Adenomyosis among Women undergoing Hysterectomy in the Department of Obstetrics and Gynaecology in a Tertiary Care Centre: A Descriptive Cross-sectional Study

Sunita Pun, Poonam Koirala, Neebha Ojha
In: Post-Graduate Medical Journal of NAMS · 2025 · vol. 25(2) , pp. 41–45 · doi:10.56974/pmjn.279 · W4413841862
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This study found that 33.33% of women undergoing hysterectomy in a tertiary care center were histologically confirmed to have adenomyosis, with the highest prevalence observed in women aged 41-50.

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This descriptive cross-sectional study investigated the prevalence of adenomyosis among women undergoing hysterectomy at a tertiary care center between April 2016 and July 2017. The researchers analyzed histological data from 255 patients, finding that 33.33% had confirmed adenomyosis, with the highest rates occurring in women aged 41 to 50 years and those with a parity of three. The authors noted that these findings were consistent with prevalence rates reported in similar settings, although the convenience sampling method limits generalizability. This paper is centrally about adenomyosis, specifically focusing on its histological prevalence and demographic associations in women requiring hysterectomy.

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Abstract

Introduction: Adenomyosis is a gynecological condition that causes endometrial tissue to grow within the uterine myometrium, usually occurs in women in their late reproductive years, often presenting with menorrhagia and dysmenorrhea. There are few studies examining adenomyosis in tertiary care centre in our country. The aim of this study was to find out the prevalence of adenomyosis among women undergoing hysterectomy presenting to the Department of Obstetrics and Gynecology of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynecology of a tertiary care centre, from 13 April 2016 to 14 July 2017, after obtaining ethical approval from the Institutional Review Committee (Reference number: 338/6-11-E-072-73). Women who underwent hysterectomy in the department were included in the study, while those who refused to provide consent were excluded. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated. Results: Among 255 women undergoing hysterectomy 85 (33.33%) (27.55-39.12, 95% Confidence Interval) were histologically confirmed to have adenomyosis. The highest prevalence was observed in women aged 41-50 years 59 (69.41%), while the lowest was found in those over 60 years, 2 (2.36%). Adenomyosis was most common among women with a parity of 3 (36.47%). Conclusions: The prevalence of adenomyosis was found to be similar to other studies done in similar settings.
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Introduction

Adenomyosis is a gynecological condition that causes endometrial tissue to grow within the uterine myometrium, usually occurs in women in their late reproductive years, often presenting with menorrhagia and dysmenorrhea. There are few studies examining adenomyosis in tertiary care centre in our country. The aim of this study was to find out the prevalence of adenomyosis among women undergoing hysterectomy presenting to the Department of Obstetrics and Gynecology of a tertiary care centre.

Methods

A descriptive cross-sectional study was conducted in the Department of Obstetrics and Gynecology of a tertiary care centre, from 13 April 2016 to 14 July 2017, after obtaining ethical approval from the Institutional Review Committee (Reference number: 338/6-11-E-072-73). Women who underwent hysterectomy in the department were included in the study, while those who refused to provide consent were excluded. Convenience sampling method was used. Point estimate and 95% Confidence Interval were calculated.

Results

Among 255 women undergoing hysterectomy 85 (33.33%) (27.55-39.12, 95% Confidence Interval) were histologically confirmed to have adenomyosis. The highest prevalence was observed in women aged 41-50 years 59 (69.41%), while the lowest was found in those over 60 years, 2 (2.36%). Adenomyosis was most common among women with a parity of 3 (36.47%).

Conclusions

The prevalence of adenomyosis was found to be similar to other studies done in similar settings.

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adenomyosisdysmenorrhea

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