Adenomyosis in a postmenopausal woman: A rare entity

Punam Godara, Purnima Upreti
In: Indian Journal of Obstetrics and Gynecology Research · 2022 · vol. 9(3) , pp. 432–434 · doi:10.18231/j.ijogr.2022.083 · W4290652084
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⚙ AI-generated summary by claude@2026-06, 2026-06-10 ⓘ

This case report describes the diagnosis of adenomyosis, a benign endometrial invasion into the myometrium, in a 68-year-old woman presenting with postmenopausal bleeding.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-10 ⓘ

This case report describes a 68-year-old postmenopausal woman with recurrent postmenopausal bleeding over two months, evaluated with pelvic examination, transvaginal sonography, and endometrial biopsy, which suggested endometrial hyperplasia without atypia. Imaging showed an enlarged uterus with diffuse heterogenous myometrial echotexture and small anechoic areas consistent with diffuse adenomyosis, and definitive total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed, with histopathology confirming diffuse adenomyosis plus coexisting subserosal fibroids. A key limitation is that, as a single case report, it cannot establish causality or generalizable prevalence for postmenopausal adenomyosis, though the authors note it is rare after menopause. This paper is centrally about adenomyosis — a rare postmenopausal presentation confirmed histologically.

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Abstract

Adenomyosis is an important clinical challenge in gynecology. It is known as the benign invasion of endometrium into the myometrium. It is usually seen in women of reproductive age group where estrogen plays an important role, rare in postmenopausal women. Here we present a case of a 68-year-old lady who presented to us with postmenopausal bleeding and was found to have adenomyosis.

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adenomyosis

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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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