Evaluation of Uterine Fibroids Among Women in Tripoli

Abstract

Uterine fibroids (leiomyomas) are common benign tumors of the uterus, composed of smooth muscle cells, fibroblasts, and fibrous extracellular matrix. While typically non-cancerous, some variants exhibit malignant potential. Their incidence and severity are influenced by race, with Black women developing fibroids earlier and experiencing more aggressive forms. Clinically, fibroids account for 30–50% of hysterectomies and impose substantial morbidity and healthcare costs on reproductive-aged women. This study aims to evaluate uterine fibroids among women, including the most common symptoms, risk factors, complications, and diagnostic devices. The research was designed to investigate complications and symptoms in 80 uterine fibroid patients at Tripoli Medical Center.  80 uterine fibroid patients (aged 17-45 years) revealed several key findings. The majority of participants were under 30 years old (48%), married (82.5%), and weighed 70-90 kg (55.25%). Cervicitis (45%) and hypertension (35%) emerged as the predominant risk factors, while abdominal cramps (60%) and irregular menstrual cycles (40%) were the most common symptoms. Trans-vaginal endoscopy served as the primary diagnostic method (55%), with 39% of patients experiencing pregnancy complications. Statistical analysis showed significant associations between younger age/marital status and cervicitis (p<0.05).  These findings demonstrate that uterine fibroids predominantly affect younger women of reproductive age, with a strong association observed between certain demographic factors and specific risk factors. Notably, cervicitis showed significant associations with younger age and married status, while hypertension was particularly prevalent among patients with higher body weight.