The uterine fibroid is associated with:
A. Endometriosis
B. Ovarian cancer
C. PID
D. Amenorrhea
Correct Answer: A. Endometriosis
Explanation
Uterine fibroid (leiomyoma) is commonly associated with:
- Menorrhagia (heavy or prolonged menstrual bleeding)
- Dysmenorrhoea (painful menstruation)
- Infertility or subfertility
- Recurrent abortions
- Abdominal or pelvic mass
- Pressure symptoms
- Urinary frequency/retention (bladder pressure)
- Constipation (rectal pressure)
- Anemia (secondary to excessive menstrual blood loss)
- Pelvic pain or heaviness
- Complications in pregnancy (malpresentation, preterm labor, postpartum hemorrhage)
👉 Not typically associated with: amenorrhea or postmenopausal bleeding (unless malignant change is suspected).
Other Options Details
Here is a clear description of all the options:
A. Endometriosis
Endometriosis is a condition in which endometrial tissue (lining of the uterus) grows outside the uterus, commonly on the ovaries, fallopian tubes, or pelvic peritoneum.
Features:
- Severe dysmenorrhoea (painful menstruation)
- Chronic pelvic pain
- Infertility
- Dyspareunia (pain during intercourse)
- Symptoms worsen during menstruation
B. Ovarian Cancer
Ovarian cancer is a malignant tumor of the ovary, often diagnosed late due to vague symptoms.
Features:
- Abdominal distension or bloating
- Pelvic or abdominal pain
- Loss of appetite, weight loss
- Ascites in advanced stages
- Menstrual irregularities (sometimes)
C. PID (Pelvic Inflammatory Disease)
PID is an infection of the female upper genital tract, involving the uterus, fallopian tubes, and ovaries, commonly caused by sexually transmitted infections.
Features:
- Lower abdominal pain
- Fever and chills
- Foul-smelling vaginal discharge
- Dyspareunia
- Infertility and ectopic pregnancy as complications
D. Amenorrhea
Amenorrhea is the absence of menstruation.
Types:
- Primary amenorrhea: Menstruation does not begin by age 15
- Secondary amenorrhea: Absence of menstruation for 3 or more cycles in a woman who previously menstruated
Causes: - Hormonal imbalance
- Pregnancy
- Ovarian dysfunction
- Stress or excessive weight loss
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Writer: Vandita Singh,Lucknow (GS India Nursing Group