prevalence of Asymptomatic Uterine Leiomyoma in Western Turkey and Factors Affecting Myoma Presence
title_full_unstemmed Prevalence of Asymptomatic Uterine Leiomyoma in Western Turkey and Factors Affecting Myoma Presence
title_short Prevalence of Asymptomatic Uterine Leiomyoma in Western Turkey and Factors Affecting Myoma Presence
title_sort prevalence of asymptomatic uterine leiomyoma in western turkey and factors affecting myoma presence
topic Diagnosis
Leiomyoma
Prevalence
url https://gorm.com.tr/index.php/GORM/article/view/1302
work_keys_str_mv AT fatmanurgultasgoz prevalenceofasymptomaticuterineleiomyomainwesternturkeyandfactorsaffectingmyomapresence
AT nergiskendererturk prevalenceofasymptomaticuterineleiomyomainwesternturkeyandfactorsaffectingmyomapresence