Prevalence of adenomyosis in women undergoing surgery for endometriosis
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⤵ 124 in-corpus citations
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This study investigated the occurrence of adenomyosis in women undergoing surgical treatment for endometriosis.
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Abstract
OBJECTIVE(S): To evaluate the prevalence of adenomyosis in patients undergoing surgery for endometriosis.
STUDY DESIGN: Retrospective study including 1618 women with preoperative clinical and ultrasound diagnosis of endometriosis. As preoperative assessment, all patients underwent ultrasound to assess endometriosis and all features associated with adenomyosis (heterogeneous myometrial echotexture, globular-appearing uterus, asymmetrical thickness of anteroposterior wall of the myometrium, subendometrial myometrial cysts, subendometrial echogenic linear striations or poor definition of the endometrial-myometrial junction).
RESULTS: Adenomyosis was present in 353/1618 (21.8%) women included in the study. Multivariate analysis showed that the prevalence of adenomyosis was significantly associated with deep infiltrating endometriosis, parity, dysmenorrhea intensity and women's age (P<0.0001).
CONCLUSION(S): Adenomyosis is a common condition but its aetiology and natural history are still unknown. Our experience showed a 21.8% of prevalence of adenomyosis in patients affected by endometriosis and its association with parous women, increasing age, dysmenorrhea intensity and with the presence of deep infiltrating endometriosis.
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- Evaluation of high intensity focused ultrasound treatment for different types of adenomyosis based on magnetic resonance imaging classification 2022
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- Presence of adenomyosis at MRI reduces live birth rates in ART cycles for endometriosis 2022
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