Fibroid uterus is more common in
A. Nulliparous women
B. Post menopausal women
C. Multiparity
D. After 35 years of age
Correct Answer: D. After 35 years of age
Explanation
Fibroid uterus is more common in women of reproductive age (especially 30–45 years).
Explanation:
Uterine fibroids (leiomyomas) are estrogen- and progesterone-dependent benign tumors of the uterus. Their occurrence is strongly influenced by hormonal activity.
- Reproductive age (30–45 years):
Estrogen levels are high, which promotes the growth of fibroids. Hence, fibroids are most commonly diagnosed in this age group. - Rare before puberty:
Estrogen levels are very low, so fibroids usually do not develop. - Decrease after menopause:
With falling estrogen levels, fibroids tend to shrink and become less symptomatic.
Additional points:
- More common in multiparous women
- More frequent in African/Black women
- Associated with early menarche, obesity, and family history
✅ Correct answer: Women of reproductive age (30–45 years)
Other Options Details
Here is a clear description of each option commonly used in gynecology questions (often as risk or protective factors):
A. Nulliparous women
- Nulliparous means a woman who has never given birth.
- Such women have longer lifetime exposure to estrogen without interruption by pregnancy.
- Therefore, nulliparity is considered a risk factor for estrogen-dependent conditions such as:
- Uterine fibroids
- Endometriosis
- Endometrial cancer
B. Postmenopausal women
- Postmenopausal women have low estrogen levels.
- Estrogen-dependent conditions (e.g., fibroids) usually regress after menopause.
- New onset of uterine masses or bleeding after menopause is abnormal and raises suspicion of malignancy, especially:
- Endometrial carcinoma
- Ovarian tumors
C. Multiparity
- Multiparity means having had multiple pregnancies.
- Pregnancy reduces estrogen exposure and induces uterine remodeling.
- Hence, multiparity is considered protective against:
- Uterine fibroids
- Endometrial cancer
- Multiparous women generally have lower risk of estrogen-dependent disorders.
D. After 35 years of age
- Many gynecological conditions are more common after 30–35 years due to:
- Cumulative hormonal exposure
- Aging reproductive tissues
- Conditions commonly associated with this age group include:
- Uterine fibroids
- Endometriosis
- Infertility issues
Summary Table
Option Effect Nulliparous women Risk factor Postmenopausal women Low estrogen; fibroids regress Multiparity Protective After 35 years Increased risk for gynecological disorders
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Writer: Vandita Singh,Lucknow (GS India Nursing Group