Adenomyosis: clinic, risk factors and problems of diagnosis and treatment

О. А. Зотова, Н. В. Артымук
In: Гинекология, Vol 15, Iss 6, Pp 31-34 (2013) · 2013 · W3156571396
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This retrospective case-control study identified uterine curettage and induced abortion as significant risk factors for adenomyosis, which often presents with heavy, painful menstruation and faces diagnostic and treatment challenges.

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This retrospective case-control study analyzed 804 women to examine the clinical presentation, risk factors, and diagnostic challenges associated with adenomyosis. The researchers identified that heavy and painful menstruation are the primary symptoms, yet diagnosis is significantly delayed due to systemic issues where only ten percent of symptomatic patients receive appropriate treatment before surgery. Key risk factors highlighted in the data include a history of uterine curettage, induced abortions, and various gynecological or extragenital conditions. This paper is centrally about adenomyosis — specifically focusing on its clinical features, significant diagnostic delays, and established risk factors such as prior uterine interventions.

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Abstract

Design: A retrospective case-control study. The study included 804 women, 268 were patients with histologically verified adenomyosis, 536 – women without proliferative diseases of the pelvic organs. It was found that one third of gynecologic patients undergoing hysterectomy, has adenomyosis. There are significant problems in the diagnosis of the disease, because, despite the existence of relevant complaint, the diagnosis of adenomyosis and treatmenthas been given only to 10% of women. The main complaint appearing in adenomyosis patients at an average age of 38, 5 years is heavy and painful menstruation. The average duration from the onset to the first visit to the doctor was 5 years, and prior to surgery – 12,5 years. Women with adenomyosis had certain characteristics. Medical history of these patients was characterized by a high frequency of gynecological and extragenital diseases, intrauterine intervention, family history of the cancer. A history of uterine curettage and induced abortion were the most significant risk factors for adenomyosis.
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Гинекология (Dec 2013) Adenomyosis: clinic, risk factors and problems of diagnosis and treatment Abstract Design: A retrospective case-control study. The study included 804 women, 268 were patients with histologically verified adenomyosis, 536 – women without proliferative diseases of the pelvic organs. It was found that one third of gynecologic patients undergoing hysterectomy, has adenomyosis. There are significant problems in the diagnosis of the disease, because, despite the existence of relevant complaint, the diagnosis of adenomyosis and treatmenthas been given only to 10% of women. The main complaint appearing in adenomyosis patients at an average age of 38, 5 years is heavy and painful menstruation. The average duration from the onset to the first visit to the doctor was 5 years, and prior to surgery – 12,5 years. Women with adenomyosis had certain characteristics. Medical history of these patients was characterized by a high frequency of gynecological and extragenital diseases, intrauterine intervention, family history of the cancer. A history of uterine curettage and induced abortion were the most significant risk factors for adenomyosis.

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Condition tags

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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