Wednesday, 12 June, 2024




Globally, women’s health remains a priority for the reason that if the woman is healthy, the family is healthy and therefore the community and by extension the nation is healthy. A healthy nation they say is a wealthy nation. However, in Africa, women’s health is yet to receive the desired attention from the Governments and other parties. As a result, women in the continent suffer and sometimes die from medical conditions that are entirely preventable. This column is conceived to address the common health issues affecting women in our locality and Nigeria as a whole.
On this platform, we will be health issues affecting the women and this will include discussing puberty and related issues, adolescent reproductive and sexual problems, menstruation and its problems. As a result of the immense psychological effect of inability to conceive, a special focus will be on fertility to address the problems leading to infertility (inability of a couple to achieve pregnancy) including causes and available treatment modalities. We shall be addressing the misconceptions about infertility. Similarly, pregnancy failures (miscarriages and premature deliveries) which represent lost hopes and may lead to psychosocial distress will be addressed looking at the risk factors, causes and available treatment modalities.
There will be in depth discussions on what our women need to know about antenatal and post natal care, breastfeeding and issues around exclusive breastfeeding as well as preconception care. Common gynaecological problems affecting women will be discussed largely to address misconceptions and how to identify and treat them. And these include leiomyomas (uterine fibroids), ovarian cysts and vaginal discharge among others.
Finally, we will be looking at issues affecting the older women who have completed her reproductive career. This will include issues around menopause, postmenopausal issues and maintenance of healthy living during the menopausal life phase. Special attention will be given to gynaecological cancers notably cancer of the cervix and breast in terms of preventive strategies and available treatment modalities
We will structure the discussions along clinics/classes to enable readers make contribution. The clinics will include antenatal class/clinic, gynaecological clinic/class, adolescent reproductive health class/clinic as well post menopause class/clinic. This will enable us to carry everybody along. We will strive to use the language most of the readers will understand with very little technical terms. The whole essence is to pass information across to both our women and men on how to prevent, identify and effectively handle health issues affecting our women.
Once again, I want to thank the management and the editorial team of the Vintage newspapers for this wonderful opportunity to improve the health status of our women.
Uterine fibroids
Let’s start the series with a little discussion on uterine fibroids. In this section we will discuss what uterine fibroids are, how it presents, how to make the diagnosis and how to treat it.
So, what is Uterine Fibroid?
Leiomyomas otherwise known as uterine fibroids are benign growths of the smooth muscles of the uterus (womb). The uterus is composed of three walls- the innermost layer termed the endometrium(part of which is shed every month in the form of menstruation), the middle muscular layer that constitute the bulk of the organ- myometrium as well as the outermost covering of the organ called the serosa. Uterine fibroids involve the smooth muscles of the uterus. The primary function of the uterus is to receive, house and nourish the developing baby (fetus) and to successfully give up the baby when the baby is matured through the processes of labour and delivery. In the absence of pregnancy, the prepared inner lining of the uterus referred to as the endometrium is shed every month in the form of menstruation. As we go on in this section, we will see how the presences of fibroids affect these processes.
What causes fibroids?
The cause or aetiological factors of fibroid is still largely unknown. But what is known is that just as in other growths in the human body, it results from dysregulation in cellular growth. It is also known to be commoner among the blacks and older women who have not or will not conceive.
How do I know if I have uterine fibroids?
The commonest symptom of uterine fibroids is increased menstrual flow otherwise called menorrhagia. For instance, if you have a normal 4 day – menstrual duration and suddenly noticed an increase in the number of days as well as in the volume of menstrual flow(as evidenced by use of increased number of pads), then uterine fibroids should be suspected. This finding may be associated with passage of blood clots during menses and feeling of faintness following each period.
A woman with uterine fibroids can also notice an abdominal mass which gradually increases in size with some form of mass effect on the bladder and rectum leading to some difficulties and issues with urination and defeacation. There may also be dysmenorrhea (painful menstruation). Sometimes, the only manifestation of fibroids will be repeated pregnancy losses.
However, in vast majority of cases, the fibroids are asymptomatic (ie no symptoms) and only discovered on routine ultrasound scan for other gynaecological problems.
We will end our discussion on this segment here. Next week we will continue with how to make a diagnosis, what to do when you think you have fibroids and the available treatment modalities. We will also touch on the misconceptions around fibroids.
I wish you a wonderful week ahead. Do write back to us to seek for more information and clarifications.
Chairman, Medical Advisory Committee/ Director, Clinical services, Research & Training/Consultant Obstetrician & Gynaecologist, Nnamdi Azikiwe University Teaching Hospital, Nnewi

