Risk factors for adenomyosis in patients with symptomatic uterine leiomyomas.

Romanek K, Katarzyna Romanek, Bartuzi A, Aleksandra Bartuzi, Michał Bogusiewicz, Rechberger T, Tomasz Rechberger
Ginekologia polska · 2010 · vol. 81(9) , pp. 678–80 · PMID:20968175 · W2415269561
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This study found that multiparity is a risk factor for adenomyosis in women with symptomatic uterine leiomyomas, based on a retrospective review of hysterectomy patients.

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This retrospective study analyzed medical charts and histopathology reports from 1499 women who underwent hysterectomy between 2003 and 2007 to identify risk factors for adenomyosis in patients with symptomatic uterine leiomyomas. The research compared a group of 135 patients with both conditions against a control group of 176 patients with only uterine fibroids, evaluating variables such as parity, cesarean section history, and abortion rates. The findings indicated that multiparity, defined as delivering twice or more, was significantly associated with an increased risk of developing adenomyosis in this population, while no significant relationship was found with cesarean sections, abortions, menorrhagia, or dysmenorrhea. This paper is centrally about adenomyosis — specifically investigating its association with uterine leiomyomas and identifying multiparity as a key risk factor.

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Abstract

OBJECTIVE: The aim of the study was to evaluate the potential risk factors for adenomyosis in patients with symptomatic uterine leiomyomas. MATERIAL AND METHODS: The medical charts and histopathology reports of 1499 women who underwent hysterectomy between 2003-2007 were retrospectively reviewed. The study group was composed of 135 patients with coexisting uterine leiomyoma and adenomyosis. The control group comprised 176 patients with uterine leiomyoma without adenomyosis. RESULTS: Among 233 patients with adenomyosis 135 (57.9%) had associated uterine fibroids. Women who delivered twice or more were at increased risk for adenomyosis in relation to nulliparuos women: RR (95% CI) 2.44 (1.04-5.72), p = 0.040. No relationship was found between adenomyosis and cesarean section rate, abortions, menorrhagia or dysmenorrhea. CONCLUSION: Results of our study indicate that multiparity is a risk factor for adenomyosis in women with symptomatic leiomyomas.
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Abstract

Summary Objective: The aim of the study was to evaluate the potential risk factors for adenomyosis in patients with symptomatic uterine leiomyomas. Material and methods: The medical charts and histopathology reports of 1499 women who underwent hysterectomy between 2003-2007 were retrospectively reviewed. The study group was composed of 135 patients with coexisting uterine leiomyoma and adenomyosis. The control group comprised 176 patients with uterine leiomyoma without adenomyosis. Results: Among 233 patients with adenomyosis 135 (57.9%) had associated uterine fibroids. Women who delivered twice or more were at increased risk for adenomyosis in relation to nulliparuos women: RR (95% CI) 2.44 (1.04-5.72), p=0.040. No relationship was found between adenomyosis and cesarean section rate, abortions, menorrhagia or dysmenorrhea. Conclusion: Results of our study indicate that multiparity is a risk factor for adenomyosis in women with symptomatic leiomyomas.

Keywords

adenomyosisuterine leiomyomahysterectomyparity

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Condition tags

endometriosisadenomyosisdysmenorrhea

MeSH descriptors

Endometriosis Leiomyoma Uterine Neoplasms Women's Health Aged Comorbidity Endometriosis Endometriosis Endometriosis Female Humans Leiomyoma Leiomyoma Leiomyoma Middle Aged Poland Poland Prevalence Retrospective Studies Risk Factors

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