Racial differences in fibroid prevalence and ultrasound findings in asymptomatic young women (18-30 years old): A pilot study

Erica E. Marsh*, Geraldine E. Ekpo, Eden R. Cardozo, Maureen Brocks, Tanaka Dune, Leeber S. Cohen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

67 Scopus citations

Abstract

Objective: 1) To determine the prevalence of fibroids in asymptomatic young black and white women (ages 18-30 y); 2) to determine other differences in uterine and adnexal anatomy; and 3) to obtain preliminary data for sample size calculations. Design: Pilot cross-sectional study. Setting: Academic medical center. Patient(s): One hundred one nonparous black and white women, ages 18-30 years, with no known diagnosis of fibroids or clinically suggestive symptoms. Intervention(s): A transvaginal ultrasound was performed in the follicular phase in all subjects. Main Outcome Measure(s): 1) Presence of fibroids; 2) endometrial thickness; 3) ovarian findings. Result(s): Of the 101 participants (mean age 24.5 ± 3.5 y), 43% self-identified as black and 57% as white. The prevalence of ultrasound-diagnosed fibroids was 15% overall (26% in black women and 7% in white women). The mean fibroid size was 2.3 ± 2.1 cm. There was a significant difference in endometrial thickness between races, even after adjusting for contraception use and fibroid presence. Conclusion(s): Racial differences in fibroid prevalence exist even before women become symptomatic. Findings of thicker endometrium in black women could have clinical implications and warrants further investigation.

Original languageEnglish (US)
Pages (from-to)1951-1957
Number of pages7
JournalFertility and Sterility
Volume99
Issue number7
DOIs
StatePublished - Jun 2013

Keywords

  • Endometrial thickness
  • fibroids
  • health disparities
  • race
  • ultrasound

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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