Prevalence and risk factors of adenomyosis at hysterectomy

T Bergholt, Thomas Bergholt, Lena Mariann Eriksen, L Eriksen, N Berendt, M Jacobsen, J B Hertz
Human Reproduction · 2001 · vol. 16(11) , pp. 2418–2421 · doi:10.1093/humrep/16.11.2418 · PMID:11679531 · W2151204568
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This study found adenomyosis prevalence of 10.0-18.2% in hysterectomy patients, with endometrial hyperplasia being the only significantly associated risk factor.

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Abstract

BACKGROUND: The present study was performed to evaluate the prevalence and possible associated risk factors for adenomyosis. METHODS: Medical records were retrieved and histo-pathological material re-examined for 549 consecutive women undergoing hysterectomy in a two-year period from 1990-1991. RESULTS: The prevalence of adenomyosis in the study varied from 10.0-18.2%, depending on different diagnostic criteria. The presence of endometrial hyperplasia at the time of hysterectomy was the only variable significantly associated with adenomyosis (OR = 3.0; 95% CI: 1.2-8.3). No statistically significant association was found between adenomyosis and previous caesarean section, endometrial curettage or evacuation of the uterus. Furthermore, we did not see any significant association between adenomyosis and pain-related symptoms, indication for hysterectomy, age, parity or number of myometrial samples. CONCLUSIONS: Our study stresses the need for precise diagnostic criteria for adenomyosis, and furthermore indicates that endometrial hyperplasia and adenomyosis may have a common aetiology.

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Condition tags

mesh:D004715adenomyosis

MeSH descriptors

Endometriosis Hysterectomy Adult Cesarean Section Cesarean Section Curettage Curettage Endometrial Hyperplasia Endometrial Hyperplasia Endometrial Hyperplasia Endometriosis Endometriosis Endometriosis Female Humans Middle Aged Risk Factors

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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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Cited by (50)

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