A Study of Prevalence and Risk Factors of Adenomyosis at Hysterectomy

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.