A Study of Prevalence and Risk Factors of Adenomyosis at Hysterectomy
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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.
Keywords
- Bird CC, Mcelin TW, and Manola EP. The elusive adenomyosis of the uterus- revisited. Am J Obstet Gynaecol 1972; 112: 583-89.
- Molitor J. Adenomyosis: A clinical and pathologic appraisal. Am J Obstet Gynaecol 1971; 110: 275-84.
- Azziz R. Adenomyosis: Current perspectives. Obstet Gynaecol Clinics of North America 1989; 16: 221-35.
- Vercellini P, Parazzini, Oldani S, Panazza S, et al. Adenomyosis at hysterectomy; a study on frequency distribution and patient characteristics. Human reproduction: 1995; 10:1160-2.
- Wéry O, Thille A, Gaspard U, van den Brûle F. Adenomyosis: update on a frequent but difficult diagnosis. Gynaecol obstet Biol Reprod 2005; 34:633-48.
- Bergholt T, Eriksen L, Berendt N, Jacobsen M, Hertz JB. Prevalence and risk factors of adenomyosis at hysterectomy. Hum. Reprod 2001;16: 2418-21
- McCausland, A.M. Hysteroscopic myometrial biopsy: Its use in diagnosing adenomyosis and its clinical application. Am. J. Obstet. & Gynaecol 1992; 166:1619-28.
- Kilkku P, Erkolla R, & Gronroos M. Non specificity of symptoms related to adenomyosis: A prospective comparative survey. Acta Obstet. Gynaecol. Scand 1984; 63: 229-31.
- Vercellini P, Ragni G, Trespidi L, Oldani S, Panazza ,S.et al: Adenomyosis: A Déjà vu? Obstet and Gynaecol Survey 1993; 48: 789-94.
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