Cesarean section as a risk factor for the development of adenomyosis uteri
Observational
OA: closed
CC0
⤵ 24 in-corpus citations
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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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Cited by (22)
- Vaginal microbiome differences between patients with adenomyosis with different menstrual cycles and healthy controls 2024
- Comparison of Patients with Adenomyosis Detected in Hysterectomy Material and Patients with Other Benign Pathologies: Retrospective Study 2024
- Impact of Adenomyosis and Endometriosis on Chronic Pelvic Pain after Niche Repair 2023
- MRI and Adenomyosis: What Can Radiologists Evaluate? 2022
- The Prevalence and Clinical Impact of Adenomyosis in Pregnancy-Related Hysterectomy 2022
- The Impact of Adenomyosis on Pregnancy and Pregnancy Outcomes: A Review 2022
- Clinical Characteristics of Patients with Endometrial Cancer and Adenomyosis 2021
- The Pathogenesis of Adenomyosis 2021
- Role of Hormones in Common Benign Uterine Lesions: Endometrial Polyps, Leiomyomas, and Adenomyosis 2020
- Epidemiology of Adenomyosis 2020
- Differential diagnosis of adenomyosis: the role of hysteroscopy and laparoscopy 2019
- Role of MRI in Diagnosis of Uterine Adenomyosis 2019
- Faculty Opinions recommendation of MRI for adenomyosis: a pictorial review. 2019
- Adenomyosis and Subcutaneous Fatty Tissue Thickness Relationship 2019
- Etiopathogenesis of internal and external genital endometriosis (evolution of views) 2018
- Sonographic classification and reporting system for diagnosing adenomyosis 2018
- Pathogenesis of uterine adenomyosis: invagination or metaplasia? 2018
- Trauma and endometriosis. A review. May we explain surgical phenotypes and natural history of the disease? 2017
- Adenomyosis and Hysteroscopy: An Up-to-Date Review 2017
- MRI for adenomyosis: a pictorial review 2017
- Adenomyosis 2016
- Adenomyosis: A Clinical Review of a Challenging Gynecologic Condition 2015
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