Prevalence of adenomyosis as a co-morbidity in patients who underwent hysterectomy for other indications

Ratna Bulusu, Payel Ray, Abhilasha Ashok Kumar, Sanghamitra S
In: Indian Journal of Obstetrics and Gynecology Research · 2018 · vol. 5(1) , pp. 139–142 · doi:10.18231/2394-2754.2018.0031 · W3182413072
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This retrospective study found unsuspected adenomyosis in 24% of hysterectomy patients, noting its association with menorrhagia, pelvic pain, dysmenorrhea, multiparity, and a mean age of 45 years.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

This retrospective observational study evaluated the clinical profile, symptom distribution, and prevalence of adenomyosis in 100 women who underwent abdominal or vaginal hysterectomy for other indications by analyzing demographics, presenting complaints and signs, hysterectomy indications, and histopathology of specimens, while excluding cases diagnosed as adenomyosis and endometriosis together. Adenomyosis was identified histopathologically in 24 patients (24%), with high frequencies of menorrhagia (91.7%), chronic pelvic pain (83.3%), and dysmenorrhea (79.2%), and it was more common in multiparous women with a mean age of about 45 years and bulky uterus on per vaginal examination in 45.8%. The paper’s main limitation is that it uses retrospective data from hysterectomy patients for other indications and relies on histopathology without explicit mention of preoperative imaging criteria for adenomyosis suspicion. This paper focuses on adenomyosis prevalence as a co-morbidity but is still relevant to endometriosis because it explicitly excluded endometriosis cases when identifying adenomyosis, clarifying how these two pelvic conditions were separated in this cohort.

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Abstract

Introduction: Adenomyosis is a common gynaecological condition that affects women of reproductive age group (20%-60%). The cardinal clinical features of adenomyosis are menorrhagia, dysmenorrhea and uterine enlargement. Classically, it was thought and compared with ultrasonography; MRI enables more accurate diagnosis of the disease when adenomyosis is suspected. Objective: To evaluate the clinical profile associated with adenomyosis, frequency distribution and to determine the prevalence of adenomyosis in patients undergoing hysterectomy for other indications, as well as to correlate clinical examination with histopathological examination. Methodology: It is a retrospective observational study which included 100 patients who underwent abdominal hysterectomy or vaginal hysterectomy for various indications. Age, parity, presenting complaints, elicited signs, indication for hysterectomy, and HPE report of the specimens were analyzed. All cases diagnosed as Adenomyosis and Endometriosis was excluded. Results: Among 100 women who underwent hysterectomy, Adenomyosis was found in 24 cases (24%). Menorrhagia (91.7%), chronic pelvic pain (83.3%), dysmenorrhea (79.2%), dyspareunia (16.7%) is the classic presentation. More common in multiparous women and begins later in reproductive life (mean age- 45yrs). (45.8%) had bulky uterus on per vaginal examination. Adenomyosis was present in 10 of 23 patients (43.47%) diagnosed as dysfunctional uterine bleeding; 6 of 24 (25%) with fibroid; 4 of 21 (19.04%) with prolapse; 2 of 14 (14.28%) with ovarian mass; 2 of 10 (20%) with pelvic inflammatory disease. Conclusion: The prevalence of unsuspected adenomyosis is found to be 24% in this study. Adenomyosis is common in women presenting with chronic pelvic pain, menorrhagia and dysmenorrhea. It is also common in multiparous women with bulky uterus and mean age being 45 years. In women with completed family and had failed medical therapy given for undiagnosed Adenomyosis the choice of thera
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Introduction

Adenomyosis is a common gynaecological condition that affects women of reproductive age group (20%-60%). The cardinal clinical features of adenomyosis are menorrhagia, dysmenorrhea and uterine enlargement. Classically, it was thought and compared with ultrasonography; MRI enables more accurate diagnosis of the disease when adenomyosis is suspected.

Objective

To evaluate the clinical profile associated with adenomyosis, frequency distribution and to determine the prevalence of adenomyosis in patients undergoing hysterectomy for other indications, as well as to correlate clinical examination with histopathological examination. Methodology: It is a retrospective observational study which included 100 patients who underwent abdominal hysterectomy or vaginal hysterectomy for various indications. Age, parity, presenting complaints, elicited signs, indication for hysterectomy, and HPE report of the specimens were analyzed. All cases diagnosed as Adenomyosis and Endometriosis was excluded.

Results

Among 100 women who underwent hysterectomy, Adenomyosis was found in 24 cases (24%). Menorrhagia (91.7%), chronic pelvic pain (83.3%), dysmenorrhea (79.2%), dyspareunia (16.7%) is the classic presentation. More common in multiparous women and begins later in reproductive life (mean age- 45yrs). (45.8%) had bulky uterus on per vaginal examination. Adenomyosis was present in 10 of 23 patients (43.47%) diagnosed as dysfunctional uterine bleeding; 6 of 24 (25%) with fibroid; 4 of 21 (19.04%) with prolapse; 2 of 14 (14.28%) with ovarian mass; 2 of 10 (20%) with pelvic inflammatory disease.

Conclusion

The prevalence of unsuspected adenomyosis is found to be 24% in this study. Adenomyosis is common in women presenting with chronic pelvic pain, menorrhagia and dysmenorrhea. It is also common in multiparous women with bulky uterus and mean age being 45 years. In women with completed family and had failed medical therapy given for undiagnosed Adenomyosis the choice of therapy is hysterectomy.

Keywords

Adenomyosis, Hysterectomy, Histopathological examination, HPE. How to Cite This Article Vancouver Bulusu R, Ray P, Kumar AN, S S. Prevalence of adenomyosis as a co-morbidity in patients who underwent hysterectomy for other indications [Internet]. Indian J Obstet Gynecol Res. 2018 [cited 2026 Jun 09];5(1):139-142. Available from: https://doi.org/10.18231/2394-2754.2018.0031 APA Bulusu, R., Ray, P., Kumar, A. N., S, S. (2018). Prevalence of adenomyosis as a co-morbidity in patients who underwent hysterectomy for other indications. Indian Journal of Obstetrics and Gynecology Research, 5(1), 139-142. https://doi.org/10.18231/2394-2754.2018.0031 MLA Bulusu, Ratna, Ray, Payel, Kumar, Abhilasha N., S, Sanghamitra. "Prevalence of adenomyosis as a co-morbidity in patients who underwent hysterectomy for other indications." Indian J Obstet Gynecol Res, vol. 5, no. 1, 2018, pp. 139-142. https://doi.org/10.18231/2394-2754.2018.0031 Chicago Bulusu, R., Ray, P., Kumar, A. N., S, S.. "Prevalence of adenomyosis as a co-morbidity in patients who underwent hysterectomy for other indications." Indian J Obstet Gynecol Res 5, no. 1 (2018): 139-142. https://doi.org/10.18231/2394-2754.2018.0031

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Condition tags

endometriosisadenomyosischronic_pelvic_paindysmenorrheadyspareunia

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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