Clinical characteristics indicating adenomyosis at the time of hysterectomy: a retrospective study in 291 patients

F Andrei Taran, Florin‐Andrei Taran, Markus Wallwiener, Drita Kabashi, Ralf Rothmund, Katharina Rall, Bernhard Kraemer, Sara Y Brucker
Archives of gynecology and obstetrics · 2011 · vol. 285(6) , pp. 1571–1576 · doi:10.1007/s00404-011-2180-7 · PMID:22193824 · W2075405910
article OA: closed CC0 ⤵ 45 in-corpus citations
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

Adenomyosis was associated with younger age, lower uterine weight, and more symptoms compared to leiomyomas alone, but regression analysis identified a lower uterine weight, pelvic pain, smoking history, and parity as independent predictors.

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

This retrospective study reviewed medical records of 291 women undergoing hysterectomy with histologic diagnoses of adenomyosis alone, adenomyosis with leiomyomas, or leiomyomas alone. In univariate analyses, women with adenomyosis were younger, had lower uterine weights, and reported more disease-specific symptoms. Multinomial logistic regression found that lower uterine weight, pelvic pain, history of smoking, and at least one delivery were associated with a greater likelihood of adenomyosis rather than leiomyomas alone. The paper’s conclusions are limited by its retrospective design and restriction to patients who ultimately underwent hysterectomy. This paper does not explicitly discuss endometriosis; it focuses on adenomyosis at hysterectomy, so it relates to adenomyosis by characterizing clinical features associated with histologically confirmed adenomyosis.

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Condition tags

endometriosischronic_pelvic_painadenomyosis

MeSH descriptors

Endometriosis Hysterectomy Adult Endometriosis Endometriosis Female Humans Hysterectomy Leiomyoma Leiomyoma Leiomyoma Middle Aged Organ Size Pelvic Pain Pelvic Pain Pelvic Pain Retrospective Studies Risk Factors Smoking Smoking

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