Prevalence of endometriosis among patients with adenomyosis and/or myoma uteri scheduled for a hysterectomy.

Wanapa Naphatthalung, Sopon Cheewadhanaraks
Journal of the Medical Association of Thailand = Chotmaihet thangphaet · 2012 · vol. 95(9) , pp. 1136–40 · PMID:23140029 · W2174884252
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This study found that endometriosis was present in 28.6% of women aged 40-50 undergoing hysterectomy for adenomyosis and/or myoma, with higher prevalence in those with adenomyosis compared to myoma.

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Abstract

OBJECTIVE: To estimate the prevalence of endometriosis among patients between 40 and 50-years-old that required a hysterectomy with an indication of adenomyosis and/or myoma uteri. MATERIAL AND METHOD: This cross-sectional study was conducted in a university hospital. Two hundred twenty consecutive premenopausal women, aged 40 to 50-years-old, with symptomatic adenomyosis and/or myoma uteri, and scheduled for a total abdominal hysterectomy were enrolled. During laparotomy, a systematic inspection of the pelvis was carried out to identify endometriosis. RESULTS: The presence of endometriosis was observed in 63 (28.6%) of 220 patients. The prevalence of endometriosis was 19 in 47 (40.4%) patients with adenomyosis, 30 in 132 (22.7%) patients with leiomyomas, and 14 in 41 (34.1%) patients with adenomyosis and leiomyomas. The rate of coexistence of endometriosis in the women with adenomyosis was statistically significantly higher than in the patients with leiomyomas (p-value = 0.032). Younger age, moderate-severe pain, and short menstrual interval were shown to be independent risk factors for endometriosis among these patients. CONCLUSION: The prevalence of endometriosis in the women with adenomyosis was higher than in those with leiomyomas.

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Condition tags

mesh:D004715endometriosisadenomyosis

MeSH descriptors

Adenomyosis Adenomyosis Endometriosis Hysterectomy Leiomyoma Uterine Neoplasms Adenomyosis Adult Endometriosis Female Humans Leiomyoma Leiomyoma Middle Aged Uterine Neoplasms Uterine Neoplasms

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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.

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Cited by (18)

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