Prevalence and burden of adenomyosis in hysterectomy specimens for benign abnormal uterine bleeding in a tertiary care institute in Pondicherry, India

Vijaya Koothan, Anitha Vijay, Gayatri Maran, Sreelakshmy Sreelakshmy
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2016 · pp. 1119–1123 · doi:10.18203/2320-1770.ijrcog20160869 · W2327827357
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This study evaluated 184 hysterectomy specimens for benign abnormal uterine bleeding, finding adenomyosis present in 55.66% of cases.

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This retrospective study assessed the prevalence and “burden” of adenomyosis among 184 consecutive hysterectomy specimens from patients undergoing surgery for benign abnormal uterine bleeding in a tertiary care institute in Pondicherry, India (May 2007 to May 2008). Patient characteristics were retrieved from records, and adenomyosis frequency was determined from pathology findings, with the reported age range and mean age for adenomyosis patients. Adenomyosis was diagnosed in 119/184 specimens (55.66%), and the adenomyosis group had a mean age of 43.62 years (range 33–55), with the study presenting hysterectomy after failed conservative management as an outcome context. This paper is centrally about endometriosis and/or adenomyosis — specifically adenomyosis prevalence and burden in hysterectomy specimens for benign abnormal uterine bleeding.

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Abstract

Background: Abnormal uterine bleeding (AUB) is one of the most common presenting complaints encountered by women in reproductive age group. An estimated 60% of visits to a physician’s office are from women seeking treatment for menstrual problems. The aim was to assess the burden and prevalence of adenomyosis among hysterectomy specimens for benign causes of AUB in tertiary care institute in Pondicherry.Methods: In this retrospective study, records were retrieved of the patients and pathological specimens of consecutive 184 hysterectomies for benign abnormal uterine bleeding done between May 2007 and May 2008. Patient characteristics were retrieved, and the frequency of adenomyosis in this group was determined.Results: A total of 184 hysterectomies were indicated for benign causes of abnormal uterine bleeding - 50 (23.8%) for fibroid, 119 (55.66%,) for adenomyosis, 15 (7.14%) for dysfunctional uterine bleeding, endometrial hyperplasia and others, other than for malignant causes. Age range 33-55 years, mean age was 43.62 years among adenomyosis patientsConclusions: Adenomyosis was diagnosed in 119 (55.66 %) of the benign AUB specimens. Adenomyosis is a frequent cause for failed conservative management culminating in hysterectomy, posing risk to health related quality of life of women with a bearing on emotional, physical, psychosocial, economic issues and family life.
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Background

Abnormal uterine bleeding (AUB) is one of the most common presenting complaints encountered by women in reproductive age group. An estimated 60% of visits to a physician’s office are from women seeking treatment for menstrual problems. The aim was to assess the burden and prevalence of adenomyosis among hysterectomy specimens for benign causes of AUB in tertiary care institute in Pondicherry.

Methods

In this retrospective study, records were retrieved of the patients and pathological specimens of consecutive 184 hysterectomies for benign abnormal uterine bleeding done between May 2007 and May 2008. Patient characteristics were retrieved, and the frequency of adenomyosis in this group was determined.

Results

A total of 184 hysterectomies were indicated for benign causes of abnormal uterine bleeding - 50 (23.8%) for fibroid, 119 (55.66%,) for adenomyosis, 15 (7.14%) for dysfunctional uterine bleeding, endometrial hyperplasia and others, other than for malignant causes. Age range 33-55 years, mean age was 43.62 years among adenomyosis patients

Conclusions

Adenomyosis was diagnosed in 119 (55.66 %) of the benign AUB specimens. Adenomyosis is a frequent cause for failed conservative management culminating in hysterectomy, posing risk to health related quality of life of women with a bearing on emotional, physical, psychosocial, economic issues and family life.Metrics

References

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