Sonographic Assessment of the Uterine Parameters of Nulliparous Women of Igbo Extraction in Enugu Metropolis and it's Clinical Implications

Data on uterine dimensions in nulliparous women are vital for public health consideration as the presence of uterine pathology in nulliparous women effectively reflects the status of fertility and other gynecological conditions in the general population. This study aimed to assess the uterine parameter of the nulliparous women of Igbos in Enugu metropolis and its clinical implications. The height, and weight of 100 nulliparous women between the ages of 15 - 25 years were measured and their body mass index was determined. Ultrasonographic measurements of the uterine dimension (uterine length, width thickness, anteroposterior diameters, and cervical length) were measured while the women were in dorsal decubitus position having full urinary bladder. The uterine volume was calculated using the formula for a prolate ellipsoid, Volume = 0.52 × D1 × D2 × D3 Where, D1 = maximum length (longitudinal dimension), D2 = maximum AP dimension, and D3 = maximum width (transverse dimension). The mean and standard deviation of longitudinal, transverse, and anteroposterior dimensions, and volume, of the uterus were found to be 7.13cm±0.49 cm, 4.69cm±0.49cm, 3.12cm±0.43, 0.54.67ml±12.36.ml respectively, and the mean cervical length and uterine thickness were 2.30cm±0.47cm and 3.96cm ± 0.08 cm. The uterine AP diameter showed a poor correlation with age and weight but showed a positive correlation with height. Uterine length and width correlate positively with age and height but are poorly correlated with the weight of the subject.