Cesarean section as a risk factor for the development of adenomyosis uteri.

John C Riggs, Eav K Lim, Derek Liang, Robert Bullwinkel
The Journal of reproductive medicine · 2014 · vol. 59(1-2) , pp. 20–4 · PMID:24597282 · W1440408631
article OA: closed CC0 ⤵ 24 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This case-control study found that women with adenomyosis were twice as likely to have had a prior cesarean section compared to those without adenomyosis.

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Abstract

OBJECTIVE: To estimate whether there is an association between cesarean delivery and the subsequent development ofadenomyosis uteri based on pathologic diagnosis. STUDY DESIGN: A total of 601 patients who had had a hysterectomy at a community hospital were identified. Data were collected from their medical records, focusing on uterine pathology and prior obstetric history. These data formed the basis for a case-control study to disclose an association between cesarean delivery and the subsequent development of adenomyosis uteri. RESULTS: Among 189 women with adenomyosis, cesarean delivery had occurred in 25%. This contrasted with 14% cesarean deliveries among those 178 women without adenomyosis, for an odds ratio of 2.08. These 2 groups were comparable in make-up in regard to demographic variables and medical history. CONCLUSION: There is strong association between adenomyosis and previous cesarean section. This association raises important questions about whether technical aspects of cesarean section may contribute to the consequence of adenomyosis.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Cesarean Section Adenomyosis Adenomyosis Adenomyosis Adult Aged Aged, 80 and over Case-Control Studies Cesarean Section Female Humans Hysterectomy Middle Aged Odds Ratio Pregnancy Uterus Uterus

Citation neighborhood

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. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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