Abstract
Objective: To determine the frequency of overweight females and ovarian enlargement among women presenting with pelvic pain complaints at rural Health facilities of district Tando Muhammad Khan.
 Methodology: This descriptive study was conducted at physiology department of Sindh University with the collaboration of different rural health facilities of Tando Muhammad Khan, Sindh. All the females presented with pelvic pain and age more than 18 and up to 45 years were included. Body mass index (BMI) was assessed by the ratio of the individual's weight in kilograms divided by the height in meters squared (BMI = kg/m2). All the patients underwent ultrasound examination. Data collection was done by structured study proforma. Analysis of the data was done by the SPSS version 20.
 Results: A total of 239 women with pelvic pain complaints were studied, their mean age was 32.79+4.31 years. Neoplastic ovarian lesions were seen amogn12.54% of the cases. Cystic ovarian lesions were among 30.54% of the females, 5.01% had ovarian mass and 21.33% females had mixed pathologies. BMI was normal among 62.76% cases, while 20.08% women were overweight, 03.34% were obese and 13.8%females were underweight.
 Conclusion: Overweight females and ovarian enlargement were observed to be highly frequent among females presented with pelvic pain complaints. Cystic enlargement was observed to be the commonest cause of ovarian enlargement.
Highlights
Women of all ages are much more likely to experience lower abdominal or the pelvic pain
Overweight females and ovarian enlargement were observed to be highly frequent among females presented with pelvic pain complaints
Cystic enlargement was observed to be the commonest cause of ovarian enlargement
Summary
Women of all ages are much more likely to experience lower abdominal or the pelvic pain. A female with an abdominal or pelvic mass may experience various symptoms, the most seem to have no guiding/apparent symptoms just at the time of presentation, despite the fact that the adverse diagnosis [2]. Ovarian cysts are occasionally discovered while screening females for pelvic pain, while they might not have been the source of the symptoms [3]. Obese women are much more likely than normal-weight women to experience menstrual irregularities and anovulatory infertility. The current study has been done to determine the incidence of overweight females and ovarian enlargement among women presented with pelvic pain complaints
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