Adenomyosis, epidemiological factors
Abstract
Epidemiological studies of adenomyosis are difficult to interpret because the diagnostic criteria vary so widely that the disease may be easily over-diagnosed. This would severely hamper any attempt to define incidence and prevalence of the condition and the related risk factors, and would limit the possibility of clarifying to what extent adenomyosis contributes to clinical symptoms. There is a need for stringent and widely accepted diagnostic criteria in order to define not only the presence of adenomyosis but also depth of penetration and degree of spread of foci. Moreover, the evidence available on epidemiological characteristics of women with adenomyosis is greatly biased by the type of population studied, i.e. women undergoing hysterectomy. Therefore, a consensus on non-surgical diagnostic criteria at transvaginal ultrasonography and MRI is indispensable and urgently needed in order to be able to conduct epidemiological studies in women younger than those evaluated until now.
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Wide variability in adenomyosis prevalence stems from variations in histological criteria and techniques for myometrial sampling.
“This wide variability stems from variations in the histological criteria adopted for diagnosis and the techniques used to procure myometrial samples [15].”
From The Pathogenesis of Adenomyosis vis-à-vis Endometriosis (2020) · cites this paper as [15]
Parity is consistently a risk factor for adenomyosis, while smoking is inconsistently protective.
“Parity is consistently shown to be a risk factor, while smoking is inconsistently shown to be a protective factor [15,18].”
From The Pathogenesis of Adenomyosis vis-à-vis Endometriosis (2020) · cites this paper as [15]
Reported prevalence of adenomyosis varies from 10% to 57%.
“The reported prevalence of adenomyosis varies greatly among different studies, from as low as 10% to as high as 57% [15,16].”
From The Pathogenesis of Adenomyosis vis-à-vis Endometriosis (2020) · cites this paper as [15]
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- Authors
- Vercellini, P., Viganò, P., Somigliana, E., Daguati, R., Abbiati, A., & Fedele, L.
- Affiliations
- University of Milan (IT)
- Corresponding author
- Vercellini, Paolo
- Venue
- Best Practice & Research Clinical Obstetrics & Gynaecology
- Publisher
- Elsevier BV
- Published
- 2006-08
- Volume
- 20
- Issue
- 4
- Pages
- 465-477
- ISSN
- 1521-6934 (ISSN-L)
- OpenAlex
- W2102917784
- Cited by
- 319
- References
- 48
- Citations by year
- 2026: 20 · 2025: 17 · 2024: 20 · 2023: 28 · 2022: 29 · 2021: 27 · 2020: 24 · 2019: 16 · 2018: 19 · 2017: 13 · 2016: 16 · 2015: 17 · 2014: 16 · 2013: 11 · 2012: 14
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Obstetrics & Gynaecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
- Health Sciences › Medicine › Obstetrics and Gynecology › Gynecological conditions and treatments
- Keywords
- adenomyosis, epidemiological risk factors, incidence and prevalence, diagnostic criteria, overdiagnosis, hysterectomy, transvaginal ultrasound, magnetic resonance imaging, penetration depth, women of reproductive age
- MeSH terms
- Endometrial Hyperplasia, Endometriosis, Female, Humans, Infertility, Menstruation Disturbances, Myometrium, Reproduction, Risk Factors, Gynecologic Surgical Procedures, Obstetric Surgical Procedures, Uterine Diseases, Prevalence, Endometrial Neoplasms
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