Is adenomyosis, a frequent association of abnormal uterine bleeding? : a retrospective study on hysterectomy samples in the rural area of Melmaruvathur

S. Sumathi
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2016 · pp. 1192–1195 · doi:10.18203/2320-1770.ijrcog20160883 · W2335578130
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⚙ AI-generated summary by claude@2026-06, 2026-06-12 ⓘ

This retrospective study of 82 hysterectomy samples from rural patients found adenomyosis in 56% and leiomyoma in 35%, making adenomyosis a frequent cause of abnormal uterine bleeding in the perimenopausal age group.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-12 · read from full text ⓘ

This retrospective cross-sectional study analyzed 82 hysterectomy specimens from rural patients who underwent surgery for abnormal uterine bleeding at a single pathology department in Melmaruvathur between January 2014 and December 2015, using both gross and microscopic examination. Adenomyosis was the most common histopathological finding (56%), followed by leiomyoma (35%), with patients most commonly affected in the perimenopausal mean age range of 45.86 years (95% CI 43–46). The authors report that benign pathologies were frequent and that malignant lesions were very rare, but the study’s limitation includes its retrospective design and reliance on hysterectomy samples, which may not represent all causes of abnormal uterine bleeding in the broader population. This paper is centrally about adenomyosis — assessing its prevalence among hysterectomy samples of rural patients with abnormal uterine bleeding.

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Abstract

Background: Abnormal uterine bleeding is one of the common gynecological problem and the causes varies among different age groups. The objective of the study was to find the prevalence of adenomyosis among hysterectomy samples of rural patients and associated pathological lesions as a cause for abnormal uterine bleeding.Methods: A retrospective cross sectional study was carried out in pathology department of Melmaruvathur Adhiparasakthi institute of medical sciences from Jan 2014 to Dec 2015.A total of 82 hysterectomy samples operated for abnormal uterine bleeding were analyzed both grossly and microscopically.Results: The common pathology noted was adenomyosis 56% followed by leiomyoma 35%. The mean age of patients commonly affected was 45.86 years with a confidence interval of 95% (43-46years).Conclusions: Adenomyosis is a frequent association of abnormal uterine bleeding and it commonly affects perimenopausal age group patients of 43-46years. Benign pathology is a frequent finding and malignant lesion is very rare.
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Background

Abnormal uterine bleeding is one of the common gynecological problem and the causes varies among different age groups. The objective of the study was to find the prevalence of adenomyosis among hysterectomy samples of rural patients and associated pathological lesions as a cause for abnormal uterine bleeding.

Methods

A retrospective cross sectional study was carried out in pathology department of Melmaruvathur Adhiparasakthi institute of medical sciences from Jan 2014 to Dec 2015.A total of 82 hysterectomy samples operated for abnormal uterine bleeding were analyzed both grossly and microscopically.

Results

The common pathology noted was adenomyosis 56% followed by leiomyoma 35%. The mean age of patients commonly affected was 45.86 years with a confidence interval of 95% (43-46years).

Conclusions

Adenomyosis is a frequent association of abnormal uterine bleeding and it commonly affects perimenopausal age group patients of 43-46years. Benign pathology is a frequent finding and malignant lesion is very rare.Metrics

References

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