Prevalence and risk factors of adenomyosis at hysterectomy
Observational
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⤵ 173 in-corpus citations
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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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- Screening of a Novel Synonymous DNAH5 Variant in Histopathologically Confirmed Adenomyosis Cases from Turkiye 2026
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- Does prior uterine surgery increase the risks of uterine leiomyoma and adenomyosis? a retrospective study 2022
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- Genetic features of endometrioid-type endometrial carcinoma arising in uterine adenomyosis 2021
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