Quality of life of women with a history of adenomyosis and papillary thyroid carcinoma

А. О. Данилова
In: Reproductive health of woman · 2022 · pp. 63–68 · doi:10.30841/2708-8731.1.2022.258143 · W4283211808
article OA: diamond CC0 ⤵ 2 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

Women with adenomyosis and papillary thyroid carcinoma history reported lower quality of life across physical and psychological domains compared to those with only adenomyosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

The study assessed quality-of-life indicators in 124 women aged 24–45, comparing 61 women with a history of adenomyosis and papillary thyroid carcinoma to 63 women with adenomyosis and an unburdened thyroid status. Using a visual analog scale for pelvic pain in intermenstrual and menstrual periods and SF-36 for health-related quality of life, it found no statistically significant difference in pelvic pain intensity between groups, with both groups reporting pain levels corresponding to “severe pain.” SF-36 results showed that the group with both adenomyosis and prior papillary thyroid carcinoma had significantly lower scores in physical functioning, general health, vitality, mental health, and the physical and psychological summary components. The paper relates to adenomyosis by specifically evaluating how women with adenomyosis experience reduced physical and psychological quality of life when they also have a history of papillary thyroid carcinoma.

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Abstract

The objective: to assess the quality of life of women with a history of adenomyosis and papillary thyroid carcinoma (thyroid).Materials and methods. 124 women aged 24–45 years old were examined: the I group included 61 women with a history of adenomyosis and papillary thyroid carcinoma, and the II group included 63 women with adenomyosis and normal thyroid status. The severity of pelvic pain was assessed on a visual-analog scale (VAS) in the intermenstrual and menstrual periods. Quality of life of the persons was assessed on the basis of a non-specific quality of life questionnaire Short Form Health Status Survey (SF-36).Results. According to results of VAS there was no significant difference in the intensity of pain between patients of the I and II groups. The average intensity of pelvic pain in menstrual (6.9±0.76 cm in the I group and 6.7±0.79 cm – in the II one) and intermenstrual periods (5.9±1.0 and 5.5±0.85 cm, respectively) corresponded to the level of “severe pain”.Analysis of the results of the SF-36 questionnaire demonstrated a decrease in quality of life scales in patients of both groups. Despite the absence of a significant difference in the intensity of pain between women in both groups, the indicators of physical functioning scale (61.5±13.1 points in the I group and 78.50±8.2 points – II group; p<0.05), general health (21.8±11.2 and 48.2±12.0 points, respectively; p<0.05), vital activity (31.5±9.9 and 51.0±7.4 points; p<0.05), mental health (40.4±10.4 and 50.4±7.1 points; p<0.05) and integrated indicators of physical (37.3±5.5 and 41.4±4.3 points; p<0.05) and psychological components of patient health (32.6±5.3 and 36.9±7.5, points; p<0.05) in the I group were significantly lower compared to patients in the II group.Conclusions. The physical and psychological health of women with a history of adenomyosis and papillary thyroid carcinoma is influenced by a combination of factors, including clinical manifestations of adenomyosis and the effects of thyroid carcinogenesis, which lead to reduced physical and psychological functioning.

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Outcome instruments

VAS-pain

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adenomyosis

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