# Patterns and Outcomes in the Management of Uterine Fibroids: A Hospital-Based Retrospective Study

## TL;DR

This study examines how uterine fibroids are managed in a hospital in Pakistan, focusing on patient demographics, symptoms, and treatment outcomes.

## Contribution

The paper provides insights into treatment patterns and outcomes for uterine fibroids in a specific regional hospital setting.

## Key findings

- Most patients were aged 35-50 years, with menorrhagia and pelvic pain being the most common symptoms.
- Hormonal therapy was the most frequent treatment, while minimally invasive procedures showed the highest symptom improvement.
- Surgical treatments were associated with high patient satisfaction.

## Abstract

Background: Uterine fibroids are common benign tumors that can cause significant symptoms such as heavy bleeding, pelvic pain, and reproductive issues.

Objective: The aim of this study was to evaluate the clinical patterns, treatment modalities, and patient outcomes associated with uterine fibroids.

Methods: This retrospective study was conducted at DHQ Hospital Okara, Okara, Pakistan, from June 2024 to December 2024. Data were collected from the medical records of 355 patients diagnosed with symptomatic uterine fibroids. Women who had confirmed uterine fibroids diagnosed through ultrasound were included in the study. Women who received treatment for uterine fibroids and patients with incomplete medical records were excluded from the study. Data were collected from medical records. The demographic information included age, marital status, parity, and reproductive history.

Results: The majority of patients were aged between 35 and 50 years (69.9%), with a mean age of 41.2 ± 7.83 years. Most patients were premenopausal (231, 65%) and multiparous (266, 74.9%). The most common symptoms were menorrhagia (248, 69.9%) and pelvic pain (195, 54.9%). The most frequent treatment modality was hormonal therapy (142, 40%), followed by surgical management (89, 25.1%) and minimally invasive procedures (53, 14.9%). Symptom improvement was highest in the minimally invasive group (92, 80%), while surgical treatments showed high patient satisfaction (64, 90%).

Conclusions: It is concluded that the treatment of uterine fibroids is largely influenced by factors such as age, fibroid size, and the severity of symptoms.