Endometriosis Locations and Coexistence with other Uterine Conditions in a Bulgarian Sample of Patients

D. Serteva, E. Poryazova, Tsvetelina Velikova
In: American International Journal of Multidisciplinary Scientific Research · 2019 · vol. 5(2) , pp. 5–9 · doi:10.46281/aijmsr.v5i2.255 · W2954204776
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This study examined the locations of endometriosis, including adenomyosis and its coexistence with uterine conditions like cancer, hyperplasia, and leiomyomas, in 224 Bulgarian patients.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-08 ⓘ

This study evaluated 224 Bulgarian patients with endometriosis and described endometriosis location patterns (including in the myometrium, ovaries, fallopian tubes, soft tissues, and appendix) and coexistence with other uterine conditions involving the uterine body and cervix, such as endometrial carcinoma, leiomyomas, endometrial hyperplasia, polyps, atrophy, and cervical cancer. The authors report that some patients had multiple coexisting conditions and aimed to understand why these overlaps occur. The paper’s key limitation, based on its presentation, is that it is primarily descriptive without detailed analytic methods for causal mechanisms or statistical testing beyond the cohort description. This paper is centrally about endometriosis — it characterizes endometriosis locations and coexisting uterine conditions, including adenomyosis defined as myometrial endometrial gland/stroma involvement.

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Abstract

Endometriosis is a non-tumor, estrogen-dependent, chronic gynecological disease, which is characterized by the presence of endometrial glands and stroma outside the endometrium of the uterus. Endometriosis affects between 10% and 15% of women in reproductive age. It is often associated with chronic pelvic pain and reproductive difficulties. Endometriosis can be classified as ovarian, extra-ovarian or mixed. Adenomyosis is considered, by some authors, as a separate variant of endometriosis. It is diagnosed as the presence of ectopic benign endometrial glands and stroma in the myometrium, where the minimal distance from the endometrio-myometrial junction is 2-4 mm. Our study includes 224 cases of women with endometriosis with different locations - in the myometrium (adenomyosis), in the ovaries, fallopian tubes, soft tissues and appendix as well as in combination with other conditions of the uterine body, such as endometrial carcinoma, leiomyomas, endometrial hyperplasia, polyps and atrophy and cervical cancer. There are cases of coexistence of several conditions in the same patient, and we are trying to find the reason behind this.

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Condition tags

endometriosisadenomyosischronic_pelvic_pain

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