Assessment of Causes and Clinical Symptoms of Menorrhagia and Its Co-relation with BMI in Western Nepalese Women - An Observational Study
Journal Title: Journal of Krishna Institute of Medical Sciences University - Year 2017, Vol 6, Issue 1
Abstract
Background: Menorrhagia is defined subjectively as heavy menses lasting for more than 7 days or objectively as a mean menstrual blood loss of >80 ml during three consecutive menses. It can occur due to organic causes like fibroids, polyps, cervitis, ovarian cysts, adnexal masses, uterine cancer or systemic causes like hypothyroidism, bleeding disorders, pregnancy and prolapse or dysfunctional uterine bleeding. Body Mass Index may have a correlation with menorrhagia. Aim and Objectives: This study was carried out in western Nepalese women to assess the causes of menorrhagia; report most common symptoms associated with it and assess the correlation of causes of menorrhagia with BMI. Material and Methods: A hospital based observational study was carried out between 1st January 2015 to 31st January 2016 on 157 volunteer women who consulted the Department of Gynaecology and Obstetrics for menorrhagia. Data were collected via interview and with the help of a questionnaire. Height and weight of the patients were recorded for calculation of BMI. The data was analysed with SPSS 17 vesion. Mean,Standard Deviation and Chi-square test were applied and p value <0.05 was considered to be statistically significant. Results: In our study, maximum patients were from the age group of 36-40 years (51 {32.48%}) followed by 31-35 years (38 {24.2%}) whereas the least number of patients (6 {3.8%}) belonged to the age group of 51-55 years. Uterine fibroids was the most common etiology for menorrhagia seen in 76 (48.4%) patients with maximum cases (24 {31.6%}) being in 36-40 years age group and minimum (4 {5.3%}) in 51-55 years age group. Dysfunctional uterine bleeding (24{15.3%}) was the second most common etiology with 6 (25%) cases being in 31-35 years age group. No statistically significant association was observed between BMI and etiology of menorrhagia. Backache, abdominal distension, pain abdomen, breast pain, headache, weakness and pelvic pressure were the seven most common symptoms experienced by patients with menorrhagia. All the seven symptoms showed statistically significant association with menorrhagia (p<0.05). Conclusion: Menorrhagia is most prevalent among the age group of 31-35 and 36-40 years with uterine fibroids and dysfunctional uterine bleeding being the most common etiologic factors. There seems to be no clear association of menorrhagia with BMI. It is significantly associated with common symptoms like backache, abdominal pain, breast pain, weakness, abdominal distension, pelvic pressure and headache which considerably affect the quality of life of patients.
Authors and Affiliations
Farhat Banu, Upendra Pandit, Shakil Ahmad, Grisuna Singh
Keywords
Related Articles
- EP ID EP228084
- DOI -
- Views 106
- Downloads 0
Dyskeratosis Congenita Associated Non-Specific Interstitial Pneumonia
Dyskeratosis Congenita (DC) is a rare inherited disorder of ectodermal dysplasia. It consists of a classical mucocutaneous triad of abnormal skin pigmentation, nail dystrophy and leukoplakia. Pulmonary disease is seen in...
Comparison of Indices of Insulin Resistance and Islet Beta-Cell Dysfunction across Rat Models of Diabetes Mellitus Induced by Modified Diets or Streptozotocin
Background: Induction of insulin resistance in rodents involves the use of Streptozotocin (STZ) or diets high in sucrose, fat or fructose; but the relative degrees of insulin resistance induced by each of these approache...
Zika Virus: An Emerging Public Health Challenge
Emerging infectious diseases comprise a substantial proportion of global morbidity and mortality. The world has been hit by Zika virus (ZIKV) after it was able to surmount an effective public health response for its cont...
Thrombocytopenia during Pregnancy and Its Outcome – A Prospective Study
Background: Thrombocytopenia is second to anemia as the most common hematological abnormality during pregnancy. Accurate etiological diagnosis is essential for optimal therapeutic management and thus can prevent maternal...
Oncocytoma of Parotid Gland
Oncocytomas of salivary gland are benign tumors composed exclusively of oncocytic cells. Majority of them occur in parotid gland and have excellent prognosis following complete excision. They should be differentiated fro...