The Incidence and Clinical Impact of Adenomyosis

With the advancement of imaging technology, such as ultrasound, more and more patients with asymptomatic adenomyosis are diagnosed, so the incidence of adenomyosis is higher than traditionally thought [1]. An epidemiological study from healthcare institutes in Italy had found that the incidence of adenomyosis in women of reproductive age was 0.02–0.03%, and the prevalence was 0.17% [2]. A cohort study in the United States observed 330,000 women for 10 years and found that the total incidence of adenomyosis in women aged 16–60 years was 1%. The study also found that black women had the highest incidence, while Asian women had the lowest incidence, and white women were somewhere in between [3]. From the literature, there were wide variations in the incidence and prevalence of adenomyosis, and it might be due to the difficulties in accurately assessing the incidence [4–6]. Firstly, there was selection bias in women with indications for a hysterectomy or surgery when this disease was being diagnosed. Secondly, there was a lack of consensus of histological criteria to diagnose adenomyosis, raising concerns about the reproducibility of its histological diagnosis. Thirdly, the increasing use of MRI or ultrasound imaging on symptomatic patients to diagnose this disease without histological confirmation contributed to the increasing incidence in the general population. Nevertheless, the incidence of adenomyosis is related to the patient’s age, the number of pregnancy, and pelvic endometriosis. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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