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Abstract
PREVALENCE OF OVARIAN CYST AMONG WOMEN IN CHILD BEARING AGE GROUP IN TEACHING HOSPITALS AT MOSUL CITY-IRAQ
*Asmaa Awaed Ahmed, Noor Thaaer Mohammed and Saif Saad Salim
ABSTRACT
Background: Prevalence of ovarian cyst among women in child bearing age group still common clinical and ultrasoundfindings. Approximately 1 in 25 (4%) women will have an ovarian cyst causing symptoms at some point in their lives.Once a cyst has been diagnosed it is important to classify its features (using transvaginal ultrasonography). as pain,pressure or fertility will guide management. Aim of the study: is to find out prevalence of ovarian cyst among womenin child bearing age group who visit teaching hospitals (Al.Batool, Al.Khansaa) at Mosul city-Iraq. Subjects andmethod: A cross sectional study was conducted during the period starting from first of May 2020 to the end of October2020 among patients visited to teaching hospitals at Mosul city of Iraq. People with Ovarian cyst who visitedconsultation room(2days/week) and were presented at the visiting day during the study period were included. The datacollected using structured questionnaire designed according to researches for Ovarian Cyst completed by the peoplewhile visiting the hospitals for one time. The aims, contents and other aspects of the study were explained to eachhospital providers and administrative staff to avoid any misunderstanding. Results: The study showed that theprevalence of ovarian cyst was 7.26% higher number and percentage of ovarian cyst 112 (37.3%) at age 21-30years,(P<0.01), The study found that, 154 (51.3%) of patients with ovarian cyst were in primary level of education and 8(2.7%) was educated (P<0.01). The study demonstrated that, majority of patients with ovarian cyst were married(77.7%) and belonged to urban area (66.67%). The study found that, women have menarche at age (12-13) were moreliable for ovarian cyst, (women have menarche at age (12-13) years were 58%, followed by each of <12 year (30%) and(14-16) years (10.7%). Also women who has 27 days and above between menstrual period 189(63%) more liable forOvarian cyst. Also, women who has irregular cycle 222 (74%) more liable for Ovarian cyst. Women who have (5-7)days of menstrual flow198 (66%) more liable to have Ovarian cyst. The study revealed that, Ovarian cyst not affectedon state of bleeding during Menstrual cycle but most of women with Ovarian cyst 223 (74.3%) have Cramping or painduring Menstrual cycle. Two third of women with Ovarian cycle 201(67%) have not bleeding or spotting in betweenMenstrual Cycle. The difference is just significant of Pelvic pain on days other than during Menstrual Cycle. But thedifference was not significant regarding pelvic pressure or fullness. The study found that, women who not usecontraception 258(86%) more liable for Ovarian Cyst with very high significance. The study found that, majority ofwomen with Ovarian Cyst 264(88%) have pain interfere with daily activities. But one third of women with Ovarian Cyst93(31%) had mood swing. The study found that, half of women with Ovarian Cyst 160(53.3) have Knowledge of cystfrom Physician and 120 (40%) still don’t know, and 20(6.7%) have Knowledge from Family and friends. The studyfound that, most of women with Ovarian. Cyst 266 (88.7%) have (good, very good) of general health. Two third ofwomen with Ovarian cyst 195 (65%) visit to physician in the past 6 months and majority of them 272 (90.7%) not visitEmergency Department in the past 6 months. The study showed that, 45% of studied patients were with follicular typeof cyst, 22.3% Polycystic ovary and 20% serous cyst. The study also demonstrated that, 45% of patients were with rightsite of cyst, 29.3% left and 25% bilateral. The study showed than majority of studied women haven’t family history ofovarian cyst (60%). The study found that, 63.7% of patients need only medication for ovarian cyst, 17.3% need surgicalinteraction and 19% didn’t need any type of treatment. Conclusions: The prevalence of ovarian cyst was in womenattending teaching hospitals at Mosul city was similar to other countries. The highest rate of Ovarian Cyst women waswithin the age group 21-30 year. Most Ovarian Cysts were symptomatic and some may disappear without treatment, butit is essential. Lack of prior knowledge of the disease can be attributed to lack of education, poor understanding of thepatients regarding their disease and non-compliance with the medication that were prescribed to them.
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