Dr Ugboaja Joseph is an Obstetrician & Gynaecologist by training and currently Chairman, Medical Advisory Committee of Nnamdi Azikiwe University Teaching Hospital, Nnewi and Director, Clinical services, Research & Training as well as chairman, Taskforce on Covid-19 of the hospital. He holds Postgraduate fellowships in Obstetrics & Gynaecology of National Postgraduate Medical College, Nigeria (FMCOG), West Africa College of Surgeons (FWACS) and International College of Surgeons (FICS). He joined the Hospital management in 2014 as the deputy CMAC, a position he held for 4 years. He was subsequently appointed the CMAC in 2017 for the initial tenure of 2 years which ended in 2019. He was reappointed in 2019 for the final tenure of 2 years as the CMAC of the hospital. His tenure as the CMAC of the hospital brought a lot of innovative changes and improvement in services under the leadership of the CMD, Prof AO Igwegbe. These include the formation of the NAUTH Research Society; the Quality improvement committee; the Clinicopathologic series; the Cancer Society; Laboratory Quality Management system as well as the introduction of the Annual NAUTH Scientific Conferences.

Dr Ugboaja has attended several workshops, trainings and conferences on Strategic leadership and healthcare management including those organized by the administrative college of Nigeria (ASCON). He is a Associate of the Institute of Management Consultants of Nigeria.(IMCON). He believes in transformational leadership and also believes, strongly that leaders should be altruistic, inspiring, motivational, transparent and accountable.


9 comments on “WOMEN’S HEALTH

Dr Fidelia Emelumadu

Our people perish for lack of knowledge. This knowledge gaps will hopefully be addressed under this column. More grease to your elbows Joe!

Dr Dorothy Ezeagwuna

This is a very important area in women’s health which we shy away from. We really need this kind of coaching so as to healthy to reap the fruit of our labour. Thank you Dr Ugbaja for this top notch write up

Emma Chukwu-Osodiuru (Pharm D)

This is a step in the right direction but I’m not surprised that it is coming from Dr Ugboaja who is so passionate about resolving gynaecological problems.
Pls this should be sustained in the interest of the society.

Chioma obiekwe iruka

Wow! The above bulletin is quite interesting and educating, it will also draw attention of most women on when to consult their Doctors for any irregularities in their body system.
My humble regards to my boss. Article well written.

Dr Yves-Ann Amaka Ezeuko

Wao! That you so much for the wonderful write up. Am most impressed that it is about women, meaning that almost all lives would be touched: The man, the child and generations. This strategy in no doubt would get people (especially women) informed and improve self care and health seeking behaviour of women and family. Above all, a lot of doubts and misconception would be cleared by this trend of update. Am glad and wish to take part in tge continual update.

Dr. Richard Obinwanne EGEONU

The write up is clear, straight to the point and in a language everyone can understand. Well done the CMAC for this, as we look forward to seeing more of this!

Princess Florence Obinabo Okafor

Even the men we live with does not have the insight of the need to keep their women healthy for continuous servicing of them. Men will learn after reading this article. Thank you Ochi.

Ezeh T.U

What an interesting and educative article, coming from a very pationate fellow as far as women’s health is concerned.please let it be sustained for the benefit of all.Thanks Dr Ugboaja able Cmac Nauth.

Mbadugha, N. N.

This is a good write up coming at a time the society needs it most. The article is quite informative. Keep doing what you know how best to do our own Ochinanwata. NAUTH family is proud of you.


Leave a Reply

Your email address will not be published. Required fields are marked *