Clinical profiles of 710 premenopausal women with adenomyosis who underwent hysterectomy

Xue‐Lian Li, Xuelian Li, Li X, Xishi Liu, Liu X, Sun‐Wei Guo, Sun-Wei Guo, Guo SW
Journal of Obstetrics and Gynaecology Research · 2013 · vol. 40(2) , pp. 485–494 · doi:10.1111/jog.12211 · PMID:24148010 · W1896766019
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This study analyzed 710 premenopausal women undergoing hysterectomy and found dysmenorrhea to be the most common symptom, frequently co-occurring with menorrhagia and associated with other clinical factors.

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Abstract

AIM: The aim of this study was to determine the frequency of various symptoms and their associated characteristics in women with adenomyosis who underwent hysterectomy, and to determine which symptoms are likely to go with which others in these patients. MATERIAL AND METHODS: In 2007, 1697 consecutive patients underwent hysterectomy in our hospital. Among them, 734 (43.3%) were histologically confirmed to have adenomyosis, and 710 of them were premenopausal. The medical charts of all 734 patients were retrieved, and their demographic, clinical information and postoperative findings were recorded. We used the Verbal Descriptor Scale to measure the preoperative severity of dysmenorrhea. The Apriori Algorithm was used for mining the association of different symptoms. RESULTS: Among the 710 premenopausal patients, only 4.5% of them had no symptoms. Dysmenorrhea was the most common complaint, occurring in 81.7% of patients. Dysmenorrhea co-occurred most frequently with menorrhagia. The presence of adhesion, presence of endometriosis, complaint of menorrhagia, longer duration of disease, gravidity, palpable pain during pelvic examination, and diffuse adenomyosis were positively associated with the severity of dysmenorrhea. Age, severity of dysmenorrhea, and complaint of metrorrhagia were positively associated with the risk of menorrhagia. CONCLUSIONS: Dysmenorrhea is the most common complaint in women with adenomyosis, which often goes with that of menorrhagia. Adenomyosis often co-occurs with endometriosis and leiomyomas. Various factors are associated with the risk of having different symptoms.

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Condition tags

dysmenorrheaendometriosisadenomyosis

MeSH descriptors

Adenomyosis Dysmenorrhea Adenomyosis Adenomyosis Adenomyosis Adult Adult Age Factors Age Factors Dysmenorrhea Dysmenorrhea Endometriosis Endometriosis Endometriosis Female Female Humans Humans Hysterectomy Hysterectomy

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (40)

Cited by (50)

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