Differences in the clinical phenotype of adenomyosis and leiomyomas: a retrospective, questionnaire-based study

Bettina Boeer, B Böer, Markus Wallwiener, Joachim Rom, Birgitt Schoenfisch, Sara Y Brucker, Florin A Taran, Florin‐Andrei Taran
Archives of gynecology and obstetrics · 2014 · vol. 289(6) , pp. 1235–1239 · doi:10.1007/s00404-013-3141-0 · PMID:24389921 · W1990305133
article OA: closed CC0 ⤵ 10 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

Women with adenomyosis undergoing hysterectomy had significantly more pregnancies, higher surgical procedure scores, a history of laparotomy and Cesarean section, and more pelvic pain than women with leiomyomas.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This retrospective, questionnaire-based study compared 52 women with histologically confirmed adenomyosis and 452 women with histologically confirmed leiomyomas who underwent laparoscopic hysterectomy and completed symptom and history questionnaires. Women with adenomyosis had a lower mean uterine weight, more pregnancies with higher rates of multiple pregnancies and multiple deliveries, higher surgical procedure scores, and more frequent prior laparotomy and cesarean section than women with leiomyomas. Adenomyosis patients reported more pelvic pain or pressure, while menstrual timing pain, irregular menses, heavy bleeding, painful intercourse, and urination problems did not differ; the therapeutic impact of the surgical procedure was also similar between groups. The study’s limitation is that it is retrospective and questionnaire-based and reflects women selected for hysterectomy. This paper is centrally about adenomyosis — it characterizes differences in clinical phenotype between adenomyosis and leiomyoma patients undergoing hysterectomy, with specific attention to pelvic pain/pressure and prior obstetric-surgical history relevant to adenomyosis and, by extension, endometriosis-related pelvic pain phenotypes.

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Condition tags

chronic_pelvic_painadenomyosis

MeSH descriptors

Adenomyosis Leiomyomatosis Uterine Neoplasms Adenomyosis Adenomyosis Adenomyosis Adult Cesarean Section Cesarean Section Female Germany Germany Gravitation Humans Hysterectomy Laparoscopy Laparotomy Laparotomy Leiomyomatosis Leiomyomatosis

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License: CC0 · commercial use OK