A Study of Prevalence and Risk Factors of Adenomyosis at Hysterectomy

B Ramesh, P Shashikala, Doddikoppad, H R Chandrasekhar
In: Indian Journal of Public Health Research & Development · 2013 · vol. 4(2) , pp. 203 · doi:10.5958/j.0976-5506.4.2.043 · W2080275575
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This study found adenomyosis present in 49.04% of hysterectomy specimens, peaking in the fourth decade, and associated with high parity but not specific clinical conditions.

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This 2013 study evaluated the clinical profile, prevalence, and risk factors of adenomyosis using pathological reports from 896 hysterectomies performed over two years at J.J.M Medical College, Davangere. Among 1827 uteri, adenomyosis was reported in 896 (49.04%) specimens regardless of preoperative diagnosis; patients ranged from 20–75 years (mean 39.8), with peak incidence in the fourth decade, and 99.55% were parous, with menorrhagia as the most common symptom. The authors found no support for adenomyosis being more frequently related to particular clinical conditions and reported an association between parity and increased adenomyosis frequency. The paper relates to adenomyosis because it directly estimates prevalence and examines risk factors (particularly parity) using hysterectomy pathology findings.

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Abstract

Background: Adenomyosis is a frequent entity, with difficult diagnosis, often obtained by pathological analysis performed after hysterectomy. This condition can cause abnormal uterine bleeding and dysmenorrhoea, frequent reasons for consultation and hysterectomy. Aim: The present study sought to evaluate the clinical profile of adenomyosis. Materials and Methods: The data in this study have been derived from 896 hysterectomies performed at J.J.M Medical College, Davangere, for a period of 2 years. Adenomyosis reported in 896 (49.04%) of 1827 uteri were included in the study irrespective of the preoperative diagnosis. Results: Of the 1827 hysterectomy specimen received during the 2year period, adenomyosis was reported in 896 uteri (49.04%). Age of patients ranged from 20 - 75 years with a mean age of 39.8years. Peak incidence was seen in fourth decade. 892 patients were parous (99.55%). The parity ranged from one to ten. Menorrhagia was the commonest symptom. Conclusion: Our findings do not support the notion that adenomyosis is more frequently related to particular clinical condition and suggest the association of parity with an increased frequency of adenomyosis.
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- Year: 2013 - Volume: 4 - Issue: 2 - Author: - Ramesh B H1, P Shashikala2, Doddikoppad3, H R Chandrasekhar3 - Total Page Count: 3 - Page Number: 203 to 205 1Associate Professor, 2Professor and Head, 3Professor, Adenomyosis is a frequent entity, with difficult diagnosis, often obtained by pathological analysis performed after hysterectomy. This condition can cause abnormal uterine bleeding and dysmenorrhoea, frequent reasons for consultation and hysterectomy. The present study sought to evaluate the clinical profile of adenomyosis The data in this study have been derived from 896 hysterectomies performed at J.J.M Medical College, Davangere, for a period of 2 years. Adenomyosis reported in 896 (49.04%) of 1827 uteri were included in the study irrespective of the preoperative diagnosis. Of the 1827 hysterectomy specimen received during the 2year period, adenomyosis was reported in 896 uteri (49.04%). Age of patients ranged from 20 - 75 years with a mean age of 39.8years. Peak incidence was seen in fourth decade. 892 patients were parous (99.55%). The parity ranged from one to ten. Menorrhagia was the commonest symptom. Our findings do not support the notion that adenomyosis is more frequently related to particular clinical condition and suggest the association of parity with an increased frequency of adenomyosis. Adenomyosis, Parity, Symptoms

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adenomyosisdysmenorrhea

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