Prevalence of adenomyosis and associated gynaecological pathologies in hysterectomy samples: a retrospective study

Lekshminath Gopinath, Rajani Vaidya
In: International Journal of Research in Medical Sciences · 2021 · vol. 9(9) , pp. 2606 · doi:10.18203/2320-6012.ijrms20213203 · W3190240394
article OA: diamond CC0 ⤵ 2 in-corpus citations
🔓 Open OA copy View on OpenAlex View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This retrospective study found adenomyosis in 16.8% of hysterectomy samples for abnormal uterine bleeding, most commonly associated with leiomyoma.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

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

This retrospective two-year study evaluated the prevalence of histologically confirmed adenomyosis and its associations with other benign gynecologic pathologies among 452 women who underwent hysterectomy for abnormal uterine bleeding at a tertiary hospital in Kerala (2019–2021). Among 76 cases with adenomyosis, adenomyosis prevalence was 16.8%, with most patients reporting symptoms such as abnormal uterine bleeding, dysmenorrhea, and chronic pelvic pain; 60% had no additional gynecologic pathology identified. The most common associated pathology was leiomyoma (15.8%), followed by endometriosis (13.2%), with smaller proportions showing endometrial hyperplasia (3.9%) or endometrial polyp (2.6%), and limited ovarian findings. A key limitation is that the analysis was based on hysterectomy specimens from women selected for surgery due to AUB, so the findings may not represent all women with adenomyosis. This paper is centrally about adenomyosis — reporting its prevalence and associated benign gynecologic comorbidities in hysterectomy samples, including a quantified overlap with endometriosis.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Background: Adenomyosis is a prevalent gynaecological disorder among women and it is a major cause for AUB. Its diagnosis is confirmed by histological examination of hysterectomized samples. Moreover it is associated with other benign gynaecological pathologies. The aim of this study is to identify the prevalence of Adenomyosis and its association with other benign gynaec pathologies in hysterectomized samples.Methods: This retrospective of two year duration was conducted in obstetrics and Gynaecology department of Malabar Medical College Hospital and Research Centre, a tertiary care centre in Kozhikode, Kerala from 2019 June to 2021 June. 452 patients underwent hysterectomy for abnormal uterine bleeding during this period. Among this, 76 patients had histologically proven adenomyosis in hysterectomy specimen and their case record were reviewed and the data was analysed.Results: The prevalence of Adenomyosis in this study was 16.8%. Majority of women were in age group of 41 to 46 (36.8%), followed by 46 to 50 age group (26.3%). 94 % of women were multipara with majority in para2 and para3 group. Only 6 % of women were nulliparous. Most common symptom was abnormal uterine bleeding (92%), followed by dysmenorrhoea and chronic pelvic pain. Majority had overlap of symptoms. 7% of women were asymptomatic. In 60 % of women no other gynaec pathologies were identified. Most common associated pathology was leiomyoma (15.8%), closely followed by endometriosis (13.2%). Endometrial hyperplasia was associated with adenomyosis in 3.9%of women and endometrial polyp in 2.6%. Ovarian pathologies identified were simple ovarian cyst (2.6%) and serous cystadenoma (1.3%).Conclusions: In the present study, the prevalence of adenomyosis was high and abnormal uterine bleeding was the patients’ most prevalent complaint. Among the associated gynaec pathologies, leiomyoma had the highest correlation with adenomyosis.

My notes (saved in your browser only)

Condition tags

endometriosisadenomyosischronic_pelvic_paindysmenorrhea

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (15)

Cited by (2)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK