Uterine fibroids in women of childbearing age: a cross-sectional study at the primary health care corporation in Qatar.

BACKGROUND

Uterine fibroids are a major cause of hysterectomy and morbidity among women of childbearing age, yet data in Qatar are limited.

OBJECTIVES

This study examines the epidemiology, health-related characteristics, and perceptions of uterine fibroids among women attending primary healthcare facilities in Qatar.

METHODS

Electronic medical records of 8,014 women diagnosed with fibroids at PHCC (Primary Health Care Corporation) were analyzed. Additionally, complementary phone interviews were conducted with 1,200 women, with 378 respondents enrolled (31.5% response rate).

RESULTS

The mean age of diagnosed women was 40.5 years (SD = 5.8), with 18.4% being Qatari nationals. The mean BMI was 29.6 (SD = 5.9), and 77% had anemia (hemoglobin < 11 g/dL). Vitamin D insufficiency was prevalent (76%), with 37% classified as deficient (< 20 ng/mL). Among phone interview respondents, 76% were employed, 71.1% were married, and 71.2% were university graduates. Key health-related findings included 21% being childless, 10% having a history of smoking, and 59.4% reporting a family history of fibroids. The most common symptom was abnormal uterine bleeding (69%), and 55.4% had received treatment, primarily surgery (37%) or hormonal therapy (16%). Awareness varied, with 47% unaware of the cause of fibroids, while 78% considered them treatable. A significant association was found between high education level and believing that women with fibroids can conceive. Nationality was significantly associated with perceptions of treatment necessity and fertility impact (p < 0.05).

CONCLUSIONS

This study provides key insights into uterine fibroids in Qatar, highlighting the need for targeted awareness campaigns and improved management strategies.