Fibroid cause all, except:
A. Menstrual irregularity B. Infertility C. Amenorrhea D. Abdominal mass
Correct Answer: C. Amenorrhea
Explanation
Uterine fibroids (leiomyomas) are benign tumors of the uterus. They commonly cause symptoms due to increased uterine size, distortion of the uterine cavity, or pressure effects.
Fibroids can cause:
- Menorrhagia – Heavy and prolonged menstrual bleeding due to increased endometrial surface area and impaired uterine contraction.
- Dysmenorrhoea – Painful menstruation because fibroids interfere with normal uterine contractions.
- Infertility – Especially submucosal or large intramural fibroids, which can distort the uterine cavity, block tubal openings, or interfere with implantation.
Fibroids do NOT cause:
- Multiple pregnancy ❌
Multiple pregnancy occurs due to ovulation of more than one ovum or assisted reproductive techniques, not because of fibroids. In fact, fibroids more often reduce fertility rather than increase it.
Summary
👉 Fibroid uterus causes many problems, but multiple pregnancy is NOT one of them.
Other Options Details
Here is a clear description of all the options (commonly used in gynecology/obstetrics questions):
A. Menstrual Irregularity
Menstrual irregularity refers to any abnormal change in the frequency, duration, or amount of menstrual bleeding.
It may include:
- Irregular cycles
- Heavy bleeding (menorrhagia)
- Scanty bleeding
- Prolonged periods
Causes: Hormonal imbalance, uterine fibroids, ovarian disorders, stress, thyroid disease.
B. Infertility
Infertility is the inability to conceive after one year of regular, unprotected sexual intercourse.
It can be:
- Primary infertility – woman has never conceived
- Secondary infertility – difficulty conceiving after a previous pregnancy
Causes: Ovulatory disorders, tubal blockage, uterine abnormalities, endometriosis, hormonal issues.
C. Amenorrhea
Amenorrhea means absence of menstruation.
Types:
- Primary amenorrhea: Menstruation has not started by age 15
- Secondary amenorrhea: Absence of menses for ≥3 consecutive cycles in a previously menstruating woman
Causes: Pregnancy, hormonal imbalance, stress, PCOS, pituitary disorders.
D. Abdominal Mass
An abdominal mass refers to a palpable swelling in the abdomen.
In gynecology, it may be due to:
- Uterine fibroids
- Ovarian cysts or tumors
- Pregnancy
- Enlarged uterus
Clinical significance: May cause pain, pressure symptoms, menstrual disturbances, or infertility.
I hope that you liked this article.
Thanks!! 🙏 😊
Writer: Vandita Singh,Lucknow (GS India Nursing Group