Clinical and Demographic Profile of Women with Uterine Fibroids Living in Puerto Rico  

作　　者：Edwin Y. Soto-Velázquez Alexander J. Jaramillo-Cañas Shania N. Aponte-Paris Gabriela V. Martínez-Marrero Irazu S. Guinan Gabrielle A. Rivera-Maldonado Alexandra Novas Pedro L. Cruz-Rosa Idhaliz Flores-Caldera Maricarmen Colón-Diaz Edwin Y. Soto-Velázquez;Alexander J. Jaramillo-Cañas;Shania N. Aponte-Paris;Gabriela V. Martínez-Marrero;Irazu S. Guinan;Gabrielle A. Rivera-Maldonado;Alexandra Novas;Pedro L. Cruz-Rosa;Idhaliz Flores-Caldera;Maricarmen Colón-Diaz(Department of Physiology and Pathology, San Juan Bautista School of Medicine, Caguas, Puerto Rico, United States;Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico, United States)

机构地区：[1]Department of Physiology and Pathology, San Juan Bautista School of Medicine, Caguas, Puerto Rico, United States [2]Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico, United States

出　　处：《Open Journal of Obstetrics and Gynecology》2024年第9期1347-1362,共16页妇产科期刊（英文）

摘　　要：Introduction: Uterine leiomyomas, or fibroids, are prevalent benign tumors affecting up to 70% of reproductive-age women in the United States, significantly impacting productivity and quality of life. Despite their commonality, the epidemiology and clinical patterns of leiomyomas in Puerto Rico remain inadequately researched. Methods: This study conducted a secondary data analysis using clinical, menstrual cycle characteristics, and demographic data from self-administered questionnaires of women undergoing diagnostic laparoscopy for endometriosis in Puerto Rico. Chi-square tests and t-tests analyzed categorical and continuous variables, respectively (p Results: Among 1,610 endometriosis cases, 312 included uterine fibroids. Prevalence estimates were 10.3% (40 years). Primiparous women averaged 22.14 years, with 40.71% having 2 - 3 pregnancies and 26.28% experiencing miscarriages. Symptoms included infertility (29.5%), dyspareunia (40.7%), severe pain (50%), and dysmenorrhea (75.6%). Comorbidities included ovarian cysts (52.2%) and abnormal uterine bleeding (37.8%). Conclusions: Advanced age, parity, and comorbidities like diabetes and hypertension were prevalent in our cohort. Understanding the epidemiological profile of women living in Puerto Rico with uterine fibroids is crucial for improving diagnostic awareness and enhancing patient care.Introduction: Uterine leiomyomas, or fibroids, are prevalent benign tumors affecting up to 70% of reproductive-age women in the United States, significantly impacting productivity and quality of life. Despite their commonality, the epidemiology and clinical patterns of leiomyomas in Puerto Rico remain inadequately researched. Methods: This study conducted a secondary data analysis using clinical, menstrual cycle characteristics, and demographic data from self-administered questionnaires of women undergoing diagnostic laparoscopy for endometriosis in Puerto Rico. Chi-square tests and t-tests analyzed categorical and continuous variables, respectively (p Results: Among 1,610 endometriosis cases, 312 included uterine fibroids. Prevalence estimates were 10.3% (40 years). Primiparous women averaged 22.14 years, with 40.71% having 2 - 3 pregnancies and 26.28% experiencing miscarriages. Symptoms included infertility (29.5%), dyspareunia (40.7%), severe pain (50%), and dysmenorrhea (75.6%). Comorbidities included ovarian cysts (52.2%) and abnormal uterine bleeding (37.8%). Conclusions: Advanced age, parity, and comorbidities like diabetes and hypertension were prevalent in our cohort. Understanding the epidemiological profile of women living in Puerto Rico with uterine fibroids is crucial for improving diagnostic awareness and enhancing patient care.

关 键 词：Uterine Fibroids Puerto Rico EPIDEMIOLOGY DYSMENORRHEA Abnormal Uterine Bleeding 

分 类 号：R24[医药卫生—中医临床基础]