Question:

Red degeneration of fibroid is seen in?

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Link it to the time of fastest fibroid growth during gestation.
Updated On: Jun 24, 2026
  • Early pregnancy
  • Mid pregnancy
  • Puerperium
  • Nulliparous women
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The Correct Option is B

Solution and Explanation

Step 1: Red degeneration (carneous degeneration) is a form of infarction of a leiomyoma in which the fibroid outgrows its blood supply, leading to aseptic necrosis with a characteristic raw beef red cut surface.

Step 2: This complication is classically associated with pregnancy, particularly the second half or mid pregnancy, when rapid uterine and fibroid growth outstrips the available blood supply. Hence option (b) mid pregnancy is correct.

Step 3: Clinically it presents with acute localised abdominal pain over the fibroid, low grade fever, vomiting and mild leucocytosis, and it is managed conservatively with rest and analgesics.

Step 4: Early pregnancy (a) is too soon for the marked growth needed, the puerperium (c) is a period of involution rather than growth, and being nulliparous (d) is a risk factor for having fibroids but is not when red degeneration occurs.
